Mar
2011

Expert recommendations for the diagnosis and treatment of iron-deficiency anemia during pregnancy and the postpartum period in the Asia-Pacific region.

Breymann C, Bian XM, Blanco-Capito LR, Chong C, Mahmud G, Rehman R
J Perinat Med 2011;39(2):113-121.
NATA Rating :
Review by : A. Maniatis
NATA Review

The prevalence of anemia and iron deficiency during pregnancy is particularly high in the Asia-Pacific region. Treatment consists mainly of oral iron and transfusions, and guidelines are not available. The administration of intravenous iron, although safe and effective in the second and third trimester of pregnancy, has not been widely adopted. This paper therefore represents a significant contribution, providing guidance to physicians treating anemic pregnant women.

The authors are giving recommendations for the diagnostic work-up and treatment with oral or intravenous iron in a clear and concise fashion, while stressing the avoidance of transfusions except in critical conditions.

– Alice Maniatis