ACOG PRACTICE BULLETIN NO.95 ANEMIA IN PREGNANCY PDF

This article has been cited by other articles in PMC. Abstract Iron deficiency anemia of pregnancy is common, especially in South Asia, and is associated with adverse maternal and fetal outcomes including increased incidences of maternal mortality, preterm labor and low birth weight. Screening for anemia alone is not sufficient to diagnose iron deficiency. Iron deficiency in neonates is associated with a statistically significant increment in cognitive and behavioral abnormalities which persist after iron repletion. Oral iron is the frontline standard but is associated with an unacceptably high incidence of gastrointestinal adverse events leading to poor adherence.

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Written by Sari Harrar Iron deficiency and hypothyroidism—conditions that could cause problems for mothers and babies during pregnancy, but are easy to treat—may share a connection, a recent study1 from Belgium suggests. The study was published in the September issue of the European Journal of Endocrinology. Some research suggests hypothyroidism leads to low iron stores2 others suggest low iron may interfere with healthy thyroid functioning.

For now, lead researcher Kris Poppe, MD, director of the Endocrine Clinic at Saint-Pierre University Hospital, says the study underlines the importance of iron testing for pregnant women and for women planning a pregnancy — and of eating an iron-rich diet and adding a supplement if recommended by your doctor.

Poppe says. According to the National Institutes of Health, a pregnant woman needs 27 mg of iron a day while a nonpregnant woman in her childbearing years needs 18 mg.

An estimated 2. Women of childbearing age who have heavy menstrual periods may also be at risk for low iron. Top sources include fortified breakfast cereals, white and kidney beans, lentils, spinach, beef, dark-meat chicken, tuna and stewed tomatoes.

Iron from meat, poultry and seafood is more easily absorbed—and can also boost absorption from plant foods.

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ACOG Practice Bulletin No. 95: anemia in pregnancy

The aim of this observational study is to assess in which trimester of pregnancy, IDA carries a greater risk of low birth weight LBW infants and preterm birth. Level B — Recommendations are based on limited or inconsistent scientific evidence. Buy This Article Subscribe. Facebook Twitter Linkedin Email. Anemia in pregnancy Routine iron supplementation and screening for iron deficiency anemia in pregnancy: For additional information, read our full announcement.

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ACOG Practice Bulletin no. 95. Anemia in pregnancy

Tojasar It also states that whether iron supplementation in well-nourished pregnant women without anemia affects perinatal outcomes is unclear This raises questions on whether the timing of identification and correction of iron deficiency anemia plays an important role and whether current measures of iron deficiency anemia primarily hemoglobin, hematocrit, and ferritin levels are effective in identifying women who may need additional iron during pregnancy, given the normal occurrence of physiologic anemia and the limitations of interpreting ferritin levels. In most of these studies, the supplemented groups had higher mean hemoglobin levels than the nonsupplemented groups; however, both groups reported values within normal limits. The NCBI database was searched from to Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Some findings indicate that anemia occurring earlier in pregnancy may be associated with serious adverse infant outcomes, but anemia occurring during the third trimester may not.

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