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Current concepts in preoperative anemia management in obstetrics
The purpose of this article is to provide an overview of currently recommended treatment approaches for anemia during pregnancy, with a special focus on iron deficiency and iron deficiency anemia (IDA). RECENT FINDINGS: As consistent patient blood management (PBM) guidelines in obstetrics are still...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155694/ https://www.ncbi.nlm.nih.gov/pubmed/36794901 http://dx.doi.org/10.1097/ACO.0000000000001252 |
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author | Wiesenack, Christoph Meybohm, Patrick Neef, Vanessa Kranke, Peter |
author_facet | Wiesenack, Christoph Meybohm, Patrick Neef, Vanessa Kranke, Peter |
author_sort | Wiesenack, Christoph |
collection | PubMed |
description | The purpose of this article is to provide an overview of currently recommended treatment approaches for anemia during pregnancy, with a special focus on iron deficiency and iron deficiency anemia (IDA). RECENT FINDINGS: As consistent patient blood management (PBM) guidelines in obstetrics are still lacking, recommendations regarding the timing of anemia screening and the treatment recommendations for iron deficiency and IDA during pregnancy are still controversial. Based on increasing evidence, early screening for anemia and iron deficiency should be recommended at the beginning of each pregnancy. To reduce maternal and fetal burden, any iron deficiency, even without anemia, should be treated as early as possible during pregnancy. While oral iron supplements administered every other day are the standard treatment in the first trimester, the use of intravenous iron supplements is increasingly suggested from the second trimester onwards. SUMMARY: The treatment of anemia, and more specifically iron deficiency anemia during pregnancy, holds many possibilities for improvement. The fact that the period of risk is known well in advance and thus there is a long optimization phase is per se an ideal prerequisite for the best possible therapy of treatable causes of anemia. Standardization of recommendations and guidelines for screening and treatment of IDA in obstetrics is required for the future. In any case, a multidisciplinary consent is the precondition for a successfully implementation of anemia management in obstetrics to establish an approved algorithm easily enabling detection and treatment of IDA during pregnancy. |
format | Online Article Text |
id | pubmed-10155694 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-101556942023-05-04 Current concepts in preoperative anemia management in obstetrics Wiesenack, Christoph Meybohm, Patrick Neef, Vanessa Kranke, Peter Curr Opin Anaesthesiol OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Vanessa Neef The purpose of this article is to provide an overview of currently recommended treatment approaches for anemia during pregnancy, with a special focus on iron deficiency and iron deficiency anemia (IDA). RECENT FINDINGS: As consistent patient blood management (PBM) guidelines in obstetrics are still lacking, recommendations regarding the timing of anemia screening and the treatment recommendations for iron deficiency and IDA during pregnancy are still controversial. Based on increasing evidence, early screening for anemia and iron deficiency should be recommended at the beginning of each pregnancy. To reduce maternal and fetal burden, any iron deficiency, even without anemia, should be treated as early as possible during pregnancy. While oral iron supplements administered every other day are the standard treatment in the first trimester, the use of intravenous iron supplements is increasingly suggested from the second trimester onwards. SUMMARY: The treatment of anemia, and more specifically iron deficiency anemia during pregnancy, holds many possibilities for improvement. The fact that the period of risk is known well in advance and thus there is a long optimization phase is per se an ideal prerequisite for the best possible therapy of treatable causes of anemia. Standardization of recommendations and guidelines for screening and treatment of IDA in obstetrics is required for the future. In any case, a multidisciplinary consent is the precondition for a successfully implementation of anemia management in obstetrics to establish an approved algorithm easily enabling detection and treatment of IDA during pregnancy. Lippincott Williams & Wilkins 2023-06 2023-02-27 /pmc/articles/PMC10155694/ /pubmed/36794901 http://dx.doi.org/10.1097/ACO.0000000000001252 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Vanessa Neef Wiesenack, Christoph Meybohm, Patrick Neef, Vanessa Kranke, Peter Current concepts in preoperative anemia management in obstetrics |
title | Current concepts in preoperative anemia management in obstetrics |
title_full | Current concepts in preoperative anemia management in obstetrics |
title_fullStr | Current concepts in preoperative anemia management in obstetrics |
title_full_unstemmed | Current concepts in preoperative anemia management in obstetrics |
title_short | Current concepts in preoperative anemia management in obstetrics |
title_sort | current concepts in preoperative anemia management in obstetrics |
topic | OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Vanessa Neef |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155694/ https://www.ncbi.nlm.nih.gov/pubmed/36794901 http://dx.doi.org/10.1097/ACO.0000000000001252 |
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