medigraphic.com
ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2013, Number 1

<< Back Next >>

Perinatol Reprod Hum 2013; 27 (1)

Prenatal control and serum zinc: impact on the newborn to adolescent mothers

Sámano R, Bukrinsky-Corenstein J, Mar-Carranza P, Sánchez-Jiménez B, Tolentino M, Godínez-Martínez E, Zelonka R, Sam S, Martínez-Rojano H, Rodríguez-Ventura AL

Language: Spanish
References: 32
Page: 8-14
PDF size: 168.13 Kb.


ABSTRACT

Introduction: Adolescents pregnant are a vulnerable group in the nutritional area because they have their self growth requirements and for the child. Prenatal care is important to achieve healthy nutrition and better pregnant outcomes. Aims: To associate the gestational trimester beginning prenatal care, zinc (Zn) serum concentrations and its intake with neonatal characteristics. Methods: This is a cohort study with pregnant adolescents assisted by Perinatology National Institute. In the last trimester of gestation, we determine anthropometry characteristics, zinc intake (food frequency), serum zinc (espectrofotometry) and clinical records in order to get newborn somatometry. Statistic analysis: T Student, χ2 de Pearson and lineal regression. The study was approved by INPer’s Research and Ethic Committee. Results: More than 50% adolescents pregnant began their prenatal care at the first gestational trimester, 56% had eutocic part, 92% were at term, and 85% had newborn’s normal weight and normal zinc intake. Normal zinc serum concentrations explained 35% of NB weight (R2 = 0.358, IC 1761, 3914, p = 0.001), 16% of head circumference (R2 = 0.163, IC 31.2, 39, p = 0.001), 25% of gestational age at term (p = 0.003), and 43% of newborn height (R2 = 0.431, IC 49.62, p = 0.001). Conclusions: Prenatal care in the first trimester was associated with a higher zinc intake. Zinc normal serum concentration was associated with normal gestational age at term, higher weight, head circumference and height stature.


REFERENCES

  1. Ulanowicz M, Parra K, Wendler G, Monzón L. Riesgos en el embarazo adolescente. Revista de Posgrado de la VIa Cátedra de Medicina. 2006; 153: 13-17.

  2. Díaz, A; Sanhueza R; Yakzic B,. Riesgos obstétricos en el embarazo adolescente: estudio comparativo de resultados obstétricos y perinatales con pacientes embarazadas adultas. Rev. Chil. Obstet. Ginecol. 2002, 67(6): 481.

  3. Marin-Foucher L, Villafañe-Gurza A. La relación familiar como un factor que predice el embarazo adolescente. Revista Electrónica de Psicología Iztacala, Mexico. 2006; 9(3): 24-42.

  4. Department of Child and Adolescent Health and Development World Health Organization, Geneva. Adolescent Pregnancy Issues in Adolescent Health and Development. 2004: 8-38.

  5. Yallez M, Franco R, Michelazzo D: Embarazo adolescente: una propuesta para la prevención. Bras J Obstet Gynecol. 2009; 31(10): 477-9.

  6. Schwarc R, Uranga A, Lomuto C, Martinez I, Galimberti D, García M, Etcheverry M, Queiruga M. El cuidado prenatal, guía para la practica del cuidado preconcepcional y del control prenatal. Ministerio de Salud de la Nación, 2001: 1-40.

  7. Nutrition Committee Canadian Pediatric Society. Adolescent nutrition: pregnancy and diet. Can Med Assoc J. 1983; 129(7): 691-2.

  8. Casanueva E; Morales M. Nutrición del adolescente. Disponible en URL: http://www.facmed.unam.mx/deptos/salud/censenanza/spi/unidad2/adolescente.pdf. Consultado marzo 24, 2012.

  9. Czeizel E, Dudas I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med. 1992; 327(26): 1832-5.

  10. Institute of Medicine. Subcommittee on Nutritional Status and Weight Gain during Pregnancy; Subcommittee on Dietary Intake and Nutrient Supplements during Pregnancy. U.S. Health Resources and Services Administration. Nutrition during pregnancy: part I, weight gain; part II: nutrient supplements. Washington, D.C.: National Academy Press, 1990.

  11. Casini S, Sáinz G, Hertz M, Andina E. Guia de control prenatal, embarazo normal. Rev. Hosp. Mat. Inf. 2002; 21(2): 51-61.

