Re: anemia in pregnancy

From: Braun, R. Daniel (rbraun@iupui.edu)
Wed May 14 08:38:28 2003


All my pregnant patients go on Ferrous Sulfate 325 mg TID pc.

If Hgb goes below or remains beelow 10 after 3 weeks on that regimen, they are evaluated as to why, then specific therapy is started.

Dan

-----Original Message----- From: Charlie Chambers [mailto:cchamber@gorge.net] Sent: Wednesday, May 14, 2003 12:47 AM To: Multiple recipients of list OB-GYN-L Subject: anemia in pregnancy

We're having a debate among providers and thought I'd seek other's input regarding anemia. At what Hgb or Hct, do others treat anemia in pregnancy with iron? How much do others use? Is there any evidence to suggest that aggressive treatment affects fetal outcome?

The majority of our opinions have been to treat for less than 32%, though others feel this is too aggressive. To give one iron tab q day, and no there doesn't seem to be much evidence to support this strategy. ************************************************************************

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--
Charlie Chambers
Hood River, OR  USA
cchamber@alumni.rice.edu

"...not because I regard fishing as being so terribly important but because I suspect that so many of the other concerns of men are equally unimportant-and not nearly so much fun." John Voelker ************************************************************************

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