September 2009. Volume 5. Number 3

Current recommendations of iron-folic acid prenatal supplementation shouldn't be substituted by multi-micronutrient supplementation in low income countries

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Sha PS, Ohllon A; Knoledge synthesis group on determinants of low birth weight and preterm births. Effects of prenatal multimicronutrient supplementation on pregnancy outcomes: a meta-analysis. CMAJ. 2009;180:E99-108
Reviewers: García Vera C1, Esparza Olcina MJ2.
1CS Sagasta-Ruiseñores. Zaragoza. España.
2Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: César García Vera. Email: cgarciavera@gmail.com
Reception date: 28/07/2009
Acceptance date: 01/08/2009
Publication date: 10/09/2009

Abstract

Authors' conclusions: prenatal multi-micronutrient supplementation is associated to a reduction in the risk of low birth weight, and to a higher weight of the newborn compared to the current recommendation of iron-folic acid supplementation.

Reviewers' commentary: the studies' population and their possible biases, as well as the missing evaluation of the security in the administration of multi-micronutrients, doesn't advise to change the current recommendations.

How to cite this article

García Vera C, Esparza Olcina MJ. En países de renta baja, la suplementación con multi-micronutrientes durante el embarazo no debería sustituir a la suplementación con hierro y ácido fólico. Evid Pediatr. 2009;5:65.

AVC | Critically appraised articles

Sha PS, Ohllon A; Knoledge synthesis group on determinants of low birth weight and preterm births. Effects of prenatal multimicronutrient supplementation on pregnancy outcomes: a meta-analysis. CMAJ. 2009;180:E99-108
Reviewers: García Vera C1, Esparza Olcina MJ2.
1CS Sagasta-Ruiseñores. Zaragoza. España.
2Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: César García Vera. Email: cgarciavera@gmail.com
Reception date: 28/07/2009
Acceptance date: 01/08/2009
Publication date: 10/09/2009

How to cite this article

García Vera C, Esparza Olcina MJ. En países de renta baja, la suplementación con multi-micronutrientes durante el embarazo no debería sustituir a la suplementación con hierro y ácido fólico. Evid Pediatr. 2009;5:65.

References

  1. Lumbiganon P. Multiple-micronutrient supplementation for women during pregnancy: RHL commentary (last revised: 23 August 2007). The WHO Reproductive Health Library; Geneva : World Health Organization.
  2. Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for women during pregnancy [review]. Cochrane Database Syst Rev. 2006;(4):CD004905.
  3. Bhutta ZA, Haider BA. Prenatal micronutrient supplementation: Are we there yet? [commentary]. CMAJ. 2009;180:1188-9.
  4. Christian P, Osrin D, Manandhar D, Khatry SK , de L Costello AM. Antenatal micronutrient supplements in Nepal. The Lancet. 2005;366:711-12.
10/09/2009

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