Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Mitra, Amal K.; Khoury, Amal

doi:10.1017/s1368980011001261

Cited by 10 publications

(5 citation statements)

References 16 publications

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“…There was also weak evidence that lower oral doses produced low rates of side-effects such as gastrointestinal symptoms. A more recent trial conducted in Mississippi demonstrated that while a systematic test-and-treat approach was better than test-and treat-among only high risk women, universal supplementation produced better hematologic outcomes than either of the other 2 groups[ 85 ]. Women in the control group (high risk pregnancy test-and-treat) had a rate of anemia at 6 months post-partum of 34% versus 43% in the systematic test-and-treat group.…”

Section: Resultsmentioning

confidence: 99%

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A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations

et al. 2016

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BackgroundAlthough this is beginning to change, the content of antenatal care has been relatively neglected in safe-motherhood program efforts. This appears in part to be due to an unwarranted belief that interventions over this period have far less impact than those provided around the time of birth. In this par, we review available evidence for 21 interventions potentially deliverable during pregnancy at high coverage to neglected populations in low income countries, with regard to effectiveness in reducing risk of: maternal mortality, newborn mortality, stillbirth, prematurity and intrauterine growth restriction. Selection was restricted to interventions that can be provided by non-professional health auxiliaries and not requiring laboratory support.MethodsIn this narrative review, we included relevant Cochrane and other systematic reviews and did comprehensive bibliographic searches. Inclusion criteria varied by intervention; where available randomized controlled trial evidence was insufficient, observational study evidence was considered. For each intervention we focused on overall contribution to our outcomes of interest, across varying epidemiologies.ResultsIn the aggregate, achieving high effective coverage for this set of interventions would very substantially reduce risk for our outcomes of interest and reduce outcome inequities. Certain specific interventions, if pushed to high coverage have significant potential impact across many settings. For example, reliable detection of pre-eclampsia followed by timely delivery could prevent up to ¼ of newborn and stillbirth deaths and over 90% of maternal eclampsia/pre-eclampsia deaths. Other interventions have potent effects in specific settings: in areas of high P falciparum burden, systematic use of insecticide-treated nets and/or intermittent presumptive therapy in pregnancy could reduce maternal mortality by up to 10%, newborn mortality by up to 20%, and stillbirths by up to 25–30%. Behavioral interventions targeting practices at birth and in the hours that follow can have substantial impact in settings where many births happen at home: in such circumstances early initiation of breastfeeding can reduce risk of newborn death by up to 20%; good thermal care practices can reduce mortality risk by a similar order of magnitude.ConclusionsSimple interventions delivered during pregnancy have considerable potential impact on important mortality outcomes. More programmatic effort is warranted to ensure high effective coverage.

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Section: Resultsmentioning

confidence: 99%

“…Women in the control group (high risk pregnancy test-and-treat) had a rate of anemia at 6 months post-partum of 34% versus 43% in the systematic test-and-treat group. The universal supplementation group had a rate of only 22.5% (p<0.001)[ 85 ].…”

Section: Resultsmentioning

confidence: 99%

A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations

et al. 2016

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“…Reticulocyte Hb is a clinically useful marker for determining iron deficiency and hematological responses during iron administration (47) and is an emerging biomarker as an alternative to biochemical iron studies in the diagnosis of IDA (48). There are newer regulators of iron homeostasis such as the hepatic peptide hormone hepcidin that are stimulated by inflammation (49). Serum hepcidin quantification assays are increasingly being used to both identify iron deficiency (50) and determine intestinal absorption response to iron administration (51).…”

Section: Differences Between Iron Deficiency and Idamentioning

confidence: 99%

Prevention of iron deficiency anemia in infants and toddlers

Sundararajan

Rabe

2020

Pediatr Res

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“…(2012) tarafından Mississippi'de 11 sağlık ocağını kapsayan ve düşük gelirli popülasyon da anemiyi azaltmak için demir preparatlarının etkinliğini değerlendirmek amacıyla yapılan bir çalışmada, düşük gelirli tüm postpartum dönemdeki kadınlara iki ay boyunca 65 mg/gün demir preparatı verilmiş ve demir alan kadınlarda anemi insidansı anlamlı şekilde azalmış-tır. 41 Hodgins ve ark. (2016)'nın basit ve etkili müdahalelerin sonuçlarını incelemek amacıyla kanıta dayalı olarak derledikleri makalelerinde, demir preparatları için anemiyi tedavi ettiğine dair yeterli kanıt olmadığını belirtmişlerdir.…”

