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Re: hemochromatosis From: Anna Meenan, MD (annam@uic.edu) Sun Jan 23 14:20:34 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Johnny Carson Dies" Previous message: DoctorJoe@aol.com: "Re: Chicago Tribune Profiles Men Who Have Entered Woman-Dominated Field of Midwifery" In reply to: Blayne Murray: "hemochromatosis" She probably will need to have a consultation with a perinatologist, as the fetus preferentially absorbs iron from the mom, who is absorbing excessive amounts because of the hemochromatosis. There have been cases of neonatal iron overload reported, but I have no idea what her risk would be. The phlebotomy would not be expected to harm the fetus, and I would guess she needs to continue those. I have cared for non-pregnant patients with hemochromatosis, but never a pregnant one (that I know of, though with an incidence of 1/300 in caucasians, I wouldn't be surprised if I had and didn't know it). I would guess that she's been told to avoid high-iron foods and iron-containing vitamin supplements already. -- Anna Meenan, MD At Sun, 23 Jan 2005, Blayne Murray wrote: > >A 41 y.o. dear friend of mine was diagnosed with hemochromatosis 3 >weeks ago and has just discovered that she is pregnant. Last week, >before she knew she was pregnant, she had her first phlebotomy treatment >(500 cc removed). I don't have the labs from her hematologist yet, but >she did remember that after treatment, her serum iron was 188, >saturation 67%, and that these levels were HIGHER after her first >treatment than before. >She has had three healthy babies; I delivered her last one 7 years ago. >She would like to have midwifery care again if she is not too high risk. >I have zero experience with hemochromatosis and have not had a chance to >consult with anyone else yet, so thought I'd ask here. What are the >risks of pregnancy to both mom and baby with newly dxed hemochromatosis >which is not under control yet? Can she continue phlebotomy treatment >while pregnant? What should her target levels be? Any other info or >resources that you can recommend? > >Thanks, >Blayne Murray, midwife Next message: Anna Meenan, MD: "Johnny Carson Dies" Previous message: DoctorJoe@aol.com: "Re: Chicago Tribune Profiles Men Who Have Entered Woman-Dominated Field of Midwifery" In reply to: Blayne Murray: "hemochromatosis"

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