Iron Deficiency Anemia in Pregnancy: Novel Approaches for an Old Problem

Garzon, Simone; Cacciato, Patrizia Maria; Certelli, Camilla; Salvaggio, Calogero; Magliarditi, Maria; Rizzo, Gianluca

doi:10.5001/omj.2020.108

Cited by 92 publications

(94 citation statements)

References 77 publications

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“…This was attributed to a lack of understanding about the possible risk in current pregnancy and perceiving pregnancy as a natural process. Unbooked status was significantly associated with anaemia due to poor nutrition and limited intake of recommended iron and folic acid tablets [ 13 ]. This remains an area of concern and has been pointed out in a national survey [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Incidence, Management and Outcomes in Women Undergoing Peripartum Hysterectomy in a Tertiary Care Centre in India

Chaudhary¹,

Singh²,

Nain³

et al. 2021

Cureus

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BackgroundPeripartum hysterectomy (PRH) is the surgical removal of the uterus performed in obstetrical complications such as uncontrolled postpartum haemorrhage (PPH), unrepairable uterine rupture, and sepsis. Its incidence has increased in recent years. The objective of this study was to review all the cases of PRH in a tertiary care teaching hospital over three years (January 2017-December 2019) to determine its incidence and analyse clinico-demographic characteristics in these women. MethodAll women undergoing PRH from January 2017 to December 2019 were included in the study. Data were collected retrospectively from medical records, of patients who underwent a PRH at the time of delivery, or within 24 hours, or performed any time before discharge from the same hospitalization and obstetric event. The total number of deliveries including caesarean and vaginal deliveries were recorded. Main outcome measures were the incidence of PRH, indication for hysterectomy, management option used, maternal outcomes (PPH, bladder injury and maternal death) and fetal outcomes (stillbirth). ResultsThere were a total of 3904,4 deliveries; 27,337 vaginal and 11,697 caesarean sections in three years. A total of 50 patients underwent a PRH. The incidence of PRH in our study was 1.3 per 1,000 deliveries and 3.5/1,000 caesareans, respectively. PRH was found to be more common following cesarean sections than vaginal deliveries (odds ratio 22.86 [95% CI: 8.16 to 63.98]). Morbid adherent placenta (MAP) (n=30, 62%) was the most common indications of PRH. Seven (15%) women had PRH due to uterine rupture. Twentyseven women of the 30 women (90%) with the MAP had a previous caesarean delivery. The case fatality rate per hysterectomy was 4%. Stillbirth rate (SBR: n=8,16%) among women having PRH was seven-fold higher than overall SBR in our country. ConclusionThere has been a rise in MAP as an indication of PRH in our study for a decade in comparison to uterine atony. Caesarean delivery is a significant risk factor for PRH. Previous caesarean section and major placenta previa were common occurring obstetric risk factors present in the MAP in our cohort. Our maternal mortality in PRH was low and the stillbirth rate was high when compared with national data.

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Section: Discussionmentioning

confidence: 99%

Incidence, Management and Outcomes in Women Undergoing Peripartum Hysterectomy in a Tertiary Care Centre in India

Chaudhary¹,

Singh²,

Nain³

et al. 2021

Cureus

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“…Las sales de hierro tienen buenos efectos clínicos cuando se utilizan como tabletas orales de liberación prolongada. Además, tienen menos efectos secundarios gastrointestinales, alta biodisponibilidad de hierro elemental y mayor aceptación del tratamiento por las mujeres (17) . Las embarazadas con riesgo de desarrollar anemia deben iniciar el consumo de suplementos a dosis de 20 mg/día antes de la concepción.…”

Section: Hierrounclassified

Consumo de micronutrientes durante el embarazo y la lactancia

Mejia-Montilla

Reyna-Villasmil

2021

Rev peru ginecol obstet.

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El estado nutricional adecuado de la mujer antes, durante y después del embarazo es fundamental para evitar complicaciones tanto obstétricas como perinatales. Los micronutrientes son esenciales para el desarrollo materno y fetal. El embarazo tiene una demanda metabólica especial de nutrientes de alta calidad. Además, la ingesta adecuada de micronutrientes puede mejorar directamente la calidad de la leche materna. Los suplementos pueden satisfacer la creciente demanda de estos elementos durante el embarazo y la lactancia, reduciendo el riesgo de anomalías congénitas fetales, patologías obstétricas y desarrollo de enfermedades crónicas en la edad adulta. Sin embargo, existe información contradictoria sobre la eficacia y seguridad de los suplementos nutricionales durante el embarazo. Es importante que el personal médico pueda brindar consejos precisos y adecuados basados en evidencia sobre el consumo de suplementos durante el embarazo, ya que no todas las embarazadas necesitan utilizar suplementos en forma regular, pero es necesario identificar a las embarazadas con riesgo de presentar alguna deficiencia. El objetivo de esta revisión fue analizar los efectos del consumo de micronutrientes en el embarazo y la lactancia.

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“…birthweight, diet, iron deficiency anemia, pregnancy, public health Iron deficiency anemia is the most commonly known disorder affecting one-third of the world's population. It has many consequences particularly in the pregnant females indicating that the overall physiologic adaptations are not sufficient to fulfill the nutritional needs (Garzon et al, 2020). World Health Organization (WHO) has estimated over 2 billion of population as being anemic.…”

Section: Introductionmentioning

confidence: 99%