e-Library of Evidence for Nutrition Actions (eLENA)


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Vitamin A supplementation in postpartum women

Intervention | Last updated: 21 May 2023


Vitamin A is important for visual health, immune function and fetal growth and development. Vitamin A deficiency is a public health problem in many parts of the world, particularly Africa and South-East Asia. It can cause visual impairment in the form of night blindness and, in children, may increase the risk of illness and death from childhood infections, including measles and those causing diarrhoea.

Generally, infants are born with low vitamin A stores and are dependent on external sources, most importantly breast milk. Maternal dietary intake during pregnancy and postpartum is therefore an important determinant both of maternal vitamin A status and the vitamin A status of her infant.

In settings where vitamin A deficiency and/or undernutrition is common, mothers may produce breast milk with inadequate concentrations of vitamin A. Vitamin A supplementation in postpartum women might be expected to improve maternal vitamin A status, thereby increasing the vitamin A content of breast milk and improving the health of mother and infant. Current evidence suggests however, that vitamin A supplementation in postpartum women does not reduce the risk of illness or death in mothers or their infants.

Postpartum women should be encouraged to receive adequate nutrition, which is best achieved through consumption of a balanced healthy diet.

WHO Recommendations


Vitamin A supplementation in postpartum women for the prevention of maternal and infant morbidity and mortality is not recommended.

Evidence


Systematic reviews used to develop the guidelines


Vitamin A supplementation for postpartum women

Oliveira-Menegozzo JM, Bergamaschi DP, Middleton P, East CE. Cochrane Database of Systematic Reviews. 2010; Issue 10. Art. No.: CD005944.


Maternal postpartum vitamin A supplementation for the prevention of mortality and morbidity in infancy: a systematic review of randomized controlled trials

Gogia S, Sachdev HS. International Journal of Epidemiology. 2010; 39(5):1217–1226.


Vitamin A supplementation for the prevention of morbidity and mortality in infants six months of age or less

Gogia S, Sachdev HS.Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD007480.

Summary of this review Alternate Text

Related Cochrane reviews


Vitamin A supplementation for the prevention of morbidity and mortality in infants one to six months of age

Imdad A, Ahmed Z, Bhutta ZA. Vitamin A supplementation for the prevention of morbidity and mortality in infants one to six months of age.Cochrane Database of Systematic Reviews 2016, Issue 9. Art. No.: CD007480.

Summary of this review Alternate Text

Vitamin A supplementation for postpartum women

Oliveira JM, Allert R, East CE.Cochrane Database of Systematic Reviews 2016, Issue 3. Art. No.: CD005944.

Summary of this review Alternate Text

Related systematic reviews


Vitamin A supplementation during puerperium: systematic review.

Caminha MFC, Filho MB, dos Santos Fernandes TF, Grande de Arruda IK, da Silva Diniz A. Revista de Saúde Pública. 2009; 43(4):699–706.


Cost-effectiveness Learn More Alternate Text


Implementation of this intervention is not recommended.