Ajit Sebastian1, Reeta Vijayaselvi2, Yohen Nandeibam3, Madhupriya Natarajan3, Thomas Vizhalil Paul4, B Antonisamy5, Jiji Elizabeth Mathews6. 1. Registrar, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India . 2. Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India . 3. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamilnadu, India . 4. Professor, Department of Endocrinology, Christian Medical College , Vellore, Tamilnadu, India . 5. Professor, Department of Biostatistics, Christian Medical College , Vellore, Tamilnadu, India . 6. Professor, Department of Obstetrics and Gynaecology Unit V, Christian Medical College , Ida Scudder Road, Vellore, South India .
Abstract
BACKGROUND: Milder forms of vitamin D deficiency could be responsible for poor muscular performance causing dysfunctional labor. The aim of our research was to study the association between vitamin D deficiency and primary cesarean section. MATERIALS AND METHODS: This was a case control study. Forty six women who delivered by primary cesarean section with dystocia as primary or secondary indication after 37 weeks of gestation were taken as cases and a similar number of women who delivered vaginally were taken as controls. Vitamin D deficiency was diagnosed when the serum 25(OH)D level was ≤20 ng/ml and this was compared between cases and controls. RESULTS: Median serum (OH) vitamin D levels was 23.3ng/ml among women who delivered by cesarean section and 26.2ng/ml among controls (p=0.196). Baseline characteristics were similar in both groups except for a strong association between Body Mass Index (BMI) and cesarean section, (29.7kg/m(2) in cases and 25.9kg/m(2) in controls p=0.001) seen in multivariate analysis. Vitamin D deficiency was seen in 34.8% of cases and 21.7% of controls (p=0.165). CONCLUSION: This small case control study did not show a significant association between vitamin D deficiency and primary cesarean section.
BACKGROUND: Milder forms of vitamin D deficiency could be responsible for poor muscular performance causing dysfunctional labor. The aim of our research was to study the association between vitamin D deficiency and primary cesarean section. MATERIALS AND METHODS: This was a case control study. Forty six women who delivered by primary cesarean section with dystocia as primary or secondary indication after 37 weeks of gestation were taken as cases and a similar number of women who delivered vaginally were taken as controls. Vitamin D deficiency was diagnosed when the serum 25(OH)D level was ≤20 ng/ml and this was compared between cases and controls. RESULTS: Median serum (OH) vitamin D levels was 23.3ng/ml among women who delivered by cesarean section and 26.2ng/ml among controls (p=0.196). Baseline characteristics were similar in both groups except for a strong association between Body Mass Index (BMI) and cesarean section, (29.7kg/m(2) in cases and 25.9kg/m(2) in controls p=0.001) seen in multivariate analysis. Vitamin D deficiency was seen in 34.8% of cases and 21.7% of controls (p=0.165). CONCLUSION: This small case control study did not show a significant association between vitamin D deficiency and primary cesarean section.
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Authors: Inmaculada Gómez-Carrascosa; María L Sánchez-Ferrer; Julian J Arense-Gonzalo; María T Prieto-Sánchez; Emilia Alfosea-Marhuenda; Miguel A Iniesta; Jaime Mendiola; Alberto M Torres-Cantero Journal: Nurs Open Date: 2021-05-15