Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum

Objective: Describe the effectiveness of continuous daily and weekly doses of iron supplementation during pregnancy and puerperium on haemoglobin and iron status at 6 weeks postpartum. Design: An iron supplementation trial conducted at antenatal care centre (ANCC) assigned randornly_·either to t...

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Päätekijät: Hyder, S.M. Ziauddin, Persson, Lars-Ake, Chowdhury, AMR, Lonnerdal, B, Ekstrom, Eva-Charlotte
Aineistotyyppi: Research report
Kieli:English
Julkaistu: BRAC Research and Evaluation Division (RED) 2019
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Linkit:http://hdl.handle.net/10361/12983
id 10361-12983
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spelling 10361-129832019-11-17T21:01:24Z Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum Hyder, S.M. Ziauddin Persson, Lars-Ake Chowdhury, AMR Lonnerdal, B Ekstrom, Eva-Charlotte Iron supplementation Puerperium Postpartum Haemoglobin Pregnancy--Nutritional aspects Iron deficiency anemia Iron--Therapeutic use Objective: Describe the effectiveness of continuous daily and weekly doses of iron supplementation during pregnancy and puerperium on haemoglobin and iron status at 6 weeks postpartum. Design: An iron supplementation trial conducted at antenatal care centre (ANCC) assigned randornly_·either to the daily (lx60-mg) or weekly (2x60-mg) doses of iron supplementation. Setting: Fifty community-based ANCCs in a rural area of Bangladesh. Subjects: In the trial, 209 pregnant women during second trimester were recruited. Fifty-one were lost to follow-up and the final sample size consisted of 158 women (daily n=72 and weekly n=86). Intervention: Each woman in the daily group received I tablet (60 mg Fe) per day and in the weekly group 2 tablets (120 mg Fe) per week. Intake of iron tablets was monitored by the MEMS~ during 11 weeks in ~pregnancy. Haemoglobin was assessed on venous blood by HemoCue~, serum concentrations of ferritin by radio immunoassay and serum transferrin receptors by immunoassay double sandwich method. Results: At 6 weeks postpartum, haemoglobin and iron status did not differ between the two supplementation groups. However, an overall improvement in haemoglobin and iron status was observed compared to the baseline status. Women who took 2:40 tablets in 11 weeks had higher haemoglobin (P=0 .05) and SFt (P=0.04) and lower sTfR (P=0.32) at 6 weeks postpartum. Conclusions: A lack of difference in response was observed between the daily and weekly doses of iron supplementation. Higher number of iron tablet intake during pregnancy and puerperium was associated with better haemoglobin and iron status at 6 weeks postpartum. Sponsorship: SIDA/SAREC, Sweden and BRAC, Bangladesh. Descriptors: Anaemia, iron deficiency, daily weekly supplementation. postpartum, Bangladesh 2019-11-17T09:14:25Z 2019-11-17T09:14:25Z 2000 Research report Hyder, S. M. Z., Persson, L. A., Chowdhury, A., Lonnerdal, B., & Ekstrom, E. C. (2000). Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum. Research Reports (2000): Health Studies, Vol - XXIX, 252–280. http://hdl.handle.net/10361/12983 en application/pdf BRAC Research and Evaluation Division (RED)
institution Brac University
collection Institutional Repository
language English
topic Iron supplementation
Puerperium
Postpartum
Haemoglobin
Pregnancy--Nutritional aspects
Iron deficiency anemia
Iron--Therapeutic use
spellingShingle Iron supplementation
Puerperium
Postpartum
Haemoglobin
Pregnancy--Nutritional aspects
Iron deficiency anemia
Iron--Therapeutic use
Hyder, S.M. Ziauddin
Persson, Lars-Ake
Chowdhury, AMR
Lonnerdal, B
Ekstrom, Eva-Charlotte
Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
description Objective: Describe the effectiveness of continuous daily and weekly doses of iron supplementation during pregnancy and puerperium on haemoglobin and iron status at 6 weeks postpartum. Design: An iron supplementation trial conducted at antenatal care centre (ANCC) assigned randornly_·either to the daily (lx60-mg) or weekly (2x60-mg) doses of iron supplementation. Setting: Fifty community-based ANCCs in a rural area of Bangladesh. Subjects: In the trial, 209 pregnant women during second trimester were recruited. Fifty-one were lost to follow-up and the final sample size consisted of 158 women (daily n=72 and weekly n=86). Intervention: Each woman in the daily group received I tablet (60 mg Fe) per day and in the weekly group 2 tablets (120 mg Fe) per week. Intake of iron tablets was monitored by the MEMS~ during 11 weeks in ~pregnancy. Haemoglobin was assessed on venous blood by HemoCue~, serum concentrations of ferritin by radio immunoassay and serum transferrin receptors by immunoassay double sandwich method. Results: At 6 weeks postpartum, haemoglobin and iron status did not differ between the two supplementation groups. However, an overall improvement in haemoglobin and iron status was observed compared to the baseline status. Women who took 2:40 tablets in 11 weeks had higher haemoglobin (P=0 .05) and SFt (P=0.04) and lower sTfR (P=0.32) at 6 weeks postpartum. Conclusions: A lack of difference in response was observed between the daily and weekly doses of iron supplementation. Higher number of iron tablet intake during pregnancy and puerperium was associated with better haemoglobin and iron status at 6 weeks postpartum. Sponsorship: SIDA/SAREC, Sweden and BRAC, Bangladesh. Descriptors: Anaemia, iron deficiency, daily weekly supplementation. postpartum, Bangladesh
format Research report
author Hyder, S.M. Ziauddin
Persson, Lars-Ake
Chowdhury, AMR
Lonnerdal, B
Ekstrom, Eva-Charlotte
author_facet Hyder, S.M. Ziauddin
Persson, Lars-Ake
Chowdhury, AMR
Lonnerdal, B
Ekstrom, Eva-Charlotte
author_sort Hyder, S.M. Ziauddin
title Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
title_short Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
title_full Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
title_fullStr Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
title_full_unstemmed Effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on Haemoglobin and iron status at 6 weeks postpartum
title_sort effectiveness of the daily and weekly doses of iron supplementation in pregnancy and puerperium on haemoglobin and iron status at 6 weeks postpartum
publisher BRAC Research and Evaluation Division (RED)
publishDate 2019
url http://hdl.handle.net/10361/12983
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