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CompletedNCT07880314MFI20Updated Oct 19, 2026

Maternal Fatigue After Postpartum Anemia Treatment With Intravenous Ferric Carboxymaltose and Oral Iron Therapy

A Phase 4 interventional study of INTRAVENOUS FERRIC CARBOXYMALTOSE and oral iron therapy in Postpartum Fatigue and Iron Deficiency Anemia, sponsored by Pakistan Air Force (PAF) Hospital Islamabad. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Pakistan Air Force (PAF) Hospital Islamabad · Phase 4, Interventional, and Health services research

Updated Oct 19, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Postpartum Anemia is common after childbirth and may contribute to tiredness and reduced wellbeing in mothers.This randomized controlled trial will compare two treatments for postpartum iron deficiency:intravenous ferric carboxymaltose and oral iron therapy .This study will assess whether intravenous ferric carboxymaltose provides greater improvement in maternal fatigue during the first 6 weeks after childbirth compared to oral iron.Secondary outcomes will be assessment of depressive symptoms and breastfeeding self efficacy .Eligible postpartum women with iron deficiency anemia will be randomly assigned to receive either intravenous ferric carboxymaltose or oral iron therapy and will be followed for six weeks.The study hypothesis is that intravenous ferric carboxymaltose will result in greater improvement in maternalfatigue and may also effect breastfeeding self efficacy .

Read the detailed description

Investigators will administer intravenous or oral iron therapy to two subgroups randomized and check maternal fatigue through multidimentional fatigue inventory MFI 20 at 48hrs and 2 week and 6 week postpartum ,and see whether fatigue score improved or not other outcome like edinberg postnatal depression scale , breastfeeding selfefficacy at 2 week and 6 week postpartum and assosciated sideeffects

02

Conditions studied

  • Postpartum Fatigue
  • Iron Deficiency Anemia

Keywords

  • postpartum anemia
  • postpartum fatigue
  • iron deficiency anemia
03

In context

Anemia, Iron-Deficiency

660 studies on the registry are indexed under Anemia, Iron-Deficiency; 106 are open to participants now.

This study's enrollment of 134 is above the median of 100 across 515 interventional studies indexed under Anemia, Iron-Deficiency.

Browse Anemia, Iron-Deficiency studies →

Lead sponsor

Pakistan Air Force (PAF) Hospital Islamabad is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Inclusion criteria

  • Women aged 18-45 years
  • Postpartum period (within 48 hours)
  • Hemoglobin \< 10 g/dL
  • Singleton delivery
  • Willing to participate Exclusion Criteria
  • Severe anemia requiring blood transfusion
  • Known hemoglobinopathies
  • Chronic medical illness (renal, hepatic, cardiac)
  • Postpartum sepsis or PPH
  • Previous iron therapy in current pregnancy
05

Study design

Phase
Phase 4
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
134 participants (actual)

Study arms

  • Experimental
    INTRAVENOUS FERRIC CARBOXYMALTOSE group

    single dose Intravenous ferric carboxymaltose administered postpartum

    Drug: INTRAVENOUS FERRIC CARBOXYMALTOSE

  • Active comparator
    oral iron therapy group

    oral iron therapy to treat anemia as comparative group

    Drug: oral iron therapy

Interventions

  • Intravenous ferric carboxymaltose is administered as a single dose according to calculated iron deficit within 48hrs after postpartum

  • Drugoral iron therapy

    participants will receive oral ferrous sulphate tablets providing 200mg elemental iron daily till required

06

What researchers measure

Primary outcomes

  1. change from baseline in Maternal fatigue total score on the Multidimensional fatigue inventory

    Maternal fatigue is assessed using Multidimensional Fatigue inventory ,a 20 item self report questionnaire . Each item is rated on 5 point likert scale 1 to 5 .The total fatigue score is calculated by summing all 20 items ,yielding a minimum 20 and maximum score of 100. Higher score represent greater fatigue severity ,indicating a worse clinical outcome. change from baseline is calculated as the post treatment score minus the baseline score

    Time frame: baseline, 2 week , 6 weeks post treatment

Secondary outcomes

  1. change from baseline in breastfeeding self efficacy scale short form score

    Breastfeeding self efficacy assesed through breastfeeding self efficacy scale short form ,a 14 item self report questionaire .Each item is rated on 5 point likert scale ranging from 1( not at all) to 5 (always confident ) .Total scores are derived by summing all 14 item responses, yielding a minimum score of 14 and maximum score of 70 .Higher score means greater breastfeeding self efficacy indicating a better clinical outcome change from baseline is calculated as followup score minus baseline score

    Time frame: baseline 2 week and 6 week postpartum

  2. number of participants with treatment emergent adverse effects

    safety and tolerability are evaluated by systemically recording all treatment emergent adverse effects and side effects following iron administration, adverse events are monitored by type severity and potential causal relationship to study intervention. .

    Time frame: 2 week and 6 week posttreatment

  3. change from baseline in depressive symptoms on the Edinberg postnatal depression scale

    Maternal depressive symptoms were assessed using edinberg postnatal depression scale ,a 10 item likert self report questionaire . Each item is score on 4 point scale ranging from 0 to 3 .The total score is calculated by summing 10 items yielding a minimum score of 0 and highest score of 30 .Higher total score represent greater severity of depressive symptoms

    Time frame: baseline ,2 weeks and 6 weeks postpartum

07

Study locations

1 site
  • PAF hospital islamabad
    Islamabad, Punjab Province 44100, Pakistan
08

References and documents

Publications

  • Bombac Tavcar L, Hrobat H, Gornik L, Preloznik Zupan I, Vidmar Simic M, Peclin P, Kavsek G, Lucovnik M. Maternal Fatigue after Postpartum Anemia Treatment with Intravenous Ferric Carboxymaltose vs. Intravenous Ferric Derisomaltose vs. Oral Ferrous Sulphate: A Randomized Controlled Trial. J Clin Med. 2024 Jan 28;13(3):758. doi: 10.3390/jcm13030758. PubMed 38337452 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07880314
Lead sponsor
Pakistan Air Force (PAF) Hospital Islamabad
Responsible party
Afia Ayyaz (postgraduate trainee, Pakistan Air Force (PAF) Hospital Islamabad) — Principal investigator
First posted
Oct 19, 2026
Start date
Apr 20, 2026
Primary completion
Sep 20, 2026
Completion
Sep 20, 2026
Last update
Oct 19, 2026

Study contacts

afia ayyaz, mbbs
principal investigator · PAF hospital islamabad
shamsa rizwan, FCPS
study director · PAF hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ferric carboxymaltose

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