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Re: anemia in pregnancyFrom: Darin INgels, ND (new_england@snet.net)Fri May 23 15:07:15 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. >************************************************************************ >**** >************************************************************************
>>--
>Several studies show that women can be iron deficient long before Hgb and Hct drop, so we monitor ferritin to determine whether a woman is a good candidate for iron therapy. Studies suggest ferritin less than 50 constitutes administering iron. We have treated hundreds of women with low ferritin with iron without any adverse side efects. We recheck their ferritin after 2 months to make sure they are absorbing and utilizing iron appropriately.
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