Pregnancy Clinical Trial
Official title:
Routine Iron Prophylaxis During Pregnancy - Effects on Maternal and Child Health in Maputo City and Province (Mozambique)
Comparison of two policies of iron administration during pregnancy in regard to health and program feasibility in an area with endemic malaria and high prevalence of HIV infection. The policies are: 1) routine iron prophylaxis, 2) screening and therapy with iron.
Aim of the study:
Comparison of two policies of iron administration during pregnancy in regard to health of the
mother and infant and program feasibility. The two groups compared are:
1. Routine iron prophylaxis
2. Screening of anaemia and therapy with iron
Hypothesis: group 2 will have better health outcomes.
Study groups:
Routine group: 60 mg per day of ferrous sulphate (combination with folic acid) daily.
Screening and therapy: Hb measurement on each visit, Hb >9g/dl Þ only folic acid, Hb <9g/dl Þ
60/120 mg of ferrous sulphate daily(+ folic acid)
Methods:
A pragmatic randomised controlled trial with non-blind design. Total intended sample size was
4000 women. Study site: Mozambique, Maputo City. Women are randomised individually and
allocated into the two groups; 1) Routine iron prophylaxis, 2) Screening and therapy for
anemia.
The recruitment of pregnant women was done in two health centres, one in Maputo city and one
in Maputo Province. The women are followed in prenatal visits and until delivery.
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