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Enhancing nutrition and infection treatment during pregnancy for maternal and child health in Ethiopia (ENAT)

Effect of antentatal interventions to improve maternal nutritional status and infection control on birth outcomes and infant growth in rural Ethiopia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN15116516
Enrollment
3600
Registered
2020-07-29
Start date
2020-08-01
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Low Birthweight

Interventions

Current interventions as of 12/08/2021: RANDOMIZATION After a participant has consented, a study nurse will open a sequential, numbered sealed opaque envelope containing the allocation, and the partic

Sponsors

Brigham and Women's Hospital
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Pregnant women <=24 weeks gestation with a viable pregnancy based on a best clinical algorithm (LMP and/or symphysis fundal height)

Exclusion criteria

Exclusion criteria: 1. Pregnant women presenting with non-viable fetus 2. Women who do not intend to deliver in the study catchment area 3. Women who refuse to provide consent

Design outcomes

Primary

MeasureTime frame
1. Birth weight: Mean infant weight (g) among live born infants measured <72 hour of delivery 2. Birth length: Mean infant length (cm) among live born infants measured <72 hours of delivery

Secondary

MeasureTime frame
1. Gestational age: Mean gestational age, measured using ultrasound, at delivery 2. Preterm birth: Proportion of pregnancies resulting in spontaneous birth <37 weeks’ gestation among all births, measured using birth assessment, at birth 3. Small-for-gestational age (SGA): Proportions of newborns born SGA (<10% birthweight for gestational age and sex) among live born infants whose birthweight if measured within 72 hours of delivery, measured using digital infant scales, at birth 4. Low birthweight: Proportion of newborns born with weight <2500 g among liveborn infants whose weight is measured within 72 hours of delivery, measured using digital infant scales, at birth 5. Length-for-age: Mean Length-for-age Z scores at birth and 6 months of age among live born infants based on the WHO growth reference standards, measured using infant length boards, at birth 6. Weight-for-age: Mean Weight-for-age Z scores at birth and 6 months of age among live born infants based on the WHO growth reference standards, measured using digital infant scales, at birth 7. Rate of weight gain in pregnancy: Maternal weight gain (kg) per week gestation in the 2nd and 3rd trimester, measured using digital maternal scales, from date of first 2nd trimester antenatal care (ANC) visit until date of last ANC visit before birth, assessed up to 6 months 8. Maternal anemia: Mean hemoglobin concentration, using Mission Hb or similar hemoglobin devices, at the third trimester antenatal care visit (28-40 weeks’ gestation) 9. Stillbirth: Rate of stillbirths per 1000 births, measured using maternal assessment, throughout the study period 10. UTI: Maternal clinically diagnosed urinary tract infection (cystitis, pyelonephritis) reported in medical records in 3rd trimester 11. Maternal endometritis or puerperal sepsis measured by clinical diagnosis in medical records at or within 42 days after birth

Countries

Ethiopia

Contacts

Public ContactAnne;Krysten Lee;North

;

alee6@bwh.harvard.edu;knorth1@bwh.harvard.edu+1-617-732-8343;+1 410-404-1404

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jun 27, 2026