Implementing routine ferritin screening for iron deficiency in pregnancy using clinical practice improvement tools

Flores, Cindy; Thomson, Amanda; Hong, Frank; Spigiel, Tracey; Minck, Sandy; Saxon, Ben

doi:10.1016/j.pathol.2017.12.307

Cited by 1 publication

(4 citation statements)

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“…Additional investigations that support iron deficiency are a transferrin saturation <16%, which indicates insufficient iron for erythropoiesis and a low MCV (<80 fl) 8 . When serum ferritin (<30 μg/L) is used as a routine screening tool, up to 67% of women are identified as iron deficient during their pregnancy; however, only a proportion will be anaemic 9 …”

Section: Introductionmentioning

confidence: 99%

“…Current treatment guidelines in Australia recommend screening with a full blood count at the first antenatal visit, 28‐ and 36‐week gestation. Routine ferritin screening is not currently used, and further investigation is based on risk factors or if anaemia is detected 9,10 . Risk factors for IDA include young age (<18), multiple pregnancies, a short interval between pregnancies (<1 year), parity >3, Aboriginal or Torres Strait Islander background and low socioeconomic status 1,5,11 .…”

Section: Introductionmentioning

confidence: 99%

“…8 When serum ferritin (<30 μg/L) is used as a routine screening tool, up to 67% of women are identified as iron deficient during their pregnancy; however, only a proportion will be anaemic. 9 Current treatment guidelines in Australia recommend screening with a full blood count at the first antenatal visit, 28-and 36-week gestation. Routine ferritin screening is not currently used, and further investigation is based on risk factors or if anaemia is detected.…”

Section: Introductionmentioning

confidence: 99%

“…Routine ferritin screening is not currently used, and further investigation is based on risk factors or if anaemia is detected. 9,10 Risk factors for IDA include young age (<18), multiple pregnancies, a short interval between pregnancies (<1 year), parity >3, Aboriginal or Torres Strait Islander background and low socioeconomic status. 1,5,11 Anaemia during pregnancy affects both the mother and the foetus.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of iron deficiency Anaemia during pregnancy in Far North Queensland

Carter

Lane

Ryan³

et al. 2022

Australian J Rural Health

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Introduction:The WHO estimates the incidence of iron deficiency anaemia in Australia is 25%. However there is considerable variation during pregnancy and in regional areas. Objective:The aim of this investigation is to quantify the incidence of iron deficiency anaemia during pregnancy within Far North Queensland.Design: This is a single-centre retrospective cohort study. Cairns Hospital is the main referral centre for complex maternity care in Far North Queensland with an estimated population of 280-000, which includes many people from rural and remote communities and a high proportion who identify as Aboriginal or Torres Strait Islander. This study included all births at the Cairns Hospital in 2018, a total of 2190 deliveries. Findings:The study randomly sampled 551 mothers from the cohort, and the incidence of iron deficiency anaemia was 34.9%. 48.7% of women who identified as Aboriginal or Torres Strait Islander within the region were anaemic. This was significantly higher than an incidence of 28.9% for the rest of the population.Other risk factors include booking appointment after 28-weeks, Asian ethnicity and age less than 25-years. A BMI greater than 35 was protective Discussion: This study will inform antenatal care providers within the region and improve obstetric outcomes by increasing awareness. Identifying risk factors will also facilitate prompt treatment and improve maternity care for vulnerable patient groups. On a broader level, the study provides new data to inform population health estimates both nationally and internationally. Conclusion:The incidence of iron deficiency anaemia during pregnancy in Far North Queensland is significantly higher than previous estimates.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%