Effect of Daily Versus Supervised Weekly Single Dose Oral Iron in Pregnant Women: Feto-Maternal Outcome
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Background: Iron supplementation programmes are most practical short term approach to alleviate the problem. The oral iron therapy is not without complications and side effects. These include mild to severe gastro-intestinal intolerance, constipation, nausea and poor patient compliance. The present study aim to compare the effect of daily versus supervised single dose weekly oral iron supplementation, so that compliance is almost 100%, on feto-maternal outcome in pregnant women. Materials & Methods: This is a prospective study of 200 women, attending antenatal clinic of department of obstetrics and gynecology, P.B.M. hospital and Associated Group of hospitals, S.P. medical college, Bikaner (Rajasthan). The women were randomly allocated in to two groups; one receiving daily and other receiving supervised single dose weekly iron supplementation. All women were followed till 7 days after delivery; they were instructed to take iron supplements till delivery. Total number of tablets consumed in pregnancy, period of gestation at delivery and birth weight were noted. All data completed and analyzed for comparison between the two groups. Results: In our study showed that mostly cases in primi gravid and almost equal patients in both the group have no complaints during pregnancy (77% & 73% respectively). Majority of participants with 37-40 weeks gestation (table 3) and the association between mode of delivery & iron supplementation is find to be statistically insignificant. In our study shows among group A, 99% cases has live births, 1% proportion cases has adverse fetal outcome whereas among group B around 3% participants has adverse fetal outcome and the association is statistically insignificant. Conclusion: Our study concluded that weekly supervised iron therapy is cheaper, easy and more compliant & also has slightly better results than unsupervised daily iron therapy for prophylaxis of anemia and we have many community health workers and health programs in our country, it is not difficult to follows this weekly supervised iron supplementation regime by integrating this with other programs.
Authors and Affiliations
Ruchi Saxena, Karanveer Singh Solanki, Madhu Patni (Bhat)
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