Vitamin A and Pregnancy: A Narrative Review

Nutrients. 2019 Mar 22;11(3):681. doi: 10.3390/nu11030681.

Abstract

Vitamin A is a crucial micronutrient for pregnant women and their fetuses. In addition to being essential for morphological and functional development and for ocular integrity, vitamin A exerts systemic effects on several fetal organs and on the fetal skeleton. Vitamin A requirements during pregnancy are therefore greater. Vitamin A deficiency (VAD) remains the leading cause of preventable blindness in the world. VAD in pregnant women is a public health issue in most developing countries. In contrast, in some developed countries, excessive vitamin A intake during pregnancy can be a concern since, when in excess, this micronutrient may exert teratogenic effects in the first 60 days following conception. Routine prenatal vitamin A supplementation for the prevention of maternal and infant morbidity and mortality is not recommended; however, in regions where VAD is a public health issue, vitamin A supplementation is recommended to prevent night blindness. Given the importance of this topic and the lack of a complete, up-to-date review on vitamin A and pregnancy, an extensive review of the literature was conducted to identify conflicting or incomplete data on the topic as well as any gaps in existing data.

Keywords: Vitamin A; pregnancy; vitamin A deficiency.

Publication types

  • Review

MeSH terms

  • Dietary Supplements*
  • Female
  • Humans
  • Infant, Newborn
  • Maternal Nutritional Physiological Phenomena
  • Night Blindness / prevention & control
  • Pregnancy
  • Pregnancy Complications / prevention & control*
  • Prenatal Care / methods
  • Vitamin A / administration & dosage*
  • Vitamin A Deficiency / prevention & control*
  • Vitamins / administration & dosage*

Substances

  • Vitamins
  • Vitamin A