The Impact Of Prenatal Vitamins On Maternal And Fetal Health Outcomes
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Abdulaziz Aljabri , Ali hesan Alzahrani , Ahmed Salem Alkhayat , Aljawharah Saud Alotaibi , Raid Mohammed Refae , Ola Abdullah Saktawi ,Bandar Mazyad Alharthi
Eman Awdullah Alharbi ,Faisal Shaddad Alharbi , Salhah Mohammed Alqarni, Ahmed Muhji Almuqati,Abdullah Saad Aljohani, Emad Hassan Alkhuzaee, Abdullah R Almenamy
Abstract
Prenatal vitamins are essential in meeting the increased nutritional needs during pregnancy, significantly impacting maternal and fetal health. They ensure the supply of critical nutrients like folic acid, which prevents neural tube defects, and iron, which wards off anemia and supports fetal oxygenation. Calcium and vitamin D are crucial for fetal bone formation and maintaining maternal bone health, while DHA contributes to fetal brain and eye development, potentially reducing postpartum depression risks. Other vitamins and minerals, such as iodine, B6, B12, C, E, and zinc, support various functions from metabolism to immune health.
Adherence to recommended dosages is critical to avoid toxicity and ensure benefits. Although diets should ideally provide these nutrients, prenatal vitamins bridge any gaps, contributing to long-term health through fetal programming. Healthcare guidance is essential to tailor intake to individual needs, ensuring safety and efficacy. Within recommended guidelines, prenatal vitamins are a key component of prenatal care, safeguarding against nutritional deficiencies and fostering healthy pregnancy outcomes.
Keywords :
prenatal vitamins, maternal health, fetal health, folic acid, iron, calcium, vitamin D, DHA..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty