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Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country

Received: 2 November 2023     Accepted: 20 November 2023     Published: 29 November 2023
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Abstract

Iron deficiency is the most common micronutrient shortfall globally, and it disproportionately affects young children and expecting mothers. An iron deficit impacts children's neurodevelopment, adults' immune responses, and women's pregnancy outcomes. Iron supplementation and fortification programs have been successful in reducing this health burden. But for those who already have adequate iron in their bodies, iron fortification and supplements are probably not necessary, and they may even be harmful to some populations of individuals who do not have enough iron. In order to help decision-makers weigh the benefits and drawbacks of fortifying and supplementing with iron in pregnant women who are iron-deficient, iron-sufficient, or iron-overloaded, this research looks at the physiology of iron as a nutrient. The World Health Organization (WHO) states that iron deficiency accounts for approximately 50% of anemia cases worldwide, making iron deficiency anemia (IDA) the most common micronutrient disease. Even while it affects both developed and developing nations equally, developing nations nevertheless have a larger prevalence of it. The WHO reported that 65.5% of preschool-age children in South-East Asia suffer from anemia, making that region the world with the highest prevalence of anemia. The disorder was also present in 48.2% and 45.7% of non-pregnant and pregnant women, respectively. The most common nutritional shortfall worldwide, especially during pregnancy, is iron insufficiency. Anemia, especially severe anemia, has been linked in the literature to a higher risk of maternal death. Additionally, it exposes moms to a variety of perinatal risks. The effects of iron and iron-folate supplementation have been the subject of several research in the past, but information on the effectiveness and caliber of evidence supporting these therapies is few. With and without folate supplementation, the effects of iron fortification and iron supplementation on maternal anemia are discussed in this article, which also offers outcome-specific quality. For people who need supplementary or fortified iron during pregnancy, a moderate iron dose plan would probably be most beneficial. However, there may not be a single technique that is now widely accepted.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6)
DOI 10.11648/j.jgo.20231106.13
Page(s) 143-151
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Iron Deficiency, Iron Deficiency Anemia, Pregnancy, Anemia in Children, Iron Supplementation, Iron Fortification, Infancy

References
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    Fatema, N., Majumder, C., Lovereen, S., Habib, A., Adhikary, A., et al. (2023). Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country. Journal of Gynecology and Obstetrics, 11(6), 143-151. https://doi.org/10.11648/j.jgo.20231106.13

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    Fatema, N.; Majumder, C.; Lovereen, S.; Habib, A.; Adhikary, A., et al. Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country. J. Gynecol. Obstet. 2023, 11(6), 143-151. doi: 10.11648/j.jgo.20231106.13

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    Fatema N, Majumder C, Lovereen S, Habib A, Adhikary A, et al. Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country. J Gynecol Obstet. 2023;11(6):143-151. doi: 10.11648/j.jgo.20231106.13

