Abstract
Aim:
To investigate the association between maternal and neonatal serum 25-hydroxyvitamin D (25-OHD) levels and development of transient tachypnea of the newborn (TTN) in full term infants.
Methods:
This was a prospective case-control study carried out on 30 neonates with TTN and their mothers and 30 control neonates and their mothers. Levels of 25-OHD were measured in maternal and neonatal blood samples that were obtained in the first 12–24 h of postnatal age.
Results:
Both maternal and neonatal 25-OHD levels in the TTN group were significantly lower compared to the control group (P=0.0001). A negative correlation was observed between neonatal 25-OHD level and average hospital stay (P=0.0001).
Conclusion:
We observed that lower maternal and neonatal vitamin 25-OHD levels were associated with TTN development in full term infants.
Author’s statement
Conflict of interest: Authors declare that they have neither conflict of interest nor received any financial support for this work.
Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.
Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.
References
[1] Nguyen M, Trubert CL, Rizk-Rabin M, Rehan VK, Besançon F, Cayre YE, et al. 1,25-Dihydroxyvitamin D3 and fetal lung maturation: immunogold detection of VDR expression in pneumocytes type II cells and effect on fructose 1,6 bisphosphatase. J Steroid Biochem Mol Biol. 2004;89–90:93–7.10.1016/j.jsbmb.2004.03.054Search in Google Scholar PubMed
[2] Saadoon A, Ambalavanan N, Zinn K, Ashraf AP, MacEwen M, Nicola T, et al. Effect of prenatal versus postnatal vitamin D deficiency on pulmonary structure and function in mice. Am J Respir Cell Mol Biol. 2017;56:383–92.10.1165/rcmb.2014-0482OCSearch in Google Scholar PubMed PubMed Central
[3] Shor DB, Barzel J, Tauber E, Amital H. The effects of maternal vitamin D on neonatal growth parameters. Eur J Pediatr. 2015;174:1169–74.10.1007/s00431-015-2517-5Search in Google Scholar PubMed
[4] Onwuneme C, Martin F, McCarthy R, Carroll A, Segurado R, Murphy J, et al. The association of vitamin D status with acute respiratory morbidity in preterm infants. J Pediatr. 2015;166:1175–80.10.1016/j.jpeds.2015.01.055Search in Google Scholar PubMed
[5] Konca C, Kahramaner Z, Bulbul M, Erdemir A, Tekin M, Ercan S, et al. Association between serum 25-hydroxyvitamin D levels and TTN. Horm Res Paediatr. 2014;81:397–401.10.1159/000358521Search in Google Scholar PubMed
[6] Çetinkaya M, Çekmez F, Erener-Ercan T, Buyukkale G, Demirhan A, Aydemir G, et al. Maternal/neonatal vitamin D deficiency: a risk factor for bronchopulmonary dysplasia in preterms? J Perinatol. 2105;35:813–7.10.1038/jp.2015.88Search in Google Scholar PubMed
[7] Dinlen N, Zenciroglu A, Beken S, Dursun A, Dilli D, Okumus N. Association of vitamin D deficiency with acute lower respiratory tract infections in newborns. J Matern Fetal Neonatal Med. 2016;29:928–32.10.3109/14767058.2015.1023710Search in Google Scholar PubMed
[8] Dawodu A, Zalla L, Woo JG, Herbers PM, Davidson BS, Heubi JE, et al. Heightened attention to supplementation is needed to improve the vitamin D status of breastfeeding mothers and infants when sunshine exposure is restricted. Matern Child Nutr. 2014;10:383–97.10.1111/j.1740-8709.2012.00422.xSearch in Google Scholar PubMed PubMed Central
[9] Thandrayen K, Pettifor JM. Maternal vitamin D status: implications for the development of infantile nutritional rickets. Endocrinol Metab Clin North Am. 2010;39:303–20.10.1016/j.ecl.2010.02.006Search in Google Scholar PubMed
[10] Cetinkaya M, Cekmez F, Buyukkale G, Erener-Ercan T, Demir F, Tunc T, et al. Lower vitamin D levels are associated with increased risk of early-onset neonatal sepsis in term infants. J Perinatol. 2015;35:39–45.10.1038/jp.2014.146Search in Google Scholar PubMed
[11] Chen L, Wilson R, Bennett E, Zosky GR. Identification of vitamin D sensitive pathways during lung development. Respir Res. 2016;17:47.10.1186/s12931-016-0362-3Search in Google Scholar
[12] James DK, Chiswick ML, Harkes A, Williams M, Hallworth J. Non-specificity of surfactant deficiency in neonatal respiratory disorders. Br Med J (Clin Res Ed). 1984;288:1635–8.10.1136/bmj.288.6431.1635Search in Google Scholar
[13] Bhuta T, Kent-Biggs J, Jeffery HE. Prediction of surfactant dysfunction in term infants by the click test. Pediatr Pulmonol. 1997;23:287–91.10.1002/(SICI)1099-0496(199704)23:4<287::AID-PPUL6>3.0.CO;2-JSearch in Google Scholar
[14] Machado LU, Fiori HH, Baldisserotto M, Ramos Garcia PC, Vieira AC, Fiori RM. Surfactant deficiency in transient tachypnea of the newborn. J Pediatr. 2011;159:750–4.10.1016/j.jpeds.2011.04.023Search in Google Scholar
©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Fetal anomalies – From prenatal diagnosis to therapy
- Corner of Academy
- The first trimester aneuploidy biochemical markers in IVF/ICSI patients have no additional benefit compared to spontaneous conceptions in the prediction of pregnancy complications
- Research articles – Obstetrics
- Assessment of strain and dyssynchrony in normal fetuses using speckle tracking echocardiography – comparison of three different ultrasound probes
- Inborn errors of metabolism in a cohort of pregnancies with non-immune hydrops fetalis: a single center experience
- Cytogenetic analysis in fetuses with late onset abnormal sonographic findings
- Fetal MRI, lower acceptance by women in research vs. clinical setting
- Neurological complications after therapy for fetal-fetal transfusion syndrome: a systematic review of the outcomes at 24 months
- Evaluation of management and surgical outcomes in pregnancies complicated by acute cholecystitis
- Pentaerythrityltetranitrate (PETN) improves utero- and feto-placental Doppler parameters in pregnancies with impaired utero-placental perfusion in mid-gestation – a secondary analysis of the PETN-pilot trial
- Early onset preeclampsia is associated with an elevated mean platelet volume (MPV) and a greater rise in MPV from time of booking compared with pregnant controls: results of the CAPE study
- Effect of maternal age, height, BMI and ethnicity on birth weight: an Italian multicenter study
- Risk factors and classification of stillbirth in a Middle Eastern population: a retrospective study
- Selective IUGR in dichorionic twins: what can Doppler assessment and growth discordancy say about neonatal outcomes?
- Early fetal megacystis: Is it possible to predict the prognosis in the first trimester?
- Research articles – Fetus
- A poor long-term neurological prognosis is associated with abnormal cord insertion in severe growth-restricted fetuses
- Birth-weight centiles and the risk of serious adverse neonatal outcomes at term
- Short communication
- Maternal and neonatal vitamin D deficiency and transient tachypnea of the newborn in full term neonates
- Acknowledgment
Articles in the same Issue
- Frontmatter
- Editorial
- Fetal anomalies – From prenatal diagnosis to therapy
- Corner of Academy
- The first trimester aneuploidy biochemical markers in IVF/ICSI patients have no additional benefit compared to spontaneous conceptions in the prediction of pregnancy complications
- Research articles – Obstetrics
- Assessment of strain and dyssynchrony in normal fetuses using speckle tracking echocardiography – comparison of three different ultrasound probes
- Inborn errors of metabolism in a cohort of pregnancies with non-immune hydrops fetalis: a single center experience
- Cytogenetic analysis in fetuses with late onset abnormal sonographic findings
- Fetal MRI, lower acceptance by women in research vs. clinical setting
- Neurological complications after therapy for fetal-fetal transfusion syndrome: a systematic review of the outcomes at 24 months
- Evaluation of management and surgical outcomes in pregnancies complicated by acute cholecystitis
- Pentaerythrityltetranitrate (PETN) improves utero- and feto-placental Doppler parameters in pregnancies with impaired utero-placental perfusion in mid-gestation – a secondary analysis of the PETN-pilot trial
- Early onset preeclampsia is associated with an elevated mean platelet volume (MPV) and a greater rise in MPV from time of booking compared with pregnant controls: results of the CAPE study
- Effect of maternal age, height, BMI and ethnicity on birth weight: an Italian multicenter study
- Risk factors and classification of stillbirth in a Middle Eastern population: a retrospective study
- Selective IUGR in dichorionic twins: what can Doppler assessment and growth discordancy say about neonatal outcomes?
- Early fetal megacystis: Is it possible to predict the prognosis in the first trimester?
- Research articles – Fetus
- A poor long-term neurological prognosis is associated with abnormal cord insertion in severe growth-restricted fetuses
- Birth-weight centiles and the risk of serious adverse neonatal outcomes at term
- Short communication
- Maternal and neonatal vitamin D deficiency and transient tachypnea of the newborn in full term neonates
- Acknowledgment