It is reported that a one-day-old baby girl who was transferred from another hospital to the Children’s Hospital of China Medical University suffered a fracture of her right calf. After examination, it was found that calcium, phosphorus, magnesium, parathyroid, liver and kidney functions were all normal, but vitamin D was severely deficient. The doctor diagnosed “Neonatal rickets”. Fractures due to rickets in term neonates are now very rare, and further examination revealed that the mother was also severely deficient in vitamin D.
▼A baby girl suffered a fractured right calf one day following birth. (Schematic diagram / taken from pexels)
Neonatal rickets affects skeletal developmental delay
Lin Hongzhi, director of the Department of Neonatology at China Medical University, explained that rickets (Neonatal Rickets) refers to softening and weakening of the bones. Rickets in full-term newborns are usually caused by the lack of vitamin D in the mother.
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Neonatal rickets may cause breathing difficulties, fractures, convulsions, restricted movement, malunion, and developmental delay in infants and young children, which will affect bone health throughout life. Alkaline Phosphatase) and ultrasound, X-ray imaging to diagnose.
30 minutes of sun exposure with vitamin D or calcium supplements
Lin Hongzhi said that neonatal rickets can be prevented through nutrition during pregnancy, which can help to maximize fetal bone deposition. Fetal bone mineralization mainly occurs in the third trimester of pregnancy. During pregnancy, mothers need to ensure adequate intake of nutrients such as protein, vitamin D, calcium, phosphorus, etc., and take comprehensive vitamin D supplements every day (regarding 10 micrograms/day). ), the average daily calcium intake can reach 1000 ~ 1200mg, including pregnant women’s formula milk, soy products, shrimp, shellfish, etc., if you can’t eat dairy products regularly, you can consider taking calcium supplements. Mother and child should be in moderate sunlight for more than 30 minutes a day.
▼ The doctor pointed out that expectant mothers can supplement vitamin D in the sun. (Schematic diagram / taken from pexels)
Formula milk supplements with vitamin D to prevent bone loss
At the same time, Lin Hongzhi also mentioned that early nutritional care of infants should be paid attention to to avoid bone loss. Preterm infants who drink breast milk should be fed with breast milk additives when the breastfeeding amount reaches 50-100ml/Kg/day; those who cannot breastfeed can use nutritionally fortified preterm infant formula milk, supplemented with vitamin D, Improve short-term bone mineralization and avoid bone loss.
Parent-child exercise stimulates bone growth and improves bone strength
Parent-child exercise can stimulate bone growth. Lin Hongzhi explained that for newborns at risk of rickets, gentle passive exercise can be performed for 10 minutes a day. The moderate mechanical stretch on the bones and joints can increase the bone load and enhance the activity of osteoblasts. , to promote the formation of bone, called “bone structural adaptation to mechanical use”, thereby improving bone strength and preventing the occurrence of neonatal rickets.
【Extended reading】
30% of pregnant moms are deficient in vitamin D 2 tricks to keep mommy and baby healthy
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Article Source:Baby girl born one day with broken calf actually suffers from rare ‘rickets’
Reprinted with permission from “Health and Medical Network”.
(Cover diagram / flip from pexels)
