Title
Maternal postpartum deworming and infant milk intake: Secondary outcomes from a trial
Date Issued
01 October 2021
Access level
open access
Resource Type
journal article
Author(s)
Mofid L.S.
Montresor A.
Rahme E.
Marquis G.S.
Vercruysse J.
Allen L.H.
Blouin B.
Pezo L.
Gyorkos T.W.
Publisher(s)
John Wiley and Sons Inc
Abstract
The World Health Organization recommends deworming to reduce soil-transmitted helminth (STH)-attributable morbidity in women of reproductive age, including pregnant and lactating women, to reduce blood loss, iron deficiency anaemia and nutrient malabsorption. This study assessed the impact of maternal postpartum deworming with albendazole approximately 1 day after delivery on infant milk intake among a subset of 216 randomly selected mother–infant pairs recruited into a large trial in Peru. Infant milk intake was measured using the deuterium-oxide method at 1- and 6-month postpartum. Maternal STH infection was measured at 6-month postpartum. At 1-month postpartum, mean intake was 756 ± 16 and 774 ± 18 mL day−1 in the albendazole and placebo groups, respectively (mean difference: −18 mL day−1; 95% CI: −65, 30). At 6-month postpartum, mean intake was 903 ± 16 and 908 ± 18 mL day−1 in the albendazole and placebo groups, respectively (mean difference: −5 mL day−1; 95% CI: −52, 43). There was no statistically significant difference in milk intake between groups at either time point. At 6-month postpartum, mothers infected with Trichuris trichiura had infants with higher milk intakes (adjusted mean difference: 70 mL day−1; 95% CI: 20, 120) compared with uninfected mothers. However, there was no statistically significant difference in infant milk intake between mothers who had moderate-and-heavy intensity infection compared with the comparison group (mothers with no and light intensity infection). A lower prevalence and intensity of infection, and inclusion of uninfected mothers in both arms of the trial, resulting in effect dilution, may explain the null findings.
Volume
17
Issue
4
Language
English
OCDE Knowledge area
Parasitología
Subjects
Scopus EID
2-s2.0-85102639910
PubMed ID
Source
Maternal and Child Nutrition
ISSN of the container
17408695
Sponsor(s)
We would like to acknowledge our ongoing research collaboration with our colleagues in Peru, without whom this research would not have been possible. We would also like to thank Gabriela Salazar and her team at the Instituto de Nutrición y Tecnología de los Alimentos for their expertise and laboratory analyses for the deuterium oxide technique. Lastly, we thank Dr. Sonia Semenic for her insightful comments on the manuscript. Funding for this study was provided to TWG by the Bill and Melinda Gates Foundation (OPP1066903) and Fonds de Recherche du Québec-Santé (Research Institute Grant) and to LSM by the International Development Research Centre (106690-99906075-052) and the Michael Smith Foreign Study Supplement, Canadian Institutes of Health Research (124574). The funders had no role in the design, analysis or writing of this article.
We would like to acknowledge our ongoing research collaboration with our colleagues in Peru, without whom this research would not have been possible. We would also like to thank Gabriela Salazar and her team at the Instituto de Nutrición y Tecnología de los Alimentos for their expertise and laboratory analyses for the deuterium oxide technique. Lastly, we thank Dr. Sonia Semenic for her insightful comments on the manuscript. Funding for this study was provided to TWG by the Bill and Melinda Gates Foundation (OPP1066903) and Fonds de Recherche du Québec‐Santé (Research Institute Grant) and to LSM by the International Development Research Centre (106690‐99906075‐052) and the Michael Smith Foreign Study Supplement, Canadian Institutes of Health Research (124574). The funders had no role in the design, analysis or writing of this article.
Sources of information:
Directorio de Producción Científica
Scopus