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Randomized Controlled Trial
. 2023 Jul;19(3):e13501.
doi: 10.1111/mcn.13501. Epub 2023 Apr 6.

Prevalence of morbidity symptoms among pregnant and postpartum women receiving different nutrient supplements in Ghana and Malawi: A secondary outcome analysis of two randomised controlled trials

Seth Adu-Afarwuah  1 , Charles D Arnold  2 , Anna Lartey  1 , Harriet Okronipa  1   3 , Kenneth Maleta  4 , Per Ashorn  5   6 , Ulla Ashorn  5 , Kathryn G Dewey  2
Affiliations
Randomized Controlled Trial

Prevalence of morbidity symptoms among pregnant and postpartum women receiving different nutrient supplements in Ghana and Malawi: A secondary outcome analysis of two randomised controlled trials

Seth Adu-Afarwuah et al. Matern Child Nutr. 2023 Jul.

Abstract

Little is known about the impact of small-quantity lipid-based nutrient supplements (SQ-LNSs) on maternal morbidity. This secondary outcome analysis aimed to compare morbidity symptoms among women in two trials evaluating the efficacy of SQ-LNSs. From enrolment (≤20-week gestation) to 6 months postpartum, Ghanaian (n = 1320) and Malawian (n = 1391) women were assigned to consume daily: 60 mg iron and 400 µg folic acid until childbirth and placebo thereafter (iron and folic acid [IFA] group); or multiple micronutrients (MMN); or 20 g/day SQ-LNSs. Within country, we used repeated measures logistic regression and analysis of variance models to compare group differences in the period prevalence and percentage of days of monitoring when women had fever, gastrointestinal, reproductive, and respiratory symptoms during the second and third trimesters of pregnancy (n ~ 1243 in Ghana, 1200 in Malawi) and 0-3 and 3-6 months postpartum (n ~ 1212 in Ghana, 730 in Malawi). Most outcomes did not differ significantly among groups, with the following exceptions: in Ghana, overall, the prevalence of vomiting was lower in the LNS (21.5%) than MMN (25.6%) group, with the IFA group (23.2%) in-between (p = 0.046); mean ± SD percentage of days with nausea was greater in the LNS (3.5 ± 10.3) and MMN (3.3 ± 10.4) groups than the IFA (2.7 ± 8.3) group (p = 0.002). In Malawi, during 3-6 month postpartum, the prevalence of severe diarrhoea was greater in the LNS (8.1%) than the MMN (2.9%) group, with IFA (4.6%) in-between, p = 0.041). We conclude that the type of nutrient supplement received during pregnancy and lactation generally does not influence morbidity symptoms in these settings. Clinicaltrials.gov identifiers: NCT00970866; NCT01239693.

Keywords: common morbidity symptoms; maternal morbidity; multiple micronutrient supplements; small-quantity lipid-based nutrient supplements.

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Conflict of interest statement

The authors declare no conflict of interest.

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References

    1. Adu‐Afarwuah, S. , Lartey, A. , & Dewey, K. G. (2017). Meeting nutritional needs in the first 1000 days: A place for small‐quantity lipid‐based nutrient supplements. Annals of the New York Academy of Sciences, 1392(1), 18–29. 10.1111/nyas.13328 - DOI - PubMed
    1. Adu‐Afarwuah, S. , Lartey, A. , Okronipa, H. , Ashorn, P. , Ashorn, U. , Zeilani, M. , Arimond, M. , Vosti, S. A. , & Dewey, K. G. (2017). Maternal supplementation with small‐quantity lipid‐based nutrient supplements compared with multiple micronutrients, but not with iron and folic acid, reduces the prevalence of low gestational weight gain in semi‐urban Ghana: A randomized controlled trial. The Journal of Nutrition, 147(4), 697–705. 10.3945/jn.116.242909 - DOI - PMC - PubMed
    1. Adu‐Afarwuah, S. , Lartey, A. , Okronipa, H. , Ashorn, P. , Peerson, J. M. , Arimond, M. , Ashorn, U. , Zeilani, M. , Vosti, S. , & Dewey, K. G. (2016). Small‐quantity, lipid‐based nutrient supplements provided to women during pregnancy and 6 mo postpartum and to their infants from 6 mo of age increase the mean attained length of 18‐mo‐old children in semi‐urban Ghana: A randomized controlled trial. The American Journal of Clinical Nutrition, 104(3), 797–808. 10.3945/ajcn.116.134692 - DOI - PMC - PubMed
    1. Adu‐Afarwuah, S. , Lartey, A. , Okronipa, H. , Ashorn, P. , Zeilani, M. , Baldiviez, L. M. , Oaks, B. M. , Vosti, S. , & Dewey, K. G. (2017). Impact of small‐quantity lipid‐based nutrient supplement on hemoglobin, iron status and biomarkers of inflammation in pregnant Ghanaian women. Maternal & Child Nutrition, 13(2), e12262. 10.1111/mcn.12262 - DOI - PMC - PubMed
    1. Adu‐Afarwuah, S. , Lartey, A. , Okronipa, H. , Ashorn, P. , Zeilani, M. , Peerson, J. M. , Arimond, M. , Vosti, S. , & Dewey, K. G. (2015). Lipid‐based nutrient supplement increases the birth size of infants of primiparous women in Ghana. The American Journal of Clinical Nutrition, 101(4), 835–846. - PubMed

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