Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes

Drukker, Lior; Hants, Yael; Farkash, Rivka; Ruchlemer, Rosa; Samueloff, Arnon; Grisaru‐Granovsky, Sorina

doi:10.1111/trf.13252

Cited by 138 publications

(165 citation statements)

References 46 publications

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“…It has been shown that approximately 10.5% of women in the Helsinki area in Finland have iron deficiency anemia when they present for delivery (44). Iron deficiency anemia puts the mother at higher risk during childbirth, and she also has a higher risk of post-partum infections.…”

Section: Added Health Benefits Of Hormonal Contraceptionmentioning

confidence: 99%

“…Anemia may also impact on the ability to breastfeed (45,46). In the Finnish register study (44) anemia at presentation for delivery was associated with a higher risk for pre-term delivery, cesarean section, and neonatal intensive care admission of the newborn. Post-partum anemia is also linked to post-partum depression, reduced quality of life, and reduced cognitive abilities (46).…”

Section: Added Health Benefits Of Hormonal Contraceptionmentioning

confidence: 99%

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Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Kallner

Danielsson

2016

Upsala Journal of Medical Sciences

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Preservation of fertility and optimizing health before pregnancy is becoming increasingly important in societies where childbirth often is postponed. Research shows that as women postpone childbirth they achieve higher levels of education and higher incomes. This leads to advantages for their children and for society. However, as women postpone childbearing they are at risk for contracting conditions which may affect fertility and/or pregnancies, pregnancy outcome, and the newborn child. Preconception counseling is therefore becoming increasingly important. Women are often unaware of the added health benefits of contraception and have the right to be well informed so they can make decisions to fulfill their reproductive desires. Contraception can reduce the risk of unintended pregnancies, ectopic and molar pregnancies, and sexually transmitted infections. In addition, hormonal contraceptives reduce the risk of some types of cancer, dysmenorrhea, heavy menstrual bleeding, and anemia and are a treatment for endometriosis. Contraception should increasingly be looked upon as a means of preserving fertility and optimizing health status before a planned pregnancy. Thus, effective contraception can provide women with a possibility of achieving their long-term reproductive goals, although childbearing is actually postponed. The most effective contraceptive methods are the long-acting reversible contraceptives, which have been shown to be highly effective especially in young women who have difficulties with adherence to user-dependent methods. Therefore, these methods should increasingly be promoted in all age groups.

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Section: Added Health Benefits Of Hormonal Contraceptionmentioning

confidence: 99%

Section: Added Health Benefits Of Hormonal Contraceptionmentioning

confidence: 99%

Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Kallner

Danielsson

2016

Upsala Journal of Medical Sciences

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“…Maternal IDA is associated with increased risk for cesarean delivery, transfusion, perinatal bleeding, preeclampsia, placental abruption, poor maternal thyroid status, poor wound healing, cardiac failure, and even death [11, 13, 14]. …”

Section: Introductionmentioning

confidence: 99%

Perinatal Iron Deficiency: Implications for Mothers and Infants

Juul¹,

Derman²,

Auerbach³

2019

Neonatology

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Iron deficiency, with or without anemia, is common in pregnant women. In fact, nearly 30% of reproductive-age women are anemic worldwide, and anemia in pregnancy has an estimated global prevalence of 38%. Severe anemia can substantially increase the risk of maternal mortality, and can adversely affect fetal development. In this review, we examine the available data regarding epidemiology and consequences of iron deficiency in mothers and infants, current treatment strategies, and make recommendations for screening and treatment of iron deficiency anemia in gravidas and neonates.

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“…IDA in pregnancy may also contribute to poorer cognitive development and IDA among children (Radlowski and Johnson 2013), and has been implicated in the development of post-partum depression (Albacar et al 2011). A recent study showed that IDA was an independent risk factor for maternal transfusion, preterm delivery, 5 min APGAR less than seven, and NICU admission (Drukker et al 2015), and associated a 1 g/dL increase in hemoglobin with an approximate 8% decrease in risk for Cesarean section (Drukker et al 2015). Most cases of IDA are easily treated by dietary supplementation when identified (Johnson-Wimbley and Graham 2011).…”

Section: Introductionmentioning

confidence: 99%

Screening and Treatment for Iron Deficiency Anemia in Women: Results of a Survey of Obstetrician-Gynecologists

Marcewicz

Anderson

Byams

et al. 2017

Matern Child Health J

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Objective To better understand the knowledge, attitudes and practices of obstetrician-gynecologists with respect to screening and treatment for iron deficiency anemia (IDA). Methods A total of 1,200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a survey on blood disorders. Respondents completed a questionnaire regarding their patient population, screening and treatment practices for IDA, and general knowledge about IDA and its risk factors. Results Overall response rate was 42.4%. Thirty-eight percent of respondents screen non-pregnant patients regularly, based on risk factors; 30.5% screen only when symptoms of anemia are present. For pregnant patients, 50.0% of respondents screen patients at their initial visit, while 46.2% screen every trimester. Sixty-one percent of respondents supplement pregnant patients when there is laboratory evidence of anemia; 31.6% supplement all pregnant patients. Forty-two percent of respondents screen post-partum patients based on their risk factors for IDA. However, when asked to identify risk factors for postpartum anemia, slightly more than half of respondents correctly identified young age and income level as risk factors for post-partum anemia; only 18.9% correctly identified pre-pregnancy obesity as a risk factor. Conclusion There are opportunities for increased education on IDA for obstetrician-gynecologists, specifically with respect to risk factors. There also appears to be substantial practice variance regarding screening and supplementation for IDA, which may correspond to variability in professional guidelines. Increased education on IDA, especially the importance of sociodemographic factors, and further research and effort to standardize guidelines is needed.

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Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes

Abstract: Iron deficiency anemia at delivery is associated with an increased risk for cesarean section and adverse maternal and neonatal outcomes in otherwise healthy women. Monitoring/correction of hemoglobin concentrations even in late pregnancy may prevent these adverse events.

Cited by 138 publications

References 46 publications

Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Perinatal Iron Deficiency: Implications for Mothers and Infants

Screening and Treatment for Iron Deficiency Anemia in Women: Results of a Survey of Obstetrician-Gynecologists

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