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Archives of Disease in Childhood - Education and Practice 2009;94:94
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

EVIDENCE-BASED MENTAL HEALTH

Iron supplementation in non-anaemic women did not improve pregnancy outcomes and may be harmful to both mother and baby

The first 150 words of the full text of this article appear below.


STUDY DESIGN

Design:

randomised placebo-controlled trial.

Allocation:

unclear.*

Blinding:

blinded (patients and healthcare providers).*


STUDY QUESTION

Setting:

6 prenatal clinics in Iran.

Patients:

750 non-smoking women 17–35 years of age (mean age 26 y) with a singleton pregnancy in the early second trimester (mean 13 wks), haemoglobin concentration >=13.2 (mean 14.0) g/dl, body mass index 19.8–26 kg/m2, no history of threatened abortion in the current pregnancy, and no disease related to polycythaemia such as asthma or chronic hypertension.

Intervention:

ferrous sulphate, 150 mg (50 mg of elemental iron) (n = 375), or placebo (n = 375) once daily throughout pregnancy. All women received folic acid, 1 mg/day, but were not allowed to take other vitamin or mineral supplements.

Outcomes:

small for gestational age (SGA, <10th percentile) infant, hypertensive disorder, premature labour, caesarean delivery for obstetrical reasons, Apgar score, birthweight, and perinatal mortality.

Follow-up period:

6 weeks after delivery.

Patient follow-up:

97% (intention-to-treat analysis). 2 women in the placebo group were withdrawn because of the . . . [Full text of this article]

Claudio Giorlandino, Pietro Cignini

Artemisia Prenatal Diagnosis Centre, Rome, Italy


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