4.2 Article

Iron deficiency anaemia in pregnancy: The role of parenteral iron

Journal

JOURNAL OF OBSTETRICS AND GYNAECOLOGY
Volume 37, Issue 1, Pages 15-18

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/01443615.2016.1180505

Keywords

Iron deficiency anaemia; parenteral iron; maternal morbidity; maternal mortality; blood transfusion; obstetric haemorrhage

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Maternal and perinatal morbidity and mortality remain major challenges in the delivery of safe maternity care worldwide. Anaemia in pregnancy is an important contributor to this dismal picture, especially where blood transfusion services are poorly developed. An early diagnosis and treatment of iron deficiency anaemia in pregnancy using the new generation dextran-free parenteral iron preparations can save lives and reduce morbidity in selected pregnancies. It is time to cast aside the fears associated with the use of the old parenteral iron preparations which were associated a high incidence of anaphylaxis, and embrace the use of new parenteral iron products which have better side effect profiles and can deliver total dose infusions without the need for test dosing. In selected women, the benefits of this treatment far outweigh any disadvantages.

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