Nutritional challenges during pregnancy

Objective. Iron deficiency with (IDA) or without anemia (IDWA) represents a global health issue. The present paper aims to evaluate several skills concerning the prevention of IDWA and the appropriate management of IDA, in pregnancy and in the post-partum, testing a heterogeneous group of Italian obstetricians.Materials and Methods. On April 2022, a group of obstetricians of Lazio region (GOAL Working Group) promoted an online survey among its members based on 27 questions dealing with IDA and IDWA in pregnancy and in the post-partum; aspects related to the Patient Blood Management (PBM) have also been investigated.Results. About 30% of the GOAL members answered the questionnaire. The prevalence of IDWA is thought to be around 41%, leading to a higher risk of adverse pregnancy outcomes. 54.1% of responders evaluate iron storage at the first visit in pregnancy thus proposing a diet rich in iron to all women they follow (67.2%). Although iron administration is more often needed to correct hemoglobin levels before starting labour, the prevalence of blood transfusion in the post-partum is thought to be around 2-5% (50.8%). Only the half of responders knows the PBM approach.Conclusions. It is desired to define how clinicians who care for pregnants perceive, frame and treat IDA and IDWA, which are too often not promptly diagnosed and managed, in order to improve antenatal care.

Section: Discussionmentioning

confidence: 99%

Iron deficiency in pregnancy: an Italian survey

Paradisi,

Anelli,

Barletta

et al. 2024

“…Placental oxidative stress is also associated with damage to the syncytiotrophoblast seen in cases of miscarriages [18,19]. However, risk factors of placental disorders such as previous cesarean section, assisted reproductive technology, elderly, smoking, and history of previous placental problems, seriously impact on maternal and fetal outcomes [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Early-onset fetal growth restriction with severe preeclampsia: our experience of a challenging topic

Calagna¹,

Picciotto²,

Guiglia³

et al. 2022

“…Their experience can lead the way to updated and more precise advice. Instructions concerning exercise in pregnancy are often unclear, and a high percentage of pregnant women do not exercise or follow the guidelines for physical exercise [6] and may be more motivated to make diet or lifestyle changes [7]. This behaviour can increase the risk of potentially serious situations, including excessive weight gain, gestational diabetes mellitus and other diseases related to pregnancy [6] as well as excessive weight of the infant at birth, etc.…”

Section: Purpose Of the Studymentioning

confidence: 99%

Pregnancy and returning to high-level sports: a retrospective study of Olympic athletes from Italian teams

Bianchedi¹,

Lemme²,

Matti³

et al. 2022

Objective. Based on the experience of elite athletes from Italian Olympic teams, this study aims to describe their pregnancy and training during this period and their return to top-level sport. Materials and Methods.A questionnaire was administered to athletes who had participated in the past five Olympic Games, starting with Sydney 2000. The questionnaire was divided into four parts (pregnancy, birth, postpartum, and return to competition) and administered by medical personnel.Results. Fifty-five athletes from national Olympic teams were included in the study. Average age at conception was 31.0 ± 4.3 years. The disciplines were classified as skill, power, mixed and endurance. Weigh gain, duration and quality of sleep, and urogenital ailments were recorded. The number and type of training sessions during pregnancy and post-partum were evaluated. Athletes returned to competition at an average of 7 months after the birth of the child (range, 1-36 months); 50.6% of the athletes returned to international-level competitions.Conclusions. This study shows that athletes continued to train during pregnancy and returned to competition after birth, answering questions increasingly asked by pregnant women: is it possible to continue to practice sport, following specific training sessions and to return to compete at a high level?