Nutritional quality of women based on the results of their survey and assessment of the impact of supplemental vitamin and micronutrient intake during preconception and early pregnancy

Kravchenko E.N., Novitskaya E.L., Rozhkova L.Yu., Mamedova A.A., Turenko M.Yu.

1) Omsk State Medical University, Ministry of Health of Russia, Omsk, Russia; 2) City Clinical Perinatal Center, Omsk, Russia

Objective: To study the impact of a vitamin-mineral complex (VMC) supplement Premama Duo on general well-being, sleep quality, and the condition of the skin, hair, and nails in women at the preconception stage.
Materials and methods: This was a prospective observation of 250 women; the main group included 125 women at the preconception stage, who underwent a questionnaire survey and received VMC Premama Duo. The comparison group consisted of women who were registered for an unplanned pregnancy.
Results: Most women had factors contributing to hypopolyvitaminosis: body weight deficiency was in 23/250 (9.2%) of those examined, overweight and obesity were in 80/250 (32.0%). Gastrointestinal diseases were noted in 74/250 (29.6%) women and endocrine diseases in 17/250 (6.8%) women. It was found that 165/250 (66%) women regularly include meat in their diet, fruits and vegetables 153/250 (61.2%), fish and seafood 100/250 (40%), dairy products 142/250 (56.8%), whole grain carbohydrate food 61/250 (24.4%). Only 61/250 (24.4%) women had a balanced diet, 189/250 (75.6%) had an unbalanced diet. Clinical manifestations of deficiency were experienced by 121/250 (48.4%) respondents before preconception preparation, and 26/250 (10.4%) after preparation with the use of VMC Premama Duo.
After pregnancy, women in the group with preconception preparation showed symptoms such as decreased appetite significantly less frequently, namely 25/125 (20%) vs. 89/125 (71.2%) in the comparison group, taste changes – 1/125 (0.8%) vs. 17/125 (13.6%) respectively, muscle pain, cramps – 2/125 (1.6%) vs. 28/125 (22.4%), decreased hemoglobin level – 3/125 (2.4%) vs. 26/125 (20.8%), latent iron deficiency – 4/125 (3.2%) vs. 32/125 (25.6%). Morning sickness was also less frequent in the group of patients who had preconception preparation and took Premama Duo, 6/125 (4.8%) vs. 48/125 (38.4%).
Conclusion: The administration of VMC Premama Duo compensates the increased need for vitamins and trace elements during the preconception stage and early pregnancy, thus improving the general condition of the woman.

Authors’ contributions: Kravchenko E.N. – developing the concept and design of the study; Novitskaya E.L., Rozhkova L.Yu. – collecting and processing the material, statistical processing of the data; Mamedova А.A., Turenko M.Yu. – collecting and processing the material, writing the text.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the City Clinical Perinatal Center, protocol No.4.
Patient Consent for Publication: The patients provided an informed consent for the use of medical data for the educational process and scientific activities without specifying personal data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Kravchenko E.N., Novitskaya E.L., Rozhkova L.Yu., Mamedova A.A., Turenko M.Yu. 
Nutritional quality of women based on the results of their survey and assessment of the impact of 
supplemental vitamin and micronutrient intake during preconception and early pregnancy. 
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (11): 173-184 (in Russian)
https://dx.doi.org/10.18565/aig.2024.276

Keywords

preconception preparation
quality nutrition of pregnant women
morning sickness
vitamin and mineral complexes for pregnant women
Premama Duo

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Received 01.11.2024

Accepted 27.11.2024

About the Authors

Elena N. Kravchenko, Dr. Med. Sci., Professor, Professor at the Department of Obstetrics and Gynecology No. 1, Omsk State Medical University, Ministry of Health of Russia, 644099, Russia, Omsk, Lenin str., 12, +7(3812)23-02-93, +7(913)620-81-62, kravchenko.en@mail.ru, https://orcid.org/0000-0001-9481-8812
Elena L. Novitskaya, obstetrician-gynecologist of the highest qualification category, Head of Day Hospital No. 2, City Clinical Perinatal Center, 644010, Russia, Omsk, Mayakovsky str., 65/1, +7(3812)30-59-58, +7(905)922-27-62, fcabhm@bk.ru
Lydia Yu. Rozhkova, obstetrician-gynecologist of the first qualification category of specialized admission for miscarriage of Women’s Clinic No. 1, City Clinical Perinatal Center, 644069, Russia, Omsk, Herzen str., 69, +7(3812)94-01-40, +7(913)615-21-03, mamalida72@mail.ru
Aigyun A. Mamedova, obstetrician-gynecologist at Day Hospital No. 1, City Clinical Perinatal Center, 644069, Russia, Omsk, Herzen str., 69, +7(3812)94-01-47,
+7(908)116-12-42, mamedova-55@mail.ru
Marina Yu. Turenko, obstetrician-gynecologist of Day Hospital No. 1, City Clinical Perinatal Center, 644069, Russia, Omsk, Herzen str., 69, +7(3812)94-01-47,
+7(950)335-76-16, akuweronkolog@mail.ru
Corresponding author: Elena N. Kravchenko, kravchenko.en@mail.ru
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