Laboratory approach to investigation of anemia in pregnancy

被引:14
作者
Agarwal, Archana M. [1 ,2 ]
Rets, Anton [1 ,2 ]
机构
[1] Univ Utah Hlth, Dept Pathol, Salt Lake City, UT 84108 USA
[2] ARUP Labs, Salt Lake City, UT 84108 USA
关键词
anemia; hemoglobin; iron; laboratory practice; pregnancy; INDUCED HEMOLYTIC-ANEMIA; ELEVATED LIVER-ENZYMES; IRON-DEFICIENCY ANEMIA; HEMOGLOBIN; GUIDELINES; INFANCY; PLASMA; VOLUME; WOMEN;
D O I
10.1111/ijlh.13551
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anemia is a global health problem in all age groups. According to World Health Organization (WHO), approximately 40% of pregnant women are anemic. Iron deficiency anemia (IDA) due to nutritional deficiency is the most common cause. The incidence of IDA varies worldwide depending on the socioeconomic status, but it remains the leading cause even in developed countries. Physiologic anemia of pregnancy due to relatively higher expansion of blood volume in comparison with elevated red blood cell mass also occurs frequently. Complete blood count (CBC) in the first trimester is recommended for all pregnant women to screen for anemia. The screening of pregnant women for IDA in absence of anemia is still debatable. If IDA is suspected, ferritin level of <30 ng/ml is diagnostic. Iron supplementation is recommended for all pregnant women to compensate the increased demand.
引用
收藏
页码:65 / 70
页数:6
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