Vitamin A supplementation during puerperium: systematic review

Rev Saude Publica. 2009 Aug;43(4):699-706. doi: 10.1590/s0034-89102009005000038. Epub 2009 Jun 19.
[Article in English, Portuguese]

Abstract

A systematic review on studies evaluating the effect of applying megadoses of vitamin A on the retinol concentrations in maternal milk and blood, as a short-term measure for preventing hypovitaminosis A, was conducted. Based on the strategy of the Brazilian Cochrane Center for randomized trials, 115 published papers were identified in PubMed. From these, through a set of inclusion/exclusion criteria, 14 articles published between 1993 and 2007 were selected. The effects of interventions with three posological regimens (200,000, 300,000 and 400,000 IU) of vitamin A were analyzed. Out of 11 experiments conducted on maternal milk, nine presented elevation of the retinol levels in comparison with the control group; out of nine that evaluated maternal blood, four showed elevation at varying times after applying megadoses of vitamin A. It was concluded that the results from administration of vitamin A at high doses were positive in 82% of the trials on maternal milk, but less notable in relation to maternal blood. No significant differences regarding the posological regimens applied were observed.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Dietary Supplements / analysis*
  • Female
  • Humans
  • Lactation
  • Milk, Human / chemistry*
  • Postpartum Period / drug effects*
  • Pregnancy
  • Randomized Controlled Trials as Topic
  • Vitamin A / administration & dosage*
  • Vitamin A / blood*
  • Vitamin A Deficiency / prevention & control*

Substances

  • Vitamin A