ACOG Practice Bulletin no. Anemia in pregnancy. Article type [CB]. Practice Guidelines. Citation [CB]. Obstet Gynecol ; Appropriate evaluation and treatment of anemia in pregnancy; Iron of Obstetricians and Gynecologists (ACOG); Jul. 7 p. (ACOG practice bulletin; no. 95). Anemia, the most common hematologic abnormality, is a reduction in the concentration of erythrocytes or hemoglobin in blood. The two most common causes of.
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Treatment of iron deficiency anemia in pregnant women is similar to that in nonpregnant women and includes additional iron intake through oral iron pills, prenatal vitamins, and diet. Clinical Pharmacogenetics Implementation Consortium CPIC guideline for dihydropyrimidine dehydrogenase genotype and fluoropyrimidine dosing: Committee members conducted a literature search with the assistance from the ACOG Resource Center staff who routinely perform the Practice Bulletin literature searches.
The following recommendations are based primarily on consensus and expert opinion Level C: Open Athens Shibboleth Log In. World Health Organization; Iron deficiency bhlletin IDA is very common during pregnancy and it has adverse effects on pregnancy.
ACOG Practice Bulletin No. 95: anemia in pregnancy.
The aim of this observational study is to assess in which trimester of pregnancy, IDA carries a greater risk of low birth weight LBW infants and preterm birth.
Based on older observational data, the association between negative iron status during pregnancy and adverse maternal and infant health outcomes is inconsistent. Several studies reported inconsistent findings on these health outcomes. Iron supplementation in pregnancy: Although the USPSTF found adequate evidence on harms and deemed them to be small to none, it found inadequate evidence on benefits. BrannonChristine Lewis Taylor Nutrients Visit our partner sites.
Level B – Recommendations are based on limited or inconsistent scientific evidence. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose.
ACOG Practice Bulletin No. anemia in pregnancy. Obstet Gynecol. (1):
The following recommendations aneima conclusions are based on limited or inconsistent evidence Level B: Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
MastiholiManjunath S. Preconceptional and prenatal multivitamin-mineral supplement use in the National Maternal and Infant Health Survey.
Of the 6 studies reporting on low birthweight 12, 13, 16, 17, 21, 22only 1 21 found a significantly lower rate of low-birthweight infants; however, these studies may have been underpowered to detect a change.
IV iron does not increase serious adverse events compared with other forms of iron Annals of Internal Medicine; Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India Bullletin C. Iron deficiency occurs when body stores of iron become depleted. Further, of 4 studies 15, 20—22 reporting on small-for-gestational-age infants, 1 study 22 reported no significant difference in rates between supplemented and nonsupplemented groups, 2 studies 15, 21 reported fewer small-for-gestational-age infants in supplemented groups, and 1 study 20 reported more small-for-gestational-age infants in the supplemented group.
Grades of Evidence I: Update of the U.
ACOG Practice Bulletin No. anemia in pregnancy.
Some findings indicate that anemia occurring earlier acoy pregnancy may be associated with serious adverse infant outcomes, but anemia occurring during the third trimester may not. The USPSTF found inadequate evidence that specifically addressed the accuracy of screening tests in asymptomatic pregnant women. Natural food sources of iron include certain fruits, vegetables, meat, and poultry. Reported adverse events of iron supplementation or treatment with iron include limited gastrointestinal symptoms, darkening color of urine or stool, staining of teeth and gums, and drug interactions with other medications.
The information was verified by the guideline developer on January 23, This is the current release of the guideline.
ACOG Practice Bulletin no. 95. Anemia in pregnancy
This recommendation applies to pregnant women and adolescents living in the United States who do not have symptoms of iron deficiency anemia. Although zcog supplementation and treatment during pregnancy have been observed to improve hemoglobin levels and iron status, the clinical significance of this finding is not clear and the evidence on maternal and infant health outcomes is limited You need a subscription to this content to use this feature.
These guidelines should not be construed as dictating an exclusive course of treatment or procedure.