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- Title
Az intravénás vaspótlás helye a várandósgondozásban.
- Authors
Viktória, Fésüs; György, Tormási Imre; István, Péterfi
- Abstract
In obstetrics, treating severe iron deficiency anemia thereby reducing mortality and morbidity caused by obstetric hemorrhage is still a challenge. One potential improvement possibility is the effective treatment of anemia during pregnancy, by this preparing pregnant woman’s body for the tolerance of major obstetric haemorrhage. In Hungary, there is one newly emerged intravenous iron preparation which can be used for injecting higher doses of intravenous iron safely and rapidly. Thus, intravenous iron supplementation became a real therapeutic alternative in pregnancy. In our study, we searched for prenatal iron deficiency or iron deficiency anemia in pregnant women who later needed peripartum blood transfusion. First, we investigated their laboratory test results in the second trimester and found that nearly half of them suffered from iron deficiency anemia in week 24 and another quarter suffered from latent iron deficiency. Therefore, based on international guidelines we introduced a comprehensive anemia screening for pregnant women in week 24. In this way we were able to detect different severity of iron deficiency by analyzing complete blood counts and ferritin levels. This far we treated 11 pregnant women with intravenous ferric carboxy-maltose without any adverse events. We detected significant improvements in the control complete blood counts in all cases. None of the patients needed peripartum blood transfusion irrespective of the way of delivery, or the occurrence of major hemorrhage. In conclusion, iron deficiency anemia and its precursor states are worthy of screening during pregnancy, because intravenous ferric carboxy-maltose is highly safe and effective especially in preventing transfusions.
- Publication
Magyar Nőorvosok Lapja, 2021, Vol 84, Issue 3, p163
- ISSN
0025-021X
- Publication type
Article