Daily Versus Alternate-Day Oral Iron Therapy for Anemia in Second-Trimester Pregnancy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-40
SponsorPakistan Air Force (PAF) Hospital Islamabad

About this trial

This randomized controlled trial compares daily versus alternate-day oral iron supplementation in pregnant women with iron deficiency anemia during the second trimester. The study evaluates changes in hemoglobin and serum ferritin, treatment adherence, and gastrointestinal side effects to inform more patient-centered, physiologically aligned dosing strategies.

Eligibility criteria

Qualifiers

Aged 18 to 40 years

Pregnant women in the second trimester (13 to 27 weeks gestation)

Hemoglobin below 11 g/dL with serum ferritin below 30 ng/mL

Singleton pregnancy

Disqualifiers

Known congenital or acquired hemoglobin disorders (e.g., thalassemia, hemoglobinopathies)

Chronic diseases affecting hemoglobin levels (e.g., chronic kidney disease, inflammatory disorders)

Bleeding disorders or a history of frequent blood loss

Gastrointestinal conditions impairing nutrient absorption (e.g., celiac disease or other malabsorption syndromes)

Trial design

Treatments tested in this trial

  • Ferrous Sulfate

Treatment groups

184 Participants
are divided into 2 treatment groups