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Iron and folate supplementation in pregnancy
1Department of Obstetrics and Gynaecology, University of Zimbabwe, PO Box A178, Avondale, Harare, Zimbabwe. kmahomed@healthnet.zw
Routine iron and folate supplementation effectively prevents low hemoglobin in pregnant women. However, its impact on maternal and fetal outcomes remains unclear, especially in regions with high deficiency rates.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Nutritional Science
Background:
- Pregnancy anemia is a significant global health issue, particularly in developing nations.
- It is linked to nutritional deficiencies, malaria, and parasitic infections, increasing maternal and perinatal risks.
Purpose of the Study:
- To evaluate the impact of routine iron and folate supplementation during pregnancy.
- Assessed effects on hematological and biochemical markers and pregnancy outcomes.
Main Methods:
- Systematic review of eight controlled trials involving 5,449 pregnant women.
- Searched Cochrane Pregnancy and Childbirth Group trials register and contacted study authors.
Main Results:
- Supplementation improved iron and folate levels, significantly reducing anemia in late pregnancy.
- No discernible effects were observed on key maternal or fetal outcomes.
Conclusions:
- Iron and folate supplementation appears to prevent low hemoglobin at delivery.
- Limited data exists on other maternal/fetal outcomes, especially in high-risk populations.
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