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  • @article{10.11648/j.jgo.20231106.13,
      author = {Nargis Fatema and Chhanda Majumder and Salma Lovereen and Asma Habib and Alpana Adhikary and Mala Banik and Rumana Naznin and Shamima Begum and Mehrose Alam Chowdhury and Naseem Mahmud and Nazma Siddiquee},
      title = {Beneficial Impacts of Iron Fortification Versus Iron Supplementation During Pregnancy in Anaemia Prevention for Both Mother and Newborn in Developing Country},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {143-151},
      doi = {10.11648/j.jgo.20231106.13},
      url = {https://doi.org/10.11648/j.jgo.20231106.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.13},
      abstract = {Iron deficiency is the most common micronutrient shortfall globally, and it disproportionately affects young children and expecting mothers. An iron deficit impacts children's neurodevelopment, adults' immune responses, and women's pregnancy outcomes. Iron supplementation and fortification programs have been successful in reducing this health burden. But for those who already have adequate iron in their bodies, iron fortification and supplements are probably not necessary, and they may even be harmful to some populations of individuals who do not have enough iron. In order to help decision-makers weigh the benefits and drawbacks of fortifying and supplementing with iron in pregnant women who are iron-deficient, iron-sufficient, or iron-overloaded, this research looks at the physiology of iron as a nutrient. The World Health Organization (WHO) states that iron deficiency accounts for approximately 50% of anemia cases worldwide, making iron deficiency anemia (IDA) the most common micronutrient disease. Even while it affects both developed and developing nations equally, developing nations nevertheless have a larger prevalence of it. The WHO reported that 65.5% of preschool-age children in South-East Asia suffer from anemia, making that region the world with the highest prevalence of anemia. The disorder was also present in 48.2% and 45.7% of non-pregnant and pregnant women, respectively. The most common nutritional shortfall worldwide, especially during pregnancy, is iron insufficiency. Anemia, especially severe anemia, has been linked in the literature to a higher risk of maternal death. Additionally, it exposes moms to a variety of perinatal risks. The effects of iron and iron-folate supplementation have been the subject of several research in the past, but information on the effectiveness and caliber of evidence supporting these therapies is few. With and without folate supplementation, the effects of iron fortification and iron supplementation on maternal anemia are discussed in this article, which also offers outcome-specific quality. For people who need supplementary or fortified iron during pregnancy, a moderate iron dose plan would probably be most beneficial. However, there may not be a single technique that is now widely accepted.
    },
     year = {2023}
    }
    

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    AU  - Nargis Fatema
    AU  - Chhanda Majumder
    AU  - Salma Lovereen
    AU  - Asma Habib
    AU  - Alpana Adhikary
    AU  - Mala Banik
    AU  - Rumana Naznin
    AU  - Shamima Begum
    AU  - Mehrose Alam Chowdhury
    AU  - Naseem Mahmud
    AU  - Nazma Siddiquee
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    DO  - 10.11648/j.jgo.20231106.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    AB  - Iron deficiency is the most common micronutrient shortfall globally, and it disproportionately affects young children and expecting mothers. An iron deficit impacts children's neurodevelopment, adults' immune responses, and women's pregnancy outcomes. Iron supplementation and fortification programs have been successful in reducing this health burden. But for those who already have adequate iron in their bodies, iron fortification and supplements are probably not necessary, and they may even be harmful to some populations of individuals who do not have enough iron. In order to help decision-makers weigh the benefits and drawbacks of fortifying and supplementing with iron in pregnant women who are iron-deficient, iron-sufficient, or iron-overloaded, this research looks at the physiology of iron as a nutrient. The World Health Organization (WHO) states that iron deficiency accounts for approximately 50% of anemia cases worldwide, making iron deficiency anemia (IDA) the most common micronutrient disease. Even while it affects both developed and developing nations equally, developing nations nevertheless have a larger prevalence of it. The WHO reported that 65.5% of preschool-age children in South-East Asia suffer from anemia, making that region the world with the highest prevalence of anemia. The disorder was also present in 48.2% and 45.7% of non-pregnant and pregnant women, respectively. The most common nutritional shortfall worldwide, especially during pregnancy, is iron insufficiency. Anemia, especially severe anemia, has been linked in the literature to a higher risk of maternal death. Additionally, it exposes moms to a variety of perinatal risks. The effects of iron and iron-folate supplementation have been the subject of several research in the past, but information on the effectiveness and caliber of evidence supporting these therapies is few. With and without folate supplementation, the effects of iron fortification and iron supplementation on maternal anemia are discussed in this article, which also offers outcome-specific quality. For people who need supplementary or fortified iron during pregnancy, a moderate iron dose plan would probably be most beneficial. However, there may not be a single technique that is now widely accepted.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Department of Obstetrics and Gynecology, Square Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Popular Medical College Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Ibn Sina Medical College Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Bangladesh Medical College and Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Holy Family Red Crescent Medical College and Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Ad din women Medical College and Hospital, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Monowara Pvt Hospital Ltd, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, United Hospital, Gulshan 2, Dhaka, Bangladesh

  • Department of Obstetrics and Gynecology, Armed Force Medical College, Dhaka, Bangladesh

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