Anemia in pregnancy.
Study Goal
The researchers aimed to review the role of iron in treating anemia during pregnancy, including its efficacy and alternative treatments for severe cases.
Results Summary
The study found that iron deficiency anemia accounts for 75% of anemias in pregnancy, with oral iron supplementation being the recommended treatment. Parenteral iron and erythropoietin are alternatives for severe or refractory cases.
Population
Pregnant individuals with anemia, particularly iron deficiency anemia.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Oral iron supplementation | decrease | iron deficiency anemia | in pregnancy | - | is the recommended treatment | #1 |
Parenteral iron | decrease | iron deficiency anemia | in severe or refractory cases in pregnancy | - | can also be used | #2 |
Erythropoietin | decrease | iron deficiency anemia | in severe or refractory cases in pregnancy | - | can also be used | #3 |
nutritional supplementation | decrease | other forms of inherited and acquired anemias | in pregnancy | - | include | #4 |
corticosteroids | decrease | other forms of inherited and acquired anemias | in pregnancy | - | include | #5 |
supportive transfusions | decrease | other forms of inherited and acquired anemias | in pregnancy | - | include | #6 |
splenectomy | decrease | other forms of inherited and acquired anemias | in pregnancy | - | include | #7 |
Hemodynamic changes occur in pregnancy to prepare for expected blood loss at delivery. Physiologic anemia occurs in pregnancy because plasma volume increases more quickly than red cell mass. Anemia is most commonly classified as microcytic, normocytic, or macrocytic. Iron deficiency anemia accounts for 75% of all anemias in pregnancy. Oral iron supplementation is the recommended treatment of iron deficiency anemia in pregnancy. Parenteral iron and erythropoietin can also be used in severe or refractory cases. Outcomes and treatments for other forms of inherited and acquired anemias in pregnancy vary by disease, and include nutritional supplementation, corticosteroids, supportive transfusions, and splenectomy.