Papers And Originals

Maternal Factors in Neonatal Hypocalcaemia: A Study in Three Ethnic Groups

Br Med J 1971; 2 doi: https://doi.org/10.1136/bmj.2.5759.432 (Published 22 May 1971) Cite this as: Br Med J 1971;2:432
  1. Patsy J. M. Watney,
  2. G. W. Chance,
  3. P. Scott,
  4. Joan M. Thompson

    Abstract

    To assess the significance of various maternal and neonatal factors in the aetiology of neonatal tetany we have investigated the serum calcium, phosphorus, magnesium, and heat-labile alkaline phosphatase of 250 mothers from three ethnic groups at several stages of pregnancy and the serum calcium, phosphorus, and magnesium of many of their infants. Subclinical hypocalcaemia was found to be much commoner in full-term infants on the sixth day of life than is generally appreciated, especially during the winter months and in babies of Asian parents. It is considered that this is a result of high phosphorus loads in artificial milks and is also influenced by maternal vitamin D and possibly calcium intake during pregnancy. The importance of ensuring that Asian women take adequate vitamin D supplements during pregnancy is stressed.

    Footnotes

    • * This work formed a part of a dissertation submitted for the degree of M.D. of Cambridge University by one of us (P.J.M.W.).