Q. Will vitamin D deficiency during pregnancy affect baby growth?

Hello,

Welcome to icliniq.com.

The vitamin D levels are in deficient range and vitamin B12 levels are normal. There is no need to discontinue the pregnancy due to these values. Vitamin D supplementation will help to have adequate levels in baby. I suggest vitamin D supplementation Calcirol sachet 60000 IU weekly after the 12th week of pregnancy for eight weeks. Consult your doctor, discuss with him or her and take the medicine with consent. I hope your wife is already taking Folic acid 5 mg daily and has already undergone routine investigations of pregnancy.

Her hemoglobin, urine routine test, TSH (thyroid-stimulating hormone), FBS (fasting blood sugar), Hb electrophoresis, VDRL (venereal disease research laboratory), HIV (human immunodeficiency virus) and HBsAg (hepatitis B surface antigen) are all normal. Also, I hope that the NT (nuchal translucency) and NB (nasal bone) are normal. Please review if otherwise. In view of previous three abortions, please start tablet Ecosprin 75 mg daily (Aspirin). It will continue till 36 weeks. Also get tested for APLA - antiphospholipid antibodies for LAC and ACL. According to the report, we will decide whether further pregnancy support is required or not. Do not take any medication except Folic acid, Ecosprin and Doxinate (combination of Doxylamine succinate and Pyridoxine hydrochloride for vomiting) till first three months (12 weeks) of pregnancy to avoid congenital malformations in baby.

1. APLA screening for ACL (anticardiolipin antibody) and LAC (lupus anticoagulant).

2. Beta-2 glycoprotein.

Hello,

Welcome back to icliniq.com.

• Yes, Enoxaparin (Enoxion) should be continued till 36 weeks of pregnancy. ACL and LAC will help us know whether we should continue with 40 IU or increase to 60 IU.

• Hb electrophoresis is done to detect a genetic defect called thalassemia in individuals. The result can be normal, carrier or thalassemia disease. Usually, children with parents being a carrier or thalassemic have a risk of developing thalassemia.

• The test for your wife is normal and therefore, you need not worry. Your baby does not have any risk of having thalassemia.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Sonal Prasad

Experience: 13 + Yrs

Obstetrics And Gynecology

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