Use of iron in perinatal anaemia:Indications for women’s health care policies and procedure  

作　　者：Mike Etemady Melika Hajizadeh Beata Gidaszewski Julie Ann Swain Seng Chai Chua Marjan Khajehei 

机构地区：[1]School of Health Sciences,University of Sydney,Sydney,Australia,Sydney 2000,NSW,Australia [2]Stotts College,Acknowledge Education,Sydney 2000,NSW,Australia [3]Department of Women’s and Newborn Health,Westmead Hospital,Westmead 2145,NSW,Australia [4]Westmead Clinical School,University of Sydney,Sydney 2000,NSW,Australia [5]Women's and Newborn Health,Westmead hospital,Westmead 2145,NSW,Australia [6]Clinical School,Western Sydney University,Sydney 2145,NSW,Australia [7]School of Women’s and Children’s Health,University of New South Wales,Sydney 2145,NSW,Australia

出　　处：《World Journal of Obstetrics and Gynecology》2023年第4期33-44,共12页世界妇产科杂志

摘　　要：This paper reviews management of obstetric anaemia and the role of intravenous iron for the treatment of obstetric anaemia.Red blood cell transfusions are routinely used for haemoglobin restoration in anaemic women.The decision for red blood cell transfusion is made on a combination of haemoglobin level and clinical status,and it is suggested that transfusions are not necessary in those who are well compensated or when alternative therapy is available.To reduce the risk,intravenous iron infusion is proposed as a bloodless therapeutic approach.There are a variety of iron preparations.Intravenous iron infusion can reduce the requirement for blood transfusion in hemodynamically stable women with perinatal anaemia,especially in resource-scarce settings.It a cost-effective bloodless approach for the treatment of anaemia than can enhance patient outcomes.According to the literature,when haemoglobin is greater than 90 g/L,blood transfusion is not often required.In perinatal women with anaemia,the decision whether to administer blood or iron is based on patient preferences,haemoglobin levels,clinical symptoms,past and present medical conditions and the clinician’s judgement.Nevertheless,due to the lack of rigid criteria for blood transfusions in the majority of clinical settings,it is considered the default treatment for anaemia in perinatal women.

关 键 词：ANAEMIA Blood transfusion Iron deficiency Iron infusion Postpartum haemorrhage PREGNANCY 

分 类 号：R73[医药卫生—肿瘤]