  12. Oladapo A Ladipo. Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr 2000; 72(1): 280-90.

  13. Bourges H., Casanueva E., Rosado J. recomendaciones de ingestión de nutrimentos para la población mexicana. México: Editorial Medica Panamericana. 2005: 265-73.

  14. Moran V. Nutritional status in pregnant adolescents: a systematic review of biochemical markers. Maternal & Child Nutrition. 2007; 3(2): 74-93.

  15. Casanueva E, Jimenéz J, Meza-Camacho C, Mares M, Simón L. Prevalence of nutrtitional deficiencies in Mexican adolescent women with early and late prénatal care. Arch Latinoam Nutr. 2003; 53(1): 35-8.

  16. Castillo-Durán C, Rodríguez A, Venegas G, Alvarez P, Icaza G. Zinc supplementation and growth of infants born small for gestational age. J Pediatr. 1995, 127(2): 206-11.

  17. Goldenberg RL, Tamura T, Neggers Y, Copper RL, Johnston KE, DuBard MB, Hauth JC. The effect of zinc supplementation on pregnancy outcome. JAMA. 1995; 274(6): 463-8.

  18. Secretaría de salud. Estados Unidos Mexicanos. Norma Oficial Mexicana NOM-043-SSA2-2005, servicios básicos de salud, promoción y educación para la salud en materia alimentaria. Criterios para brindar orientación. 2006.

  19. Secretaría de Salud. Estados Unidos Mexicanos. Norma Oficial Mexicana NOM-007-SSA2-1993, Atención de la mujer durante el embarazo, parto y puerperio y del recién nacido. Criterios y procedimientos para la prestación del servicio. 1993.

  20. Lohman TG, Roche AF, and Martorell R. Anthropometric standardization reference manual. Human Kinetics Books, Champaign, Illinois. 1988.

  21. Hernandez-Avila M, Romieu I, Parra S, Hernandez-Avila J, Madrigal H, Willet W. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex 1998; 40: 133-140.

  22. Abassi-Ghanavati M, Greer L, Cunningham G. Pregnancy and Laboratory Studies, a reference table for clinicins. J Obstet Gynecol . 2009; 114(6): 1326-31.

  23. Peláez J. Adolescentes embarazadas: caracterìsticas y riesgos. Rev Cubana Obtet Ginecol 1997; 23(1): 13-17.

  24. Kogan MD, Alexander GR, Kotelchuck M, Nagey DA. Relation of the Content of Prenatal Care to the Risk of Low Birth Weight: Maternal Reports of Health Behavior Advice and Initial Prenatal Care Procedures. JAMA. 1994; 271(17): 1340-45.

  25. Elster AB. The effect of maternal age, parity, and prenatal care on perinatal outcome in adolescent mothers. J. Obstet. Gynecol. 1984; 149(8): 845-7.

  26. Siega-Riz AM, Adair LS, Hobel CJ. Maternal underweight status and inadequate rate of weight gain during the third trimester of pregnancy increases the risk of preterm delivery. J Nutr. 1996; 126(1): 146-53.

  27. Nishi Y. Zinc and growth. J Am Coll Nutr 1996; 15(4): 340-344.

  28. Sayeg Porto MA, Oliveira HP, Cunha AJ, Miranda G, Guimaraes MM, Oliveira WA, Dos Santos DM L. Linear growth and Zinc supplementation in children with short stature. J Pediatr Endocrinol Metab. 2000; 13(8): 1121-8.

  29. Goldenberg RL, TumuraT, NeggersY, Cooper RL, Johnston KE, DuBard MB et al. The effect of zinc supplementation on pregnancy outcome. JAMA 1995; 274(6): 463-8.

  30. Mahomed K, Bhutta Z, Middleton P. Administración de suplementos de cinc para mejorar los resultados del neonato y del embarazo. Cochrane Plus, 2008 Número 4. Disponible en URL: http://www.fisterra.com/guias2/cochrane/AB000230-ES.htm. Consultado octubre 29, 2012.

  31. Diez E, Fernández G, Bonilla E, Portillo B, Vizcaíno G. Maternal and umbilical cord serum levels of folic acid zinc: its relationship with pregnancy outcome Invest. clín; 1988; 29(4): 205-17.

  32. Tuula E. Tuormaa. Adverse Effects of Zinc Deficiency: A Review from the Literature. Journal of Orthomolecular Medicine. 1995; 10(3,4): 149-164.




2020     |     www.medigraphic.com