Yasemin ERCAN GÜNDEMİR, Abdurrahman Avar ÖZDEMİR

GEBELERDE VE YENİDOĞANLARDA VİTAMİN B12 DÜZEYİNİN DEĞERLENDİRİLMESİ

Amaç: Gebelerde vitamin B12 eksikliği yalnızca anneleri değil aynı zamanda bebeklerini de etkileyen önemli bir sağlık sorunudur. Her ne kadar vitamin B12 eksikliği tüm dünyada ve tüm yaş gruplarında görülse de sosyoekonomik düzeyi düşük toplumlarda görülme sıklığı daha yüksektir. Bu çalışmanın amacı, İstanbul’un sosyo-ekonomik düzeyi düşük bir bölgesi olan Bağcılar’da, gebe kadınların vitamin B12 düzeylerini belirlemek, annelerin vitamin B12 düzeyinin yenidoğan bebeklerin düzeyine etkisini ve vitamin B12 eksikliği için risk faktörlerini belirlemektir. Materyal ve Metot: Bu çalışma Mart 2016 ve Mart 2017 tarihleri arasında 71 gebe ve 71 yenidoğan üzerinde gerçekleştirildi. Yaş, cinsiyet, ağırlık, gebelik haftası, gebelik boyunca alınan kilo, vücut kitle endeksi, doğum sayısı, sosyoekonomik durum, diyet, gebelikte vitamin alımı kaydedildi. Tüm katılımcılardan tam kan sayımı ve vitamin B12 için kan örnekleri alındı. Gebe kadınlar ve yenidoğan bebekler vitamin B12 düzeylerine göre sınıflandırıldı. Vitamin B12 eksikliği için risk faktörleri araştırıldı. Bulgular: Gebe kadınların ortalama vitamin B12 düzeyi 172,96 ± 103 pg/ml idi. B12 yetersizliği (

ASSESSMENT OF THE VITAMIN B12 STATUS OF PREGNANT WOMEN AND THEIR INFANTS

Aim: Vitamin B12 deficiency is an important problem inpregnancy because it affects not only mothers but alsotheir infants. Although vitamin B12 deficiency is seen allover the world and all age groups, its frequency is muchhigher in population which has low socio-economic level.The aim of this study was to evaluate the maternal vitaminB12 status and their effect on neonatal vitamin B12 statusand to detect risk factors for vitamin B12 deficiency inBağcılar where is a low socio-economic region in Istanbul.Materials and Methods: A total of 71 pregnant women and71 infants were included in this study between March 2016and March 2017. Age, gender, weight, gestational age,weight gain during pregnancy, body mass index (BMI),number of parity, socio-economic status, diet, daily vitaminintake were recorded. Blood samples for whole bloodcount and vitamin B12 were taken all subjects. Thepregnant women and newborns were divided into groupsbased on their vitamin B12 levels. The risk factors wereanalyzed for vitamin B12 deficiency.Results: The mean vitamin B12 level was 172.23±102pg/ml for pregnant women. The number of pregnantwomen in deficient group (

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