200 patients with post partum anemia will be randomised to receive either intravenous iron (intervention group) or peroral iron (control group). The hypothesis is that intravenous iron supplementation is superior to standard peroral iron.
The study is a multi center phase 3 trial, comprising 3 medium sized obstetrical units in Norway. The amount of iron given to the intervention group is calculated according to the modified Ganzoni formula. The control group is given the standard regime of 200 mg ferro sulphate daily. In both groups, treatment start at inclusion, within 48 h of delivery. The sample size was based on power calculations: About 200 participants are required to detect a difference of 0.5 g/dl between the groups (with 80 % power). Randomization is performed by use of opaque envelopes. An electronic CRF is applied. Laboratory analysis are provided by a recognized Swedish biochemical laboratory. Apart from hemoglobin and the common iron parameters, the serum concentration of soluble ferritin receptors will be analyzed, as well as hepcidin levels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Intravenous infusion of Ferric carboxymaltose in a dose calculated to meet the individual patient's requirements following the Ganzoni formula
Standard tablets containing 100 mg ferrous sulfate, 1 tablet two times daily
Department of Obstetrics, Vestre Viken Hospital Trust
Drammen, Norway
Sykehuset Innlandet HF
Lillehammer, Norway
St Olavs Hospital
Trondheim, Norway
Haemoglobin concentration
Time frame: 6 weeks
Ferritin
Time frame: 6 weeks
Fatigue
Fatigue scale
Time frame: 6 weeks
Quality of life
SF-36
Time frame: 6 weeks
Post partum depression
Edinburgh Post Partum Depression Scale
Time frame: 6 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.