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International Journal of Trend in Scientific Research and Development (IJTSRD)
                  Special Issue on Modern Trends in Scientific Research and Development, Case of Asia
                                    Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

                            The Effect and Significance of Vitamin D

                             on the Course and Effects of Pregnancy

         Isroilova Guljannat Pardabaevna , Azimova Komila Islomovna , Juraeva Gulnora Ergashevna
                                             1
                                                                                                               2
                                                                              1
                1 Assistant of the Department of “Obstetrics and Gynecology”,  The Head of the 6th Year Student,
                                                                         2
                                1,2 Samarkand State Medical Institute, Samarkand, Uzbekistan

        ABSTRACT                                               with  low  body  mass,  gestational  diabetes,  preterm  birth,
        Background. The high prevalence and negative effects of   preeclampsia, inflammatory reactions. [2]
        vitamin  D  deficiency  is  a  problem  for  a  wide  range  of
        specialists worldwide. Pregnant and lactating women are at   Materials and methods
        risk for vitamin D deficiency, as evidenced by the results of   An analysis of 18 sources of foreign literature on this topic
        many  epidemiological  studies.  Vitamin  D  plays  an   was carried outInfluence of vitamin D on satellites, especially
        important  role  in  providing  the  mother-placenta-fetus   on trophoblast cells.
        system,  including  implantation,  placenta  formation,
        embryogenesis,  intra-  and  postnatal  periods.  Vitamin  D   The placenta contains all the components of the signaling
        deficiency leads to placental insufficiency, low birth weight,   system of vitamin D (VDR, RXR, CYP27B1 and CYP24A1).
        gestational diabetes, premature birth, preeclampsia, and an   Weisman et al. [2]
        increase in the inflammatory response.
                                                               It was found that detsidualnaya tissue in the placenta is able
        The purpose of the study: an analytical review of the role   to  synthesize  1,25  (OH)  2D  and  24,25  (OH)  2D,  which
        and importance of vitamin D during pregnancy in modern
                                                               predispose  to  the  formation  of  cytokines,  granulocytes,
        scientific literature.
                                                               macrophages 2 (GMCSF-2), stimulating colony a (TNF-). a),
        Materials and methods. An analysis of 18 foreign literary   suppresses  the  synthesis  of  protivovospalitelnogo
        sources on this topic was carried out                  interleykina-6 (IL-6) and increases the indicators of TsAMF
                                                               in detsidualnyx cells and cytotrophoblastax [3, 5, 6].
        Conclusion.  Vitamin  D  plays  an  important  role  in  the

        system  of  pregnant  women,  the  placenta  and  the  fetus,
        especially  during  implantation,  placenta  formation,   In the case of using vitamin D after exposure to E. coli on the
                                                               third  row  of  trophoblast  cell  cultures,  a  relatively  low
        embryogenesis, intra- and postnatal period. According to
                                                               infection rate was confirmed compared to the case without
        the literature review: Low level 25 (ON) D has an adverse
                                                               using vitamin D [6,7]. This indicates a high level of SAMR. It
        effect  on  the  course  of  pregnancy,  outcome,  fetal   follows that adding vitamin D to the diet with a serum 25
        development,  and  infant  health.  Eliminating  vitamin  D
                                                               (OH) D level <30 ng / ml (vitamin D deficiency or deficiency)
        deficiency has a positive effect on pregnancy outcomes and
                                                               during pregnancy may reduce infectious processes.
        baby's health, i.e. serious complications during pregnancy -

        preeclampsia, gestational diabetes, placental insufficiency,   Functions of vitamin D during pregnancy
        chronic  infection  and  other  diseases  are  significantly
                                                               The satellite has been proven to be capable of synthesizing
        reduced.
                                                               1.25  (OH)  2D.  Placental  product  -  1.25  (PO)  2D.  During

        KEYWORDS: 25 (OH) 2D, 1.25 (OH) 2D, vitamin D deficiency,   pregnancy, against the background of massive synthesis of
        preeclampsia, gestational diabetes                     this vitamin, the rate of entry of this vitamin into the kidneys
                                                               increases, which leads to the accumulation of ego [7].
        INTRODUCTION
        High prevalence and negative consequences of vitamin D   Observations have shown that the level of 1.25 (OH) 2D in a
        deficiency  are  a  problem  for  many  professionals  in  the   recent series in the third trimester of pregnancy was twice
        world. Vitamin D deficiency is associated with health risks,   as high as in non-pregnant women and in the postpartum
        including  cardiovascular  disease,  cancer,  metabolic   period  [8,  9].  1.25  (OH)  2D  is  a  link  in  the  auto-  and
        syndrome, bone marrow, autism, multiple sclerosis, diabetes   paracrine  immune  systems  and  has  been  shown  to  be
        and mental health. It is proved that vitamin D deficiency   synthesized during pregnancy [10]. 1.25 (OH) 2D inhibits the
        causes infertility, affects the longevity of pregnancy and good   release of Th1 cytokines and increases the amount of Th2
        health (in the womb and in the late adulthood). [1]    (Th2 cytokines predominate during implantation) [10, 11].
                                                               This  modulation  of  the  immune  system  prevents  the
        Pregnant and breastfeeding women are exposed to the risk   implanted  embryo  from  separating.  1.25  (OH)  2D  also
        of vitamin D deficiency, which is confirmed by the results of   promotes  the  transformation  of  the  endometrium  into
        many epidemiological studies. Vitamin D plays an important   decidual cells [12, 13]. An important gene for  embryonic
        role  in  supporting  the  maternal-placental-fetal  system,   implantation and myeloid differentiation in early gestational
        including  implantation,  formation  of  the  placenta,   age  increases  the  synthesis  of  HOXA10  [13,  14].  It  was
        embryogenesis, intra and postnatal periods. Deficiency of   reported  that  1,25  (OH)  2D-syncytiotrophoblasts  control
        vitamin D leads to placental insufficiency, birth of children   secretion, secretion and increase the synthesis of steroid




        ID: IJTSRD35881 | Special Issue on Modern Trends in Scientific Research and Development, Case of Asia   Page 56
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