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iron supplementation for non-anaemic pregnant women and the incidence of hypertensive disorders in pregnancy:A systematic review and meta-analysis

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Asian pacific Journal of Reproduction 2022年第4期11卷 165-174页

作者： Farida Fitriana Phoebe Pallotti Midwifery Study Program Faculty of MedicineUniversitas AirlanggaIndonesia Division of Midwifery School of Health SciencesUniversity of NottinghamUnited Kingdom

Objective:To investigate effect of iron supplementation on the risk of hypertensive disorders in pregnancy in non-anaemic pregnant ***:A literature search was conducted using three categories of terms with its synonyms or related words:"iron","supplement",“hypertensive disorders in pregnancy”through MEDLINE(OVID),CINAHL,PubMed,Cochrane Library,Scopus,Web of Science,ICTRP,and ***,and manual search of references was used in seven potential *** inclusion criteria were randomized control trials(RCTs),published in English,full-text available,having healthy pregnant women without anaemia for study participants,and having hypertensive disorders in pregnancy at the end of pregnancy as the *** risk of bias assessment tool was used for quality ***-analysis was conducted by calculating the fixed and random effects of the odds ratio(OR)for iron supplementation among non-anaemic pregnant women compared with the incidence of hypertensive disorders in *** range of the study’s estimation accuracy was reflected by a 95%confidence interval(CI).Results:Four RCTs were included in the *** pooled results showed that iron supplementation possibly had no effect on the incidence of hypertensive disorders in pregnancy(OR 0.93,95%CI 0.81-1.07;P=0.30),gestational hypertension(OR 1.37,95%CI 0.69-2.73;P=0.36)as well as on the development of preeclampsia(OR 1.45,95%CI 0.71-2.97;P=0.31).Conclusions:iron supplementation has no effect on the incidence of hypertension in non-anaemic pregnant *** general,there is a lack of evidence for the association between iron supplementation and the incidence of hypertensive disorders in pregnancy among non-anaemic pregnant women,and further studies are needed.

关键词： iron supplementation Non-anaemic pregnancy Healthy pregnancy Hypertensive disorders in pregnancy Gestational hypertension Preeclampsia Systematic review

iron supplementation is associated with improvement ofmotor development, hemoglobin level, and weight in preterm infants during the first year of life

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Iron supplementation is associated with improvement ofmotor ...

Single vs. Double Dose iron supplementation for Prevention of iron Deficiency Anemia in Twin Pregnancy: A Randomized Controlled Clinical Trial

中国营养学会第十五届全国营养科学大会

作者： Suhua Xu Yanna Zhu Department of Maternal and Child Health School of Public Health Sun Yat-sen University Guangdong Provincial Key Laboratory of Food Nutrition and Health School of Public Health Sun Yat-sen University

Backgroud Preterm infants are at high risk of iron deficiency owing to impaired iron endowment caused by deprivation of iron accumulation in late pregnancy and pregnancy complications. Moreover, early onset of erythropoiesis and rapid catch-up growth after birth require additional iron, especially in immature neonates. iron supplementation is recommended for preterm infants, however, the health outcomes of this recommendation remain controversial. It was also suggested that the effects of intervention could be confounded by factors such as co-occurring nutritional deficiencies, illness or dietary factors including introduction of iron-rich complementary foods. Objective The objective of this study was to evaluate the association of iron supplementation in the first 3 months with subsequent neurobehavioral development in infants born premature(iron supplementation in preterm infants and other health outcomes including hemoglobin(Hb) and physical growth were also investigated. Methods A retrospective cohort design was applied to collect data from 1,568 preterm infants at 0-3 months of corrected age(mo CA) from the outpatient section of the high-risk infant ward of the Shenzhen Bao’an Women and Children’s Hospital, Jinan University, Shenzhen, China, from 2018 to 2020. Infants were categorized into 3-mo iron supplementation group(n=697) or a control group(n=871) according to medical records of iron supplementation throughout the child’s first 0-3 mo CA, and then followed through 12 mo CA. We obtained baseline data from medical record including demographic information, and risk factors in the prenatal and neonatal stage, while data on neurobehavioral development, Hb level, anthropometry including length, weight, and head circumference, and nutrition during 3, 6, and 12 mo CA were collected. The Developmental Screening Test was used at 3 mo CA and the China Developmental

关键词： iron supplementation preterm neurobehavioral development anthropometry hemoglobin

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Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1788-1802页

作者： Ahmed Mohammed Abbas Manal Mahmoud Elhalwagy Khaled Afifi Khaled Ibrahim Mohamed Samir Sweed Obstetrics & Gynecology Ain Shams University Cairo Egypt Obstetrics & Gynecology Helwan General Hospital Cairo Egypt

