Bibliographic information
GuidelineWHO recommendations on maternal and newborn care for a positive postnatal experience.
Year of Publication2022
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
Oral iron supplementation, either alone or in combination with folic acid supplementation, may be provided to postpartum women for 6–12 weeks following childbirth for reducing the risk of anaemia in settings where gestational anaemia is of public health concern
Context specific recommendation
Only in specific contexts
Certainty of evidence
Low
Notes and Remarks
Remarks
- This recommendation has been integrated from the 2016 WHO publication Iron supplementation in postpartum women (100), where it was considered a conditional recommendation based on low-certainty evidence.
- The following remarks were among those made by the Guideline Development Group responsible for the original recommendation.
- This recommendation is applicable to all postpartum women, irrespective of their lactation status.
- For ease of implementation and continuity of care, postpartum supplementation should begin as early as possible after birth, and the iron supplementation regimen (that is, the dose and whether the supplement is consumed daily or weekly) should follow that used during pregnancy (16) or alternatively should start with that planned for non-pregnant adult women and adolescent girls (101,
- 102)
- In cases in which a woman is diagnosed with anaemia in a clinical setting (103), she should be treated in accordance with the country’s policy, or the WHO recommendation of daily iron supplements (120 mg of elemental iron plus 400 μg folic acid), until her haemoglobin concentration rises to normal (103, 104).
- Postpartum and lactating women should be encouraged to receive adequate nutrition, which is best achieved through consumption of a balanced, healthy diet (78, 105). a WHO considers a 20% or higher population prevalence of gestational anaemia to be a moderate public health problem.
Also Featured In
This recommendation also appears in the following guidelines:
Originally Developed
Guideline
Guideline: Iron supplementation in postpartum women
Year2016
InstitutionWorld Health Organization