Title: Effect of Antenatal Micronutrient Supplementation on Fetal Birth Weight

Author: Lavanya S.S.

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.179

Abstract

Objective: To assess the impact on birth weight and the risk of low birth weight of alternative combinations of micronutrients given to pregnant women.

Materials and Method: This is a Prospective Case Control Study done on primigravida women attending the outpatient department of between October 2017 to april 2019. The effect of supplementation of routine iron-folic acid in control group and multiple micronutrients in study group on their respective fetal birth weight assessed during the study period.

Results: Birth weight in the study group (2767.5gms) was 114.9gms higher than in control group (2652.5gms). Though an increase in the birth weight has been found with a multiple micronutrient supplement when compared with iron-folic acid, statistical analysis revealed no added benefit of micronutrient supplements compared with iron-folic acid supplementation.

Conclusion: Multiple micronutrient supplementation has not been shown to be superior to the routine iron-folic acid supplementation.

References

  1. Ceesay S, Prentice A, Cole T.et al. Effects on birth weight and perinatal mortality of maternal diatary supplements in rural Gambia: 5year randomised controlled trial.BMJ 1997;315:786-90.
  2. Chitty L, Altman D,Henderson A, Campbell S.charts of fetal size, head measurements. Br J Obstet Gynaecol 1994;101:35-43.
  3. Christien P,khatry S,katz J,et al.Effects of alternative maternal micronutrient supplements on low birth weight in rural Nepal: double blind randomized community trial.BMJ 203;326:571-76.
  4. Christien P, West K, Khatry, S, et al. Effects of maternal micronutrient supplementation on fetal loss and infant mortality:a cluster-randomized trial in Nepal. Am J Clin Nutr 2003;78:1194-202.
  5. Christien P. Micronutrients and reproductive health issues: an international perspective. J Nutr2003; 133:S1969-73.
  6. Costello A, Osrin D. Micronutrient status during pregnancy and outcomes for newborn infants in developing countries. J Nutr 2003.133:S1757-64.
  7. De Onis M,Villar J, gulmezoglu M. Nutritional intervention to prevent intrauterine growth retardation: evidence from ramdomised controlled trials.Enr J Clin nutr 1998;52:S83-93.
  8. De Onis M,Viller J, Blossner M. Levels and patterns of intrauterine growth retardation in developing countries. Eur J Clin Nutr 1998;52:S5-15.
  9. Fawzi W, Msamanga G, Spiegelman D, et al. Randomized trial of effects of vitamin supplements on pregnancy outcomes and T cess counts in HIV-1 infected women in Tanzania. Lacet 1998;351;1477-82.
  10. Friis H, Gorno E, Nyazema N, et al. Effects of multimicronutrient supplementation on gestational length and birth size: a randomized placebo-controlled, double blind effectiveness trial in Zimbabwe. Am J Clin Nutr 2004;80:178-84.

Corresponding Author

Lavanya S.S.

Department of Obstetrics and Gynecology, Govt Mohan Kumaramangalam Medical College, Salem

Telephone 9894794538, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.