Journal
JOURNAL OF PERINATAL MEDICINE
Volume 47, Issue 2, Pages 183-189Publisher
WALTER DE GRUYTER GMBH
DOI: 10.1515/jpm-2018-0142
Keywords
bariatric surgery; breast milk; beta-carotene; nutrition; pregnancy; vitamin A; vitamin A deficiency
Categories
Funding
- NEI NIH HHS [R01 EY027405] Funding Source: Medline
Ask authors/readers for more resources
Background: As breastfeeding awareness and social acceptance are increased, maternal nutritional deficiency requires more investigation. Methods: A prospective cohort study was conducted to determine if vitamin A deficiency is more common in pregnant, lactating post-bariatric surgery women in an inner city population. Antepartum, women after bariatric surgery and controls with no history of malabsorption were recruited. Third trimester, postpartum maternal blood and cord blood were collected as well as three breast milk samples: colostrum, transitional and mature milk. A nutritional survey of diet was completed. Each serum sample was analyzed for total retinol and beta-carotene; breast milk samples were analyzed for retinol and retinyl esters, total retinol and (-)beta carotene. Results: Fifty-three women after bariatric surgery and 66 controls were recruited. Postpartum scrum retinol was significantly higher in women after bariatric surgery in the univariate analysis (P<0.0001) and confirmed in the multiple linear mixed model (P= 0.0001). Breast milk colostrum retinol and transitional milk total retinol were significantly greater in the bariatric surgery group in the univariate analysis (P=0.03 and P=0.02, respectively), but not after adjusting for confounders. Serum beta-carotene in the third trimester and postpartum were lower (P<0.0001 and P=0.003, respectively) in the bariatric surgery group but not after adjusting for confounders. Vitamin A deficiency was high in both groups in serum and breast milk samples. Conclusion: Nutritional deficiencies in breastfeeding women after bariatric surgeries may in fact be less common than in control women in an inner city.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available