Hypovitaminosis D is common in India. In the present prospective partially randomised study of vitamin D (D 3 ) supplementation during pregnancy, subjects were randomised in the second trimester to receive either one oral dose of 1500 mg vitamin D 3 (group 1, n 48) or two doses of 3000 mg vitamin D 3 each in the second and third trimesters (group 2, n 49). Maternal 25-hydroxyvitamin D (25(OH)D) at term, cord blood (CB) alkaline phosphatase (ALP), neonatal serum Ca and anthropometry were measured in these subjects and in forty-three non-supplemented mother -infant pairs (usual care). Median maternal 25(OH)D at term was higher in group 2 (58路7, interquartile range (IQR) 38路4 -89路4 nmol/l) v. group 1 (26路2, IQR 17路7-57路7 nmol/l) and usual-care group (39路2, IQR 21路2 -73路4 nmol/l) (P录 0路000). CB ALP was increased ( . 8.02 mkat/l or .480 IU/l) in 66路7 % of the usual-care group v. 41路9 % of group 1 and 38路9 % of group 2 (P录0路03). Neonatal Ca and CB 25(OH)D did not differ significantly in the three groups. Birth weight, length and head circumference were greater and the anterior fontanelle was smaller in groups 1 and 2 (3路08 and 3路03 kg, 50路3 and 50路1 cm, 34路5 and 34路4 cm, 2路6 and 2路5 cm, respectively) v. usual care (2路77 kg, 49路4, 33路6, 3路3 cm; P录0路000 for length, head circumference and fontanelle and P录 0路003 for weight). These differences were still evident at 9 months. We conclude that both 1500 mg and two doses of 3000 mg vitamin D 3 had a beneficial effect on infant anthropometry, the larger dose also improving CB ALP and maternal 25(OH)D.Key words: Vitamin D supplementation: Pregnancy: Infant anthropometry: Neonatal calcium Vitamin D deficiency has been reported to be frequent among adolescent girls and pregnant women in India, with approximately 80 % of both urban and rural subjects having serum 25-hydroxyvitamin D (25(OH)D) ,50 nmol/l (1,2) . Exposure to the abundant sunlight in India is poor in women because of the traditional modest style of dressing. The resulting consequences to the fetus and the newborn include low cord blood (CB) vitamin D and high alkaline phosphatase (ALP), neonatal hypocalcaemia and poor fetal growth, among others (2,3) . Thus, pharmacological supplementation may be necessary, especially in such vulnerable groups.Although several studies are available on vitamin D supplementation during pregnancy, its appropriate dose is not clear (4) . In a study by Datta et al. (5) , 160 pregnant Asian women in the UK were supplemented with a dose of 20 mg/d, which was later increased to 40 mg/d. However, the rise in maternal serum 25(OH)D was from 14路98 nmol/l to only 27路5 nmol/l. Similar results have been found in other studies that administered small daily doses of similar magnitude (6,7) , though one study (3) found significantly improved CB 25(OH)D in subjects receiving 25 mg/d when compared with controls. Studies that used larger (stoss) doses have done so only in the third trimester, whereas Ca transfer to the fetus has been shown to occur in the second trimester (8) . Marya et al. (...