Prevention and treatment of vitamin D deficiency during pregnancy: the position of professional medical communities
Artymuk N.V., Tachkova О.А.
The review presents the analysis of 17 clinical recommendations and the position of 14 professional medical communities on the prevention and treatment of vitamin D deficiency in pregnant women. These recommendations are offered by the World Health Organization (WHO), the British Royal College of Obstetricians and Gynecologists (RCOG), the Institute of Obstetricians and Gynecologists of the Royal College of Physicians in Ireland, the American Pregnancy Association (APA), the American College of Obstetricians and Gynecologists (ACOG), the Society of Obstetricians and Gynecologists of Canada (SOGC), the Endocrine Society, the Royal Australian College of General Practitioners (RACGP), Health Canada, Académie de Médecine, the German Nutrition Society (Deutsche Gesellschaft für Ernährung e.V.), the Chinese Nutrition Society, the Institute of Medicine, the Russian Society of Obstetricians and Gynecologists (RSOG), the Russian Association of Endocrinologists (RAE), Health New Zealand - Te Whatu Ora and the nutrition societies of Germany, Austria, and Switzerland (D-A-CH).
Conclusion: All professional communities agree that pregnant women should receive adequate nutrition. This is best achieved by eating healthy, balanced foods, and ensuring that they get enough sunlight, which is a vital source of vitamin D. At the same time, the analysis reveals different positions among professional communities regarding vitamin D intake during pregnancy. Recommendations for vitamin D intake during pregnancy range from 200 to 4,000 IU/day. Most communities do not recommend regular prophylaxis with high doses of vitamin D for pregnant women, as the safety of this practice has not been proven. High-quality randomized controlled trials among populations with low vitamin D levels are necessary to assess the benefits of vitamin D during pregnancy, as these benefits remain uncertain and vary greatly.
Authors’ contributions: Artymuk N.V., Tachkova О.А. – developing the concept and design of the study; editing the article.
Artymuk N.V. – search and analysis of the material, writing the text.
Conflicts of interest: Authors declare lack of the possible conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Artymuk N.V., Tachkova О.А. Prevention and treatment of vitamin D deficiency during pregnancy:
the position of professional medical communities.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (8): 5-14 (in Russian)
https://dx.doi.org/10.18565/aig.2025.216
Keywords
References
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- Федеральный закон от 07.06.2025 № 150-ФЗ «О внесении изменений в отдельные законодательные акты Российской Федерации». Доступно по: http://www.kremlin.ru/acts/bank/51994 [Federal Law № 150-FZ of June 7, 2025 «On Amendments to Certain Legislative Acts of the Russian Federation». Available at: http://www.kremlin.ru/acts/bank/51994 (in Russian)].
Received 13.08.2025
Accepted 21.08.2025
About the Authors
Natalya V. Artymuk, Dr. Med. Sci., Professor, Head of the G.A. Ushakova Department of Obstetrics and Gynecology, Kemerovo State Medical University, Ministry of Health of Russia, 22a, Voroshilov str., Kemerovo, 650056, Russia, +7(3842)73-48-56, +7(960)923-33-55, artymuk@gmail.com, https://orcid.org/0000-0001-7014-6492Olga A. Tachkova, PhD., Associate Professor, Department of Hospital Therapy and Clinical Pharmacology, Kemerovo State Medical University, Ministry of Health of Russia, 22a, Voroshilov str., Kemerovo, 650056, Russia, ol.an.t@yandex.ru, https://orcid.org/0000-0002-6537-3460
Corresponding author: Natalya V. Artymuk, artymuk@gmail.com