e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

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Vitamin A supplementation in HIV-infected women during pregnancy

Intervention | Last updated: 9 August 2023


Over 1000 new cases of mother-to-child transmission of the human immunodeficiency virus (HIV) occur worldwide every day, making this the main route of transmission of HIV infection in children. Vitamin A deficiency also affects about 19 million pregnant women, mostly from the WHO regions of Africa and South-East Asia, and has been associated with an increase in the risk of transmission of HIV from mother to child.

During pregnancy, vitamin A is essential for maternal health and for the healthy development of the fetus. As vitamin A also plays an important role in immune function, it has been suggested that providing vitamin A supplements to HIV positive women during pregnancy may reduce the risk of mother-to-child transmission of HIV. Results from studies to date are inconsistent however, with the majority providing no clear indication of benefit.

WHO Recommendations


Vitamin A supplementation in HIV-positive pregnant women is not recommended as a public health intervention for reducing the risk of mother-to-child transmission of HIV.

 



Evidence


Systematic reviews used to develop the guidelines


Vitamin A supplementation for reducing the risk of mother-to-child transmission of HIV infection

Wiysonge CS, Shey M, Kongnyuy EJ, Sterne JAC, Brocklehurst P. Cochrane Database of Systematic Reviews. 2011; Issue 1. Art. No.: CD003648.

Summary of this review Alternate Text

Related Cochrane reviews


Vitamin A supplementation for reducing the risk of mother-to-child transmission of HIV infection.

Wiysonge CS, Ndze VN, Kongnyuy EJ, Shey MS. Cochrane Database of Systematic Reviews. 2017; Issue 9. Art. No.: CD003648.


Related systematic reviews


A systematic review of randomized controlled trials of prenatal and postnatal vitamin A supplementation of HIV-infected women.

Kongnyuy EJ, Wiysonge CS, Shey MS. International Journal of Gynecology & Obstetrics. 2009; 104(1):5–8.


Vitamin supplementation for prevention of mother-to-child transmission of HIV and pre-term delivery: a systematic review of randomized trial including more than 2800 women.

Mills EJ, Wu P, Seely D, Guyatt GH. AIDS Research and Therapy. 2005; 2:4.


Cost-effectiveness Learn More Alternate Text


Implementation of this intervention is not recommended.