What vitamin D level should be maintained during pregnancy to avoid problems with neonatal bone density?

Study for the American Board of Obstetrics and Gynecology (ABOG) Qualifying Exam. Hone your skills with flashcards and multiple choice questions, complete with hints and explanations. Prepare confidently for your exam!

Maintaining an adequate vitamin D level during pregnancy is essential for neonatal bone health, as vitamin D plays a crucial role in calcium absorption and bone mineralization. The optimal level of vitamin D to ensure that both the mother and developing fetus maintain bone density is generally considered to be above 20 ng/mL. Levels below this threshold may lead to issues such as neonatal rickets and insufficient bone density.

Research indicates that a vitamin D level of at least 20 ng/mL can support appropriate calcium metabolism during pregnancy, minimizing the risk of bone-related complications in the neonate. This level also takes into account the need for additional vitamin D as pregnancy progresses, given the increased demand for calcium and phosphate by the growing fetus. While higher levels may provide additional health benefits, maintaining a minimum of 20 ng/mL is recognized as sufficient to support neonatal bone health and lower the risk of potential deficiencies.

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