Document Detail


Increased birth weight associated with regular pre-pregnancy deworming and weekly iron-folic acid supplementation for Vietnamese women.
MedLine Citation:
PMID:  22509421     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hookworm infections are significant public health issues in South-East Asia. In women of reproductive age, chronic hookworm infections cause iron deficiency anaemia, which, upon pregnancy, can lead to intrauterine growth restriction and low birth weight. Low birth weight is an important risk factor for neonatal and infant mortality and morbidity.
METHODOLOGY: We investigated the association between neonatal birth weight and a 4-monthly deworming and weekly iron-folic acid supplementation program given to women of reproductive age in north-west Vietnam. The program was made available to all women of reproductive age (estimated 51,623) in two districts in Yen Bai Province for 20 months prior to commencement of birth weight data collection. Data were obtained for births at the district hospitals of the two intervention districts as well as from two control districts where women did not have access to the intervention, but had similar maternal and child health indicators and socio-economic backgrounds. The primary outcome was low birth weight.
PRINCIPAL FINDINGS: The birth weights of 463 infants born in district hospitals in the intervention (168) and control districts (295) were recorded. Twenty-six months after the program was started, the prevalence of low birth weight was 3% in intervention districts compared to 7.4% in control districts (adjusted odds ratio 0.29, 95% confidence interval 0.10 to 0.81, p = 0.017). The mean birth weight was 124 g (CI 68 - 255 g, p<0.001) greater in the intervention districts compared to control districts.
CONCLUSIONS/SIGNIFICANCE: The findings of this study suggest that providing women with regular deworming and weekly iron-folic acid supplements before pregnancy is associated with a reduced prevalence of low birth weight in rural Vietnam. The impact of this health system-integrated intervention on birth outcomes should be further evaluated through a more extensive randomised-controlled trial.
Authors:
Luca Passerini; Gerard J Casey; Beverley A Biggs; Dai T Cong; Luong B Phu; Tran Q Phuc; Marco Carone; Antonio Montresor
Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-04-03
Journal Detail:
Title:  PLoS neglected tropical diseases     Volume:  6     ISSN:  1935-2735     ISO Abbreviation:  PLoS Negl Trop Dis     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-08-07     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101291488     Medline TA:  PLoS Negl Trop Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1608     Citation Subset:  IM    
Affiliation:
World Health Organization, Hanoi, Vietnam. PasseriniL@searo.who.int
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anemia, Iron-Deficiency / drug therapy*,  prevention & control
Anthelmintics / administration & dosage*
Birth Weight*
Female
Folic Acid / administration & dosage
Hematinics / administration & dosage*
Hookworm Infections / drug therapy*,  prevention & control
Humans
Infant, Newborn
Iron / administration & dosage
Male
Middle Aged
Pregnancy
Pregnancy Complications, Hematologic / drug therapy*,  prevention & control
Pregnancy Complications, Parasitic / drug therapy*,  prevention & control
Treatment Outcome
Vietnam
Young Adult
Chemical
Reg. No./Substance:
0/Anthelmintics; 0/Hematinics; 59-30-3/Folic Acid; 7439-89-6/Iron
Comments/Corrections

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