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Re: anemia in pregnancyFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed May 14 09:18:04 2003
At Tue, 13 May 2003, Charlie Chambers wrote: > >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. >************************************************************************ >**** >************************************************************************
>
> I treat when below 100(Canadian values are American X10), I encourage all Mom's to take prenatal vitamins,(which are mostly iron). I keep getting pt from G.P. with the diagnosis of Vit B12 anemia, hemoglobins are usually around 105, I’ve tried to find normal values for morphology and b12 levels in pregnancy they are all over the map. If I have someone with a macrocytic severe anemia < 80, I make sure they are on extra folic acid and only then consider B12 injections. If the premise is that anemia in pregnancy is way over diagnosed I agree.
--
Take care, John
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