© P o l s k i e T o w a r z y s t w o G i n e k o l o g i c z n e Nr 4/2014
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R E K O M E N D A C J E P T G +MRIOSP4SP
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Rekomendacje Polskiego Towarzystwa Ginekologicznego dotyczące
zastosowania suplementacji kwasem dokozaheksaenowym w profilaktyce porodu przedwczesnego
Recommendations of the Polish Gynecological Society
concerning docosahexaenoic acid supplementation in the prevention
of preterm birth
© P o l s k i e T o w a r z y s t w o G i n e k o l o g i c z n e
Nr 4/2014
319
R E K O M E N D A C J E P T G +MRIOSP4SP
Rekomendacje PTG dotyczące zastosowania suplementacji kwasem dokozaheksaenowym w profilaktyce porodu przedwczesnego.
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© P o l s k i e T o w a r z y s t w o G i n e k o l o g i c z n e Nr 4/2014
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R E K O M E N D A C J E P T G +MRIOSP4SP
Rekomendacje PTG dotyczące zastosowania suplementacji kwasem dokozaheksaenowym w profilaktyce porodu przedwczesnego.
[G^IWRIKS7^EGYNIWMÊõIKH]F][W^]WXOMIOSFMIX][GMÂõ]TS- NIH]RG^IN^EQMIW^OYNÂGI7XER]>NIHRSG^SRISXV^]Q][EÜ]TV^I^
QMIWMÊG] WYTPIQIRXEGNÊ (,% [ HE[GI QK TS^[SPMÜSF]
XSREYRMORMÊGMISOX]WTSVSH´[TV^IHX]KSHRMIQGMÂõ]
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P i ś m i e n n i c t w o
1. Bręborowicz G.H, Paszkowski T (red.) Poród Przedwczesny. Poznań: Ośrodek Wydawnictw Naukowych. 2006.
2. People’s League of Health. The nutrition of expectant and nursing mothers in relation to maternal and infant mortality and morbidity. J Obstet Gynaecol Br Emp. 1946, 53 (6), 498-509.
3. Olsen SF, Joensen HD. High liveborn birth weights in the Faroes: a comparison between birth weights in the Faroes and in Denmark. J Epidemiol Comm Health. 1985, 39, 27-32.
4. Olsen SF, Secher NJ. A possible preventive effect of low-dose fish oil on early delivery and pre- eclampsia: indications from a 50-year-old controlled trial. Br J Nutr. 1990, 64 (3), 599-609.
5. Olsen SF, Sorensen JD, Secher NJ, [et al.]. Randomised controlled trial of effect of fish-oil supplementation on pregnancy duration. Lancet. 1992, 339 (8800), 1003-1007.
6. Salvig JD, Lamont RF. Evidence regarding an effect of marine n-3 fatty acids on preterm birth: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2011, 90 (1), 825-838.
7. Olsen SF, Secher NJ. Low consumption of seafood in early pregnancy as a risk factor for preterm delivery: prospective cohort study. BMJ. 2002, 324 (7325), 447.
8. van Eijsden M, Hornstra G, van der Wal MF, [et al.]. Maternal n-3, n-6, and trans fatty acid profile early in pregnancy and term birth weight: a prospective cohort study. Am J Clin Nutr. 2008, 87 (4), 887-895.
9. Smuts CM, Huang M, Mundy D, [et al.]. A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy. Obstet Gynecol. 2003, 101 (3), 469- 479.
10. Secher NJ. Does fish oil prevent preterm birth? J Perinat Med. 2007, 35 (1), S25-27.
11. Szajewska H, Horvath A, Koletzko B. Effect of n-3 long-chain polyunsaturated fatty acid supplementation of women with low-risk pregnancies on pregnancy outcomes and growth measures at birth: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 2006, 83 (6), 1337-1344.
12. Horvath A, Koletzko B, Szajewska H. Effect of supplementation of women in high-risk pregnancies with long-chain polyunsaturated fatty acids on pregnancy outcomes and growth measures at birth: a meta-analysis of randomized controlled trials. Br J Nutr. 2007, 98 (2), 253- 259.
13. Carlson SE, Colombo J, Gajewski BJ, [et al.]. DHA supplementation and pregnancy outcomes.
Am J Clin Nutr 2013, 97 (4), 808-815.
14. Oken E, Kleinman KP, Olsen SF, [et al.]. Associations of seafood and elongated n-3 fatty acid intake with fetal growth and length of gestation: results from a US pregnancy cohort. Am J Epidemiol. 2004, 160 (8), 774-783.
15. Kesmodel U, Olsen SF, Salvig JD. Marine n-3 fatty acid and calcium intake in relation to pregnancy induced hypertension, intrauterine growth retardation, and preterm delivery. A case- control study. Acta Obstet Gynecol Scand. 1997, 76 (1), 38-44.
16. Olsen SF. Is supplementation with marine omega-3 fatty acids during pregnancy a useful tool in the prevention of preterm birth? Clin Obstet Gynecol. 2004, 47 (4), 768-774; 881-882.
17. Yamashita A, Kawana K, Tomio K, [et al.]. Increased tissue level of omega-3 polyunsaturated fatty acids prevents pathological preterm birth. Sci Rep. 2013, 3 (3113), DOI: 10.1038/
srep03113
18. Makrides M, Gibson RA, McPhee AJ, [et al.]. Effect of DHA supplementation during pregnancy on maternal depression and neurodevelopment of young children: a randomized controlled traial. JAMA. 2010, 304 (15), 1675-1683.
19. Rekomendacje Zespołu Ekspertów Polskiego Towarzystwa Ginekologicznego w zakresie stosowania kwasów omega-3 w położnictwie. Ginekol Pol. 2010, 81 (6), 467-469.
20. Giorlandino C, Giannnarell D. Effect of vaginally administered DHA fatty acids on pregnancy outcome in high risk pregnancies for preterm delivery: a double blinded randomized controlled trial. J Prenat Med. 2013, 7 (3), 42-45.