References

medalphabet

Медицинский алфавит

Medical alphabet

2078-56312949-2807

ООО «Альфмед»

10.33667/2078-5631-2020-16-39-46

medalphabet-1612

Research Article

Статьи

Результаты применения витаминно-минеральных комплексов во время беременности (обзор литературы)

Results of vitamin and mineral complexes’ use during pregnancy (literature review)

Кузнецова

И. В.

Kuznetsova

I. V.

д.м.н., проф., рук. направления «гинекологическая эндокринология»

НОЧУ ДПО «Высшая медицинская школа»РоссияHigher Medical SchoolRussian Federation

2020

21092020

016

Современная гинекология (2)

3946

2020

Кузнецова И.В.

Kuznetsova I.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-alphabet.com/jour/article/view/1612

Целью настоящего обзора стало изучение влияния приема витаминно-минеральных комплексов (ВМК) беременными женщинами на акушерские и перинатальные исходы. Для проведения анализа был осуществлен поиск зарубежных и отечественных публикаций в международной системе цитирования PubMed, опубликованных за последние 15 лет. Результаты анализа показали, что применение ВМК в течение 3 месяцев до зачатия и во время беременности снижает риски внутриутробных аномалий и улучшает прогноз постнатального развития потомства. Кроме того, прием ВМК в период гестации снижает частоту железодефицитной анемии беременных, внутрипеченочного холестаза беременных, преэклампсии, макросомии, низкой массы тела новорожденного, преждевременных родов и послеродовых кровотечений. Использование многокомпонентных ВМК имеет преимущества перед приемом только фолиевой кислоты и железа. Заключение. Прием ВМК в период беременности может значимо уменьшить риск неблагоприятных акушерских и перинатальных исходов. Применение комплексных препаратов особенно важно на этапе преконцепции и ранних сроках беременности, но его желательно продолжать до окончания беременности и лактации.

The purpose of this review was to study the effect of the intake of vitamin and mineral complexes (VMC) by pregnant women on obstetric and perinatal outcomes. To carry out the analysis, a search was carried out in foreign and domestic publications in the international citation system PubMed, published over the past 15 years. The results of the analysis showed that the use of VMC within 3 months before conception and during pregnancy reduces the risks of intrauterine abnormalities and improves the prognosis of postnatal development of offspring. In addition, taking VMC during gestation reduces the incidence of iron deficiency anemia in pregnant women, intrahepatic cholestasis of pregnant women, preeclampsia, macrosomia, low birth weight, premature birth and postpartum hemorrhage. The use of multicomponent VMC has advantages over taking only folic acid and iron. Conclusion. Taking an VMC during pregnancy can significantly reduce the risk of adverse obstetric and perinatal outcomes. The use of complex drugs is especially important at the stage of preconception and early pregnancy, but it is advisable to continue until the end of pregnancy and lactation.

витаминно-минеральные комплексынеблагоприятные исходы беременностипренатальное программированиевнутриутробные пороки развитиямакросомиянизкая масса тела новорожденногожелезодефицитная анемия беременныхпреэклампсияпреждевременные роды

vitamin and mineral complexesadverse pregnancy outcomesprenatal programmingintrauterine malformationsmacrosomialow birth weightiron deficiency anemia of pregnant womenpre-eclampsiapremature birth

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The authors declare that there are no conflicts of interest present.