post partum anemia is generally treated by ferrous fumarate. It is unclear whether the addition of folic acid to ferrous fumarate in the treatment of anaemia could accelerate the increase of haemoglobin. Secondly, health status of post-partum women will be studied in relation tho anaemic and non-anaemic status
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women aged > 18 years 2. 0-48 hours after delivery 3. Patients are in a clinical obstetric setting 4. Thorough grasp of the Dutch language 5. Informed consent acceptance Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Pernicious anaemia (Vitamin B12 deficiency) 2. Packed cells infusion in the previous 3 months 3. Alcohol addiction 4. Drug addiction 5. Chronic infection 6. Gastro-intestinal disease or condition (excl. IBS, constipation and diarrhoea) 7. Thalassemia 8. Haemoglobinopathy (Sickle-cell anaemia) 9. Aplastic anaemia 10. Megaloblastic anaemia 11. Haemolytic anaemia and HELLP 12. Malignant disease 13. Kidney failure 14. Liver failure 15. Bone marrow disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: What is the difference in haemoglobin increase in women with post partum anaemia (Hb =4,0mmol/l and < 6,5 mmol/l) treated with iron supplementation versus iron plus folic acid supplementation, in a treatment period of 4 weeks? ;Secondary Objective: 1. What is the difference in HS (measured in CIS, RAND-36 and EQ-5D questionnaires). between anaemic (Hb<6,5mmol/l) and non-anaemic (Hb=6,5mmol/l) women, directly post partum and 4 weeks after delivery. And what is the change in HS in women with post partum anaemia treated with iron supplementation versus iron plus folic acid supplementation, in a treatment period of 4 weeks? 2. To establish retrospectively whether the CHr may be used as a better parameter then haemoglobin to determine the need of iron treatment with or without folic acid in women directly post-partum.;Primary end point(s): The main study parameter is the amount of increase of haemoglobin (mmol/l) four weeks after delivery in both anaemic sub-groups. Secondary study parameters will be the difference in health status between the anaemic and non-anaemic groups, and between both anaemic sub-groups four weeks after delivery, measured using the RAND-36, CIS and EQ-5D questionnaires. And the observed difference in CHr between the anaemic and non-anaemic groups, and between both anaemic sub-groups four weeks after delivery. | — |
Countries
Netherlands