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Impact of twice weekly versus daily iron supplementation during pregnancy on maternal and fetal haematological indices: a randomized clinical trial.

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
June 1, 2012
A Goshtasebi et al. (2 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the efficiency and tolerability of twice weekly versus daily iron supplementation during pregnancy.

Results Summary

The study found no significant differences in haemoglobin and haematocrit levels between the two groups, but ferritin concentrations were lower in the twice weekly group at delivery. The twice weekly group had fewer side effects (nausea, vomiting, constipation), while the daily group had higher birth weight and length.

Population

370 pregnant women

Effective Dosage

Daily or twice weekly iron supplementation (specific dosage not mentioned)

Duration

Duration of pregnancy (specific length not mentioned)

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
twice weekly iron supplementation
no change
initial and delivery haemoglobin and haematocrit levels
pregnant women
no significant differences
no significant differences
#1
twice weekly iron supplementation
decrease
ferritin concentrations at delivery
pregnant women
-
significantly lower
#2
twice weekly iron supplementation
no change
hypoferritinaemia (ferritin < 15 microg/L)
pregnant women
-
not observed
#3
twice weekly iron supplementation
decrease
frequency of nausea, vomiting and constipation
pregnant women
-
significantly lower
#4
daily iron supplementation
increase
birth weight and length
pregnant women
-
significantly higher
#5
Abstract

A randomized clinical trial examined the efficiency and tolerability of twice weekly versus daily iron supplementation during pregnancy. A total of 370 pregnant women were randomly assigned to receive either daily or twice weekly iron supplementation during pregnancy. There were no significant differences in initial and delivery haemoglobin and haematocrit levels between the 2 groups. Ferritin concentrations were significantly lower in the twice weekly group at delivery, but hypoferritinaemia (ferritin < 15 microg/L) was not observed in either group. The frequency of nausea, vomiting and constipation were significantly lower in the twice weekly group. Birth weight and length were significantly higher in the daily supplemented group. In non-anaemic mothers, a smaller dose of iron may be sufficient and also might prevent the complications of iron excess.

Medical Subject Headings (MeSH)
AdolescentAdultChi-Square DistributionDietary SupplementsDrug Administration ScheduleFemaleFetusHumansIranIronLogistic ModelsMothersPregnancyStatistics, Nonparametric
Study Links
Quality Scores
Safety85
Efficacy75/10
Quality90/10
Citation Metrics
Total Citations6
Citations/Year0.5
Relative Citation Ratio0.28
NIH Percentile14.6%
Research Impact Scores
APT Score0.25
Weight Score1.41
Normalized Score0.82
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