Introduction: It is estimated that about 18% of pregnant women suffer from iron deficiency anemia throughout their whole pregnancy. In twin pregnancy, owing to the relatively greater feto-placental requirements and greater expansion in maternal plasma volume and red cell mass, iron requirements are magnified 1.8 times compared to singleton pregnancies. However, for prevention of iron deficiency in twin pregnancy, only sparse data exist regarding the sufficiency of the standard antenatal iron supplementation dose used in singleton pregnancies to meet the increased iron demand. In this study, we investigate the effect of single and double dose iron supplementation for prevention of iron deficiency anemia in twin pregnancy. Methods: A randomized controlled clinical trial was conducted at our center in the period between February 2019 and October 2020, and included 450 eligible healthy non-anemic women aged 18 - 35 year

关键词： iron supplementation iron Deficiency Anemia Twin Pregnancy Hepcidin Mucosal Block

Benefit of iron supplementation with Ferric Sodium EDTA (NaFe <sup>3+</sup>-EDTA) in the Treatment of Anemia during Pregnancy in Democratic Republic of Congo (FERARI Study)

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Open Journal of Obstetrics and Gynecology 2021年第10期11卷 1411-1424页

作者： Muela Andy Mbangama Difunda Victor Muela Mwimba Roger Mbungu Moyenne Jean Pierre Elongi Ambis Joëlle Lumaya Ndombasi Nelda Lemba Umba Adrien Tandu Otem Christian Ndesanzim Nkashama Bienvenu Kazadi Litambelo Serge Etana Department of Gynecology and Obstetrics University Clinics of Kinshasa Kinshasa DR Congo Congolese Society of Gynecology and Obstetrics Kinshasa DR Congo Department of Gynecology and Obstetrics Kinshasa Provincial General Reference Hospital Kinshasa DR Congo

Background: Oral iron supplements, usually in the form of ferrous salts, are associated with gastric side effects, poor compliance and failure of anemia treatment. To make iron more bioavailable, reduce the gastric side effects and increase the patient compliance, newer iron form, Ferric Sodium EDTA, has become available on the market. Objective: To assess the change in hemoglobin level after iron supplementation with Ferric Sodium EDTA during pregnancy. Materials and Methods: This is a longitudinal study concerning 337 women attending antenatal care in maternity hospitals in the Democratic Republic of Congo from May to December 2020. The study included sociodemographic and anthropometric variables along with type of feed, hemoglobin level at recruitment and after three weeks of taking iron supplement with Ferric Sodium EDTA (Hemoforce Plus Zinc® syrup). For statistical analysis, we used t-test or ANOVA and chi-square test, the significance being stated at p Results: The frequency of pregnancy anemia was 51.4%. The mean hemoglobin value of the overall study group was 8.7 ± 0.5 g/dL. The mean maternal age and weight were 28.9 ± 6.2 years and 65.3 ± 11.7 kg, respectively. Most pregnant women (83.1%) had a diet consisting of food of plant and animal origin in equal proportions. Mean of Body Mass Index (BMI) was 24.6 ± 4.6 Kg/m2 and 44.3% were overweight and obese. The co-morbidities associated were malaria and intestinal parasitosis found in 45% and 5.9% of cases, respectively. After iron treatment with Ferric Sodium

关键词： iron supplementation Ferric Sodium EDTA NaFe3+-EDTA Anemia Pregnancy

iron-Deficiency Anemia Management in Gynecological Surgery: A Review of Current Evidence and Best Practices

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1223-1241页

作者： Aline Evangelista Santiago Artur Lima Sendin Víctor Nilo Nogueira Rogério Adão Braga Admilson Lemos Costa Filho Eduardo Batista Cândido Agnaldo Lopes Silva Filho Department of Gynecology and Obstetrics Faculty of Medicine Santo Amaro University (UNISA) So Paulo Brazil Department of Gynecology and Obstetrics Federal University of Minas Gerais (UFMG) Belo Horizonte Brazil Department of Gynecology and Obstetrics Faculty of Medicine So Paulo State University (UNESP) So Paulo Brazil

Purpose: Due to the high prevalence of iron deficiency anemia in women undergoing gynecological surgeries and its association with worse postoperative results, it is necessary to identify and treat anemia preoperatively. However, although anemia and iron deficiency are significant global health problems, there are still disparities in the recognition and implementation of “Patient Blood Management” (PBM) as a comprehensive approach to mitigating the risks associated with these diseases. The purpose of the study is to review best practices for the treatment of anemia based on the Enhanced Recovery After Surgery (ERAS) protocol and PBM recommendations. Methods: This study reviewed the literature on preoperative iron deficiency anemia in patients undergoing gynecological surgery. We identified references through searches in PubMed using relevant search terms. Results: Among the various strategies used in PBM, perhaps the most important is the early detection and management of anemia. In gynecological surgery, there are several approaches to reducing perioperative blood loss, highlighting the use of gonadotropin-releasing hormone (GnRH) agonists (aGnRh) and antifibrinolytics. Oral and intravenous iron supplementation can be performed in addition to blood transfusion to treat anemia. Conclusion: Addressing preoperative and postoperative anemia through systematic correction, following the guidelines of the ERAS protocol and PBM guidelines, is essential to improving perioperative outcomes in women undergoing gynecological surgery.

关键词： Anemia Gynecological Surgery iron supplementation iron Deficiency