Section: Demi̇r Preparati Kullanimiunclassified

Evidence-Based Practices During Pregnancy and Midwifery Approach

Kurtoğlu¹,

Yılmaz²

2018

Turkiye Klinikleri J Health Sci

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Ö ÖZ ZE ET T Gebelik dönemi bir kadının hayatındaki en önemli, danışmanlığa en ihtiyaç duyduğu dö-nemlerden biridir. Anne ve yeni doğanın mortalite ve morbiditesini azaltmaya yönelik global stratejiler, gebelik dönemindeki bakımın kalitesine giderek daha fazla ağırlık vermektedir. Günümüzde kanıt temelli yaklaşımla bilimsel bilgiyi oluşturmak ve tüm sağlık profesyonellerinin bu bilgiye ulaşabilmesi ve standart düzeyde uygulayabilmesi amacıyla klinik uygulama rehberleri ve protokoller oluşturulmuştur. Ebelerin gebeye destek olmak ve ebelik bakımının kalitesini artırmaya yönelik bilgi, beceri ve uygulamalarının kanıt temelli olması, gebelik ve doğum ile ilgili hedeflenen sağlık göstergelerine ulaşılmasını sağlayacaktır. Antenatal takiplerde gebelere bakım veren ebelerin, gebeye sunacağı hizmet, danışmanlık ve eğitimin, güncel literatür ışığında yenilenmiş, bilimsel verilere dayalı olması gerekmektedir. Bu derleme, Türkiye de gebeye antenatal bakım hizmeti veren ebeler ve doğum öncesi bakımda yer alan diğer sağlık profesyonellerine katkıda bulunması amacıyla; rutin ultrason izlemi, rutin gebelik izlemi, gestasyonel diyabet taraması ve tanısı, gebelikte beslenme ve egzersiz, gebelikte beslenmeyi etkileyen rahatsızlıklara yönelik uygulamalar, gebelikte vitamin ve minerallerin kullanımına yönelik uygulamalar, gebelikte zararlı alışkanlıklara yönelik uygulamalar, gebelikte psiko-sosyal ve aile içi şiddetin değerlendirilmesi, gebelikte tetanoz aşısı ve ebe liderliğindeki sürekli bakım konularını güncel literatür ve klinik uygulama rehberleri doğrul-tusunda kanıta dayalı olarak irdelemektedir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Gebelik; kanıta dayalı uygulamalar; prenatal bakım; ebe A AB BS S T TR RA AC CT T The pregnancy period is one of the most important periods in a woman's life, the most needed period of counseling. Global strategy to reduce maternal and newborn mortality and morbidity are going to give more weight to the quality of care in pregnancy. Today, clinical practice guides and protocols have been established in order to create scientific knowledge with an evidence-based approach and to enable all health professionals to access this information and apply it at the standard level. Midwives information to improve the quality of midwifery care and support to pregnant women, to have the skills and evidence-based practices will ensure the achievement of the targeted health indicators related to pregnancy and childbirth. The antenatal care, counseling and education that will be delivered to antenatal follow-ups should be based on updated scientific evidence in the light of current literature. This review examines the continuing care of routine ultrasonographic follow-up, routine pregnancy monitoring, gestational diabetes screening and diagnosis, use of vitamins and minerals in pregnancy, nutrition and exercise in pregnancy, applications for discomforts affecting pregnancy, harmful habits in pregnancy, psychosocial and domestic violence assessment, pregnancy tetanus vaccination and midwife-led...

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Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Cited by 10 publications

References 16 publications

A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations

A New Look at Care in Pregnancy: Simple, Effective Interventions for Neglected Populations

Prevention of iron deficiency anemia in infants and toddlers

Evidence-Based Practices During Pregnancy and Midwifery Approach

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