Multiple micronutrient supplement

Multiple micronutrient supplement
Names
Other namesUnited Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP)
Clinical data
Main usesPregnancy in low and middle income countries[1]
Side effectsGenerally safe[2]
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Routes of
use
By mouth

Multiple micronutrient (MMN) supplement, is a type of prenatal supplement used during pregnancy.[1] In low and middle income countries (LMIC), it improves outcomes for the baby over iron and folic acid supplements alone.[1][3] Benefits are greater in those with anemia in pregnancy.[2]

Their use is generally safe.[2] If a child takes multiple pills, iron poisoning can occur.[4] One formulation, the United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP), contains 15 vitamins and essential minerals in specific amounts.[5][2] Though, other formulations exist, they all contain iron and folic acid.[3] Vitamin C and vitamin A improve the absorption of iron.[3]

A formulation was agreed upon in 1999 by UNICEF, United Nations University, and WHO.[3] It is on the World Health Organization's List of Essential Medicines.[6] They are slightly more expensive than iron and folic acid supplements alone, at about 0.01 to 0.02 USD per dose.[5][2] Their use; however, is cost effective in LMIC.[2] Use has been rolled out in 18 countries, with more considering implementation as of 2023.[7]

Dosage

Each dose contains:[8]

References

  1. 1 2 3 "Multiple-micronutrient supplementation for women during pregnancy". www.cochrane.org. Archived from the original on 10 August 2022. Retrieved 5 December 2023.
  2. 1 2 3 4 5 6 "Multiple Micronutrient Supplementation". Healthy Mothers Healthy Babies. Archived from the original on 13 September 2023. Retrieved 5 December 2023.
  3. 1 2 3 4 Keats, EC; Haider, BA; Tam, E; Bhutta, ZA (14 March 2019). "Multiple-micronutrient supplementation for women during pregnancy". The Cochrane database of systematic reviews. 3 (3): CD004905. doi:10.1002/14651858.CD004905.pub6. PMID 30873598.
  4. Huffman, Sandra L.; Baker, Jean; Shumann, Jill; Zehner, Elizabeth R. (January 1999). "The Case for Promoting Multiple Vitamin And Mineral Supplements for Women of Reproductive Age in Developing Countries". Food and Nutrition Bulletin. 20 (4): 379–394. doi:10.1177/156482659902000401.
  5. 1 2 "MULTIPLE MICRONUTRIENT SUPPLEMENTATION An approach to improving the quality of nutrition care for mothers and preventing low birthweight". UNICEF. Archived from the original on 31 May 2023. Retrieved 2 December 2023.
  6. World Health Organization (2023). The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.
  7. "Countries Archive". Healthy Mothers Healthy Babies. Archived from the original on 27 May 2023. Retrieved 5 December 2023.
  8. "eEML - Electronic Essential Medicines List". list.essentialmeds.org. Archived from the original on 4 June 2023. Retrieved 2 December 2023.
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