Effect of Docosa-Hexanoic Acid (DHA) Supplements During Pregnancy on Newborn Outcomes in India.
Effect of Docosa-Hexanoic Acid (DHA) Supplements During Pregnancy on Newborn Outcomes in India.
The 'DHANI randomized controlled trial" seeks to examine the effects of prenatal DHA
 supplementation on newborn anthropometry where in healthy pregnant will be assigned to
 receive either 400 mg of DHA or a placebo daily from ≤20 weeks gestation through delivery.
A double-blinded, randomized, placebo controlled trial would be conducted among pregnant
 women in India to test the effectiveness of supplementing pregnant Indian women with 400 mg/d
 algal DHA compared to placebo from mid-pregnancy through delivery. Eligible participants
 would be randomized to receive either 400 mg of DHA or a placebo baseline measures would be
 taken before the enrollment of the participant in the study. This study would assess the
 effect of maternal DHA supplementation on:

 1. New born anthropometry (birth weight, length and head circumference)

 2. New born APGAR score
Inclusion Criteria:

 -  18 to 35 year old pregnant women (singleton) at <=20 weeks of gestation (calculated
 from the LMP by study physician).

 -  Willing to participate in the study and perform all measurements for self, husband and
 the offspring including anthropometry, dietary assessment, questionnaires and
 biological samples (blood and breast milk).

 -  Willing to provide signed and dated informed consent.

 Exclusion Criteria:

 -  Women allergic (if aware) to any of the test products.

 -  Women at high risk for hemorrhagic bleeding, clotting (if aware).

 -  Women with high-risk pregnancies (history and prevalence of pregnancy complications,
 including abruptio placentae, preeclampsia, pregnancy-induced hypertension, any
 serious bleeding episode in the current pregnancy, and/ or physician referral); and/or
 diagnosed chronic degenerative disease(s) such as diagnosed heart disease, cancer,
 stroke or diabetes (as omega-3 could raise blood sugar and lower insulin production).

 -  Women consuming omega-3 supplements or having used these in 3 months preceding the
 intervention period.

 -  Reported participation in another biomedical trial 3 months before the start of the
 study or during the study (not to get the results of the present study contaminated).