Vitamin D supplementation during pregnancy
Vitamin D is known to play an important role in bone metabolism through regulation of calcium and phosphate equilibrium. Vitamin D is produced by the body during exposure to sunlight, but is also found in oily fish, eggs and fortified food products.
Vitamin D deficiency is thought to be common among pregnant women in some populations, and has been found to be associated with an increased risk of pre-eclampsia, gestational diabetes mellitus, preterm birth, and other tissue-specific conditions.
Vitamin D supplementation during pregnancy improves maternal vitamin D status and may reduce the risk of pre-eclampsia, low birthweight and preterm birth. However, the evidence currently available to directly assess the benefits and harms of the use of vitamin D supplementation alone in pregnancy for improving maternal and infant health outcomes is limited.
Pregnant women should be encouraged to receive adequate nutrition, which is best achieved through consumption of a healthy balanced diet.
WHO recommendations
Vitamin D supplementation is not recommended for pregnant women to improve maternal and perinatal outcomes.*
* This recommendation supercedes the previous recommendation found in the WHO guideline ‘Vitamin D supplementation in pregnant women’ (2012).
Additional information for this recommendation can be found in the guidance summary and in the guideline, under 'WHO documents' below.
WHO Documents
GRC-approved guidelines
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WHO recommendations on antenatal care for a positive pregnancy experience
Publication date: 2016
Evidence
Systematic reviews used to develop the guidelines
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Vitamin D supplementation for women during pregnancy
De-Regil LM, Palacios C, Lombardo LK, Peña-Rosas JP.
Cochrane Database of Systematic Reviews 2016, Issue 1. Art. No.: CD008873. - Summary of this review
- Podcast (Cochrane)
Other related systematic reviews
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Effect of vitamin D supplementation during pregnancy on maternal and neonatal outcomes: a systematic review and meta-analysis of randomized controlled trials
Pérez-López FR, Pasupuleti V, Mezones-Holguin E, Benites-Zapata VA, Thota P, Deshpande A, Hernandez AV.
Fertility and Sterility. 2015; 103(5):1278-88.e4. -
Vitamin D during pregnancy and maternal, neonatal and infant health outcomes: a systematic review and meta-analysis
Thorne-Lyman A, Fawzi WW.
Paediatric and Perinatal Epidemiology. 2012; 26(s1):75–90.