Vitamin A and micronutrient deficiencies post-bariatric surgery: aetiology, complications and management in a complex multiparous pregnancy
| العنوان: | Vitamin A and micronutrient deficiencies post-bariatric surgery: aetiology, complications and management in a complex multiparous pregnancy |
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| المؤلفون: | William L. Martin, Louise J. Whitticase, Nicola S. Cooper, Sheldon C. Cooper, Amanda Smith, Fiona L. Mackie |
| المصدر: | European Journal of Clinical Nutrition. 72:1176-1179 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, 0301 basic medicine, Vitamin, Pediatrics, medicine.medical_specialty, Anemia, Iron, Perinatal Death, Medicine (miscellaneous), Gestational Age, 030209 endocrinology & metabolism, Abortion, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Pregnancy, Humans, Medicine, Micronutrients, Obesity, Vitamin A, 030109 nutrition & dietetics, Nutrition and Dietetics, Anemia, Iron-Deficiency, Vitamin A Deficiency, business.industry, Smoking, Infant, Newborn, Gestational age, Biliopancreatic Diversion, medicine.disease, Micronutrient, Diet, Abortion, Spontaneous, Pregnancy Complications, Vitamin A deficiency, Fetal Diseases, Vitamin B 12, chemistry, Etiology, Premature Birth, Female, business |
| الوصف: | Adequate vitamin A is essential for healthy pregnancy, but high levels may be teratogenic. We present a patient who underwent bariatric surgery, prior to child bearing, and suffered maternal and foetal complications during eleven pregnancies, possibly associated with vitamin A deficiency, amongst multiple micronutrient deficiencies and risk factors including smoking and obesity. Maternal complications included visual disturbance, night blindness and recurrent infections. Recurrent foetal pulmonary hypoplasia and microphthalmia led to foetal and neonatal loss, not previously described in the medical literature. Current guidance on vitamin A deficiency in pregnancy is focused on developing countries where aetiology of vitamin A deficiency is different to that of women in developed countries. We describe nutritional management of the micronutritient deficiencies, focusing on vitamin A, during her last pregnancy. The need for specific antenatal nutritional guidance for pregnant women post-bariatric surgery is becoming more urgent as more mothers and offspring will be affected. |
| تدمد: | 1476-5640 0954-3007 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0f0ddf42937e290f32f418bd8247a42bTest https://doi.org/10.1038/s41430-018-0224-9Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....0f0ddf42937e290f32f418bd8247a42b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14765640 09543007 |
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