Anemia
Conditions
Keywords
periconceptional, iron, folic acid, supplementation
Brief summary
The investigators hypothesize that periconceptional iron supplementation to married, nulliparous women in rural Bangladesh will significantly reduce anemia and improve hemoglobin concentrations before and during pregnancy.
Detailed description
In 2007, the National Strategy for Anemia Prevention and Control in Bangladesh included adolescents and newly married women as target groups for future iron and folic acid (IFA) supplementation programs. This double-blinded RCT examined the effect of daily periconceptional IFA vs. folic acid (FA) on anemia and iron indictors before and during pregnancy among married, nulliparous women in rural Bangladesh. Biochemical indices were collected at baseline and either at 15 weeks gestation or after 9 months among non-pregnant women (NPW).
Interventions
400 mcg folic acid
60 mg of ferrous fumarate
Sponsors
Study design
Eligibility
Inclusion criteria
Women were eligible if they were: * Married * Nulliparous * \< 40 years old * Living in the same household as their husband
Exclusion criteria
Women were excluded if they were: * Pregnant at enrollment * Planning to move out of the region * Using iron supplements within the previous 3 months * Using an implant form of birth control, or had surgery to prevent pregnancy * Women with a Hb concentration of \< 70 g/L, defined as severely anemic according to WHO definition (5), were excluded from the study and appropriately treated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemoglobin | February 2007-February 2008 |
Secondary
| Measure | Time frame |
|---|---|
| Plasma ferritin | February 2007-February 2008 |
Countries
Bangladesh