Revista Brasileira de Saúde Materno Infantil (Sep 2004)

Estudo das variações dos níveis de retinol no colostro humano de parturientes a termo e pré-termo Study of retinol level variations of human colostrum among parturient women with term and pre-term newborns

  • Illana Louise Pereira de Melo,
  • Karla Danielly da Silva Ribeiro,
  • Roberto Dimenstein

DOI
https://doi.org/10.1590/S1519-38292004000300004
Journal volume & issue
Vol. 4, no. 3
pp. 249 – 252

Abstract

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OBJETIVOS: analisar as variações dos níveis de retinol no colostro de parturientes a termo e pré-termo. MÉTODOS: foram analisadas amostras de leite de 78 lactantes, sendo metade delas mães de recém-nascidos prematuros. As amostras de colostro foram obtidas por expressão manual de uma mama, até 72 horas após o parto, no turno vespertino e no início da mamada, até atingir um volume de 2,0 ml. A determinação do retinol foi realizada por cromatografia líquida de alta eficiência e os resultados foram submetidos à análise estatística através do teste t de Student. RESULTADOS: o valor médio do retinol no colostro de mães a termo (n = 39) e pré-termo (n = 39) foram, respectivamente, 89,4 ± 46,1 mig/dL e 55,6 ± 27,7 mig/dL. A diferença entre as médias foi estatisticamente significante (p OBJECTIVES: to analyze retinol levels variations in the colostrum of term and pre-term parturient women. METHODS: colostrum samples of 78 lactating women, half of which were mothers of premature newborns, were analyzed. The samples were manually extracted from one breast until 2.0 ml were obtained. They were collected up to 72 hours after birth, during the morning hours and right before nursing. Retinol levels were determined by high-performance liquid chromatography and analyzed by the T-test for means comparison. RESULTS: the mean retinol values in the colostrums of women with term (n = 39) and pre-term newborns (n = 39) were 89,4 ± 46,1 mug/dL and 55,6 ± 27,7 mug/dL, respectively. The difference of means was considered statistically significant at (p < 0,001). Human milk meets the need for Vitamin A in the term newborn. However, for the premature newborn, it only supplied 66% of the needs. CONCLUSIONS: results suggest that exclusive use of human milk does not meet the needs of pre-term newborn completely and that a Vitamin A supplement for the mother is necessary in order to reduce Vitamin A risk deficiency.

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