Expert consensus on the role of supplementation in obstetrics and gynecology using modified delphi method

© 2023. The Author(s)..

PURPOSE: To reach a consensus among obstetrics and gynecology experts on the effects of micronutrient supplementation on fertility and pregnancy to aid clinicians in decision-making and create a unified approach to managing micronutrient deficiencies in women, by performing a modified Delphi study.

METHODS: A three-round modified Delphi process was conducted among a Delphi panel of 38 Egyptian experts to define recommendations regarding the role of supplementation on fertility and pregnancy in women of reproductive age. A literature review was performed and supporting evidence was graded to help guide the recommendations based on available evidence.

RESULTS: A total of 62 statements were developed for discussion and voting. Out of the 62 statements, 60 statements reached expert consensus. Statements were divided into two domains. The first domain discussed the role of supplementation in fertility: optimizing natural fertility, polycystic ovary syndrome (PCOS), in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI), unexplained infertility, and endometriosis, whereas the second domain was concerned with the role of supplementation in pregnancy during the prenatal, antenatal, and postnatal periods.

CONCLUSION: In this work, a modified Delphi methodology was implemented to reach a consensus on the use of micronutrient supplementation in women of reproductive age. These recommendations can help clinicians in their practice, guide future research, and identify gaps in the market for the pharmaceutical industry. This clinical guidance can be extrapolated to similar communities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:309

Enthalten in:

Archives of gynecology and obstetrics - 309(2024), 2 vom: 01. Feb., Seite 639-650

Sprache:

Englisch

Beteiligte Personen:

Soliman, Mohamed Yehia [VerfasserIn]
Idris, Omima Abdel Fattah [VerfasserIn]
Momtaz, Mohamed [VerfasserIn]
Kortam, Mohamed Ashraf [VerfasserIn]
ELNoury, Mohamed Amr [VerfasserIn]
Saleh, Hisham Ali [VerfasserIn]
Abulnour, Ayman [VerfasserIn]
Ali, Ashraf Abo [VerfasserIn]
Abbas, Mostafa [VerfasserIn]
Shaaban, Omar M [VerfasserIn]
Din, Adel Shafik Salah El [VerfasserIn]
Gaafar, Hassan [VerfasserIn]
Orief, Yasser [VerfasserIn]
Safwat, Michael [VerfasserIn]

Links:

Volltext

Themen:

Consensus
Delphi
Fertility
Journal Article
Micronutrients
Pregnancy
Research Support, Non-U.S. Gov't
Review
Supplementation
Vitamins

Anmerkungen:

Date Completed 26.01.2024

Date Revised 23.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00404-023-07310-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366441701