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2 . 2016

Comprehensive approach to preventative vitamin therapy of congenital malformations and pregnancy pathology

Abstract

Numerous recent studies have shown that pathological effects such as cell division disruption, apoptosis and microthrombogenesis occurring before and after implantation increase the level of homocysteine in the blood plasma. Association between between intrauterine pathology and hyperhomocysteinemia has been proven. Spontaneous abortion, intrauterine growth retardation, intrauterine fetal death, placental abruption, preeclampsia, eclampsia, placental insufficiency, disturbance of uteroplacental and fetoplacental circulation, thrombosis and vasculitis, cognitive impairment in children and dementia have a link with hyperhomocysteinemia. Folate deficiency leads to disruption of the synthesis of nucleic acids and proteins, the inhibition of cell division and growth in the fetus, especially the rapidly proliferating tissues such as bone marrow, intestine epithelium. 5-MTHF provides more than 90% of the folate transformations.

Eating disorders woman hypovitaminosis is threatening not only pregnant mother, but congenital polyhypovitaminosis of a newborn. The lag in the development of the fetus occurs when the uterine-placental nutri­tion does not meet the needs of the fetus and the level of essential amino acids is reduced in fetoplacental

Keywords:prenatal care, folate, hypovitaminosis, methylenetetrahydrofolate reductase, docosahexaenoic acid, hyperhomocysteinemia

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CHIEF EDITORS
CHIEF EDITOR
Sukhikh Gennadii Tikhonovich
Academician of the Russian Academy of Medical Sciences, V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Moscow
CHIEF EDITOR
Kurtser Mark Arkadievich
Academician of the Russian Academy of Sciences, MD, Professor, Head of the Obstetrics and Gynecology Subdepartment of the Pediatric Department, N.I. Pirogov Russian National Scientific Research Medical University, Ministry of Health of the Russian Federation
CHIEF EDITOR
Radzinsky Viktor Evseevich
Corresponding Member of the Russian Academy of Sciences, MD, Professor, Head of the Subdepartment of Obstetrics and Gynecology with a Course of Perinatology of the Medical Department in the Russian People?s Friendship University

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