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Long chain polyunsaturated fatty acids in mothers of preterm babies

  • Anitha S. Kilari , Savita S. Mehendale , Kamini D. Dangat , Hemalata R. Yadav , Arti Gupta , Vaishali S. Taralekar and Sadhana R. Joshi
Published/Copyright: August 31, 2010
Journal of Perinatal Medicine
From the journal Volume 38 Issue 6

Abstract

Aims: To examine the levels of docosahexaenoic acid (DHA) and arachidonic acid (AA) in both plasma and erythrocytes of maternal and cord blood as well as in breast milk of mothers of preterm babies.

Methods: A total of 63 mothers of preterm babies were recruited from the Bharati Medical Hospital, Pune, India.

Results: Plasma and erythrocyte DHA and AA levels were higher (P<0.001) in cord blood than in maternal blood. Maternal plasma DHA and AA were positively (P<0.01) associated with their respective maternal erythrocyte levels. There was a positive association (P<0.01) between maternal DHA (both plasma and erythrocyte) and cord DHA. Maternal plasma omega 3 and 6 fatty acids were positively (P<0.01) associated with their respective milk fatty acids.

Conclusions: Higher DHA and AA levels in cord blood compared to the mothers suggests a special mechanism to meet the increased demand of the fetus. Higher levels of milk DHA reflect the increased postnatal requirement of preterm babies suggesting a vital role for maternal milk. Lower maternal erythrocyte DHA concentrations in mothers delivering preterm as compared to term suggest that increased oxidative stress may be responsible for reduced DHA levels. This may alter the uterotonic factors like prostaglandins leading to premature triggering of labor.


Corresponding author: Dr. Sadhana R. Joshi Department of Nutritional Medicine Interactive Research School for Health Affairs Bharati Vidyapeeth University Pune 411043 India Tel.: +91 20-24366929/31 Fax: +91 20-24366929

Received: 2008-12-18
Revised: 2009-3-9
Accepted: 2009-3-20
Published Online: 2010-08-31
Published in Print: 2010-11-01

©2010 by Walter de Gruyter Berlin New York

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