Iron Deficiency Anemia Treatment in Pregnancy
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Around 1.5 billion people worldwide, iron deficiency anemia affects about 50% of the anemia cases. Anemia in pregnancy often occurs due to iron deficiency which can affect the condition of both the mother and the fetus. Serum ferritin measurements have the highest sensitivity and specificity for the diagnosis of IDA unless there are underlying inflammatory conditions. In pregnant women, the lower threshold value for hemoglobin (Hb) is <11 g / dL in trimester I and III, and <10.5 g / dL in trimester II. A Hb concentration <10 g / dL indicates clinically significant anemia during the puerperium. Oral iron therapy is given as a first-line treatment for iron deficiency anemia. Although current data are limited, intravenous (IV) iron therapy is an alternative therapy option in patients who do not respond to oral iron therapy, develop side effects, do not adhere to oral iron treatment, have very low Hb concentrations and require immediate treatment for severe anemia cases. Apart from giving iron, red blood cell transfusion is also an option for treating iron-deficiency anemia in pregnancy.
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References
-
Means RT. Iron Deficiency and Iron Deficiency Anemia: Implications and Impact in Pregnancy, Fetal Development, and Early Childhood Parameters. Nutrients. 2020; 12(2): 447.
DOI | Google Scholar
1
-
Burke RM, Leon JS, Suchdev PS. Identification, prevention and treatment of iron deficiency during the first 1000 days. Nutrients. 2014; 6(10): 4093-4114.
DOI | Google Scholar
2
-
Milman N. Iron in pregnancy: How do we secure an appropriate iron status in the mother and child?. Ann Nutr Metab. 2011; 59(1): 50-54.
DOI | Google Scholar
3
-
Sun D, McLeod A, Gandhi S, Malinowski AK, Shehata N. Anemia in Pregnancy: A Pragmatic Approach. Obstet Gynecol Surv. 2017; 72(12): 730-737.
DOI | Google Scholar
4
-
Goonewardene M, Shehata M, Hamad A. Anaemia in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2012; 26(1): 3-24.
DOI | Google Scholar
5
-
Breymann C, Bian XM, Blanco-Capito LR, Chong C, Mahmud G, Rehman R. Expert recommendations for the diagnosis and treatment of iron-deficiency anemia during pregnancy and the postpartum period in the Asia-Pacific region. J Perinat Med. 2011; 39(2): 113-121.
DOI | Google Scholar
6
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