Title
Routine Iron Prophylaxis During Pregnancy
Routine Iron Prophylaxis During Pregnancy - Effects on Maternal and Child Health in Maputo City and Province (Mozambique)
Phase
Phase 4Lead Sponsor
Government of FinlandStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
PregnancyIntervention/Treatment
ferrous sulfate ...Study Participants
4326Comparison of two policies of iron administration during pregnancy in regard to health and program feasibility in an area with endemic malaria and high prevalence of HIV infection. The policies are: 1) routine iron prophylaxis, 2) screening and therapy with iron.
Aim of the study:
Comparison of two policies of iron administration during pregnancy in regard to health of the mother and infant and program feasibility. The two groups compared are:
Routine iron prophylaxis
Screening of anaemia and therapy with iron
Hypothesis: group 2 will have better health outcomes.
Study groups:
Routine group: 60 mg per day of ferrous sulphate (combination with folic acid) daily.
Screening and therapy: Hb measurement on each visit, Hb >9g/dl Þ only folic acid, Hb <9g/dl Þ 60/120 mg of ferrous sulphate daily(+ folic acid)
Methods:
A pragmatic randomised controlled trial with non-blind design. Total intended sample size was 4000 women. Study site: Mozambique, Maputo City. Women are randomised individually and allocated into the two groups; 1) Routine iron prophylaxis, 2) Screening and therapy for anemia.
The recruitment of pregnant women was done in two health centres, one in Maputo city and one in Maputo Province. The women are followed in prenatal visits and until delivery.
60mg ferrous sulphate daily (+folic acid); Screening and therapy: Hb measurement on each visit, Hb>9g/dl only folic acid, Hb<9g/dl 60-120 of ferrous sulphate daily (+folic acid).
giving 60 mg ferrous sulphate daily (+folic acid)
doing Hb measurement on each visit, Hb>9g/dl giving only folic acid, Hb<9g/dl giving 60-120 mg of ferrous sulphate daily (+folic acid)
Inclusion Criteria: Pregnant women at their first prenatal visit Exclusion Criteria: Women under 18 years, high obstetric risk pregnancies