Postpartum Anaemia
Conditions
Brief summary
Postpartum anemia is a common condition associated with adverse maternal outcomes. This study aimed to compare the effectiveness of oral iron therapy versus intravenous iron therapy in women with postpartum anemia.
Detailed description
This randomized, open-label, parallel-group study was conducted at Shahida Islam Medical College and Hospital, Lodhran, Pakistan. Women diagnosed with postpartum anemia who fulfilled the eligibility criteria were randomly allocated using a lottery method to receive either intravenous iron (ferric carboxymaltose) or oral iron therapy (ferrous sulfate). The primary outcome was the change in hemoglobin level from baseline to 6 weeks of follow-up.
Interventions
Participants received Intravenous iron i.e ferric carboxymaltose (≤1,000 mg) were given to patients in Group A either as a single dose or as two doses spaced three days apart in 100 milliliters of 0.9% normal saline during a half-hour period.
Participants given tablet Ferrous sulfate, 325 mg orally three times a day.
Sponsors
Study design
Eligibility
Inclusion criteria
1. All women with postpartum anaemia as per operational definition i.e Haemoglobin \<11 g/dl at 24 hours after delivery (either caesarean or SVD). 2. Age 20-40 years. 3. BMI 19-25. 4. Pre-operative haemoglobin \>10 g/dl. 5. Both primiparous and multiparous. 6. Both primigravida and multigravida. \-
Exclusion criteria
1. Iron Intolerance or previous history of allergy to iron 2. Parenteral Iron hypersensitivity 3. Patients with thalassemia 4. Indication of blood transfusion 5. Patients with bleeding/ clotting disorders 6. Patients with postpartum haemorrhage 7. Patients with chronic diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in hemoglobin level | Baseline to 6 weeks postpartum |
Countries
Pakistan