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KMID : 0123420050100050615
Korean Journal of Community Nutrition
2005 Volume.10 No. 5 p.615 ~ p.622
A Change of Serum Folate and Vitamin B_{12} Concentrations of Maternal and Umbilical Cord Blood during Pregnancy



Abstract
Folate and Vitamin B_{12} are essential nutrients important during pregnancy. This study was conducted to evaluate the folate and vitamin B_{12} nutritional status of Korean pregnant women and to investigate the relationship between maternal¡©umbilical cord serum folate and vitamin B12 levels and pregnancy outcomes. Dietary intakes of the pregnant women were estimated by 24 hour-recall (3 times). Serum folate and vitamin B12 levels in maternal blood and umbilical cord of 27 pregnant women at 1¡¯¡¯st-, 2¡¯¡¯nd-, 3¡¯¡¯rd-trimester and delivery were measured by RIA (radioimmuno assay), respectively. Means of folate and vitamin B_{12} intake were 283.53pm58.01{mu}g/day and 2.99pm1.32mg/day, respectively. Maternal mean serum folate levels of the trimester and delivery were 9.75pm3.60ng/ml, 10.46pm4.63ng/ml, 10.71pm4.14ng/ml and 15.05pm7.04ng/ml. Those maternal levels were significantly lower than that of umbilical cord blood (23.99pm9.42ng/ml). Serum vitamin B_{12} levels of maternal trimester and delivery were 479.07pm137.56 pg/ml, 310.96pm137.56pg/ml, 308.22pm74.65pg/ml, and 295.67pm93.36pg/ml, which were significantly lower than those of umbilical cord blood (500.13pm185.60ng/ml). This finding indicates that the uptake of folate and vitamin B_{12} in the fetus may be due to an active placental transport mechanism. Maternal serum level correlated positively with those of umbilical cord blood, showing that folate and vitamin B_{12} concentration of umbilical cord blood might be affected by maternal status. There was no significant correlation between the serum folate levels in maternal-umbilical cord blood and the pregnancy outcomes. However, maternal vitamin B_{12} level at l¡¯¡¯st trimester was significant positive correlation between the gestational age except for birth weight and weight gain.
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