Evidence map›Paper›PMID 41850742›Full record

Trial reportBMJ paediatrics open2026

Maternal supplementation of vitamin B

Jitender Nagpal, Manu Mathur, Swapnil Rawat, Atul Singhal, Rajendra Pant, Anita Shah, Laura Nixon, Vijay Kumar Mishra, Deepti Nagrath, Michelle Heys and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Jitender NagpalDepartment of Pediatrics & Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, New Delhi, Delhi, India.ORCID http://orcid.org/0000-0003-4752-5843
Manu MathurQueen Mary University of London Faculty of Medicine and Dentistry, London, UK.ORCID http://orcid.org/0000-0001-5518-1935
Swapnil RawatDepartment of Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, New Delhi, Delhi, India.ORCID http://orcid.org/0000-0002-1038-5317
Atul SinghalUCL Great Ormond Street Institute of Child Health, London, UK.
Rajendra PantParopakar Maternity and Women's Hospital, Kathmandu, Nepal.
Anita ShahParopakar Maternity and Women's Hospital, Kathmandu, Nepal.
Laura NixonWolfson Institute of Population Health, UCL, London, UK.
Vijay Kumar MishraPublic Health Foundation of India, New Delhi, India.
Deepti NagrathPublic Health Foundation of India, New Delhi, India.
Michelle HeysUCL Great Ormond Street Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0002-1458-505X
Mario Cortina-BorjaUCL Great Ormond Street Institute of Child Health, London, UK.
Colin MichieUniversity College London, London, UK.
Jageshwor GautamParopakar Maternity and Women's Hospital, Kathmandu, Nepal.
Shailendra Bir KarmacharyaDepartment of Neonatology, Paropakar Maternity and Women's Hospital, Kathmandu, Nepal.
Snighda RaiParopakar Maternity and Women's Hospital, Kathmandu, Nepal.
Monica LakhanpaulUCL Great Ormond Street Institute of Child Health, London, UK m.lakhanpaul@ucl.ac.uk.ORCID http://orcid.org/0000-0002-9855-2043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin B

methodsThis double-blind, randomised controlled trial was conducted in two tertiary maternity care centres in India and Nepal. Pregnant women in their first trimester, following a vegetarian diet, were enrolled and randomised to receive either a daily oral supplement of 250 µg (group A) or 50 µg (group B) of methyl-cobalamin from enrolment to 6 months post partum. The primary outcomes were infant neurodevelopment assessed at 9-12 months using the Development Assessment Scale of Indian Infants and biochemical B

results531 mothers completed the study (group A n=255; group B n=276). There were no significant differences in baseline characteristics between mothers at both centres or in groups A and B. Mental developmental quotients (DQs) were higher in the infants of group A: 103.7 (7.7) than group B: 101.7 (8.8); p=0.008). This corresponds to a mean difference of 7.8 centiles (p=0.007). Mean motor DQs were not significantly different between the groups. Maternal vitamin B

conclusionsDaily supplementation with 250 µg of vitamin B

Indexed as

Child DevelopmentDietary SupplementsDiet, VegetarianVitamin B 12Vitamin B 12 DeficiencyAdultDouble-Blind MethodFemaleHumansIndiaInfantInfant, NewbornMaleNepalNeurodevelopmentPregnancyVitamin B 12Child HealthInfantLow and Middle Income CountriesMothers

Identifiers

PMID41850742
PMCPMC13034390

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.