Pregnancy and severe anemia: problems in diagnosis and treatment
Aim. To determine features, course, complications, and outcomes of pregnancy in women with severe anemia.Materials and Methods. We retrospectively analysed 39 case histories of women with severe anemia during pregnancy who delivered in Reshetova Kemerovo Regional Perinatal Center during 2017-2018.Re...
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| Language: | Russian |
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Kemerovo State Medical University
2019-09-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/161 |
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| author | M. N. Surina E. A. Chvanova T. Yu. Marochko O. B. Karelina |
| author_facet | M. N. Surina E. A. Chvanova T. Yu. Marochko O. B. Karelina |
| author_sort | M. N. Surina |
| collection | DOAJ |
| description | Aim. To determine features, course, complications, and outcomes of pregnancy in women with severe anemia.Materials and Methods. We retrospectively analysed 39 case histories of women with severe anemia during pregnancy who delivered in Reshetova Kemerovo Regional Perinatal Center during 2017-2018.Results. Average age of women was 30 ± 5 years (average age of sexual debut 17 ± 1 years). The proportions of primiparous and smoking women were 28% and 56%, respectively. More than two-thirds (69%) of women suffered from chronic anemia before the pregnancy, and 21% were HIVinfected. Average first visit to the obstetrician was registered during the second trimester (at 14 ± 6 weeks of gestation), and 13% did not receive the medical care during the pregnancy. The prevalence of preterm and emergency childbirth was 31% and 69%, respectively; 80% of patients required a Cesarean section, and the average birth weight was 2,820 ± 805 g. Intrauterine growth restriction was observed in 28% of cases. Average values of hemoglobin at the first visit, at hospital admission, and at the time of blood transfusion were 103 ± 13 g/L, 74 ± 8 g/L, and 65 ± 4 g/L, respectively; average serum iron at the first visit and at hospital admission was 11 ± 5 µmol/L and 8 ± 3 µmol/L, respectively. Iron replacement therapy was inefficient in 84% of women who received it (90%).Conclusion. In the majority of cases, severe anemia developed from chronic anemia which had occurred before pregnancy and could not be corrected by means of iron replacement therapy. Pregnant women with severe anemia often require Cesarean section due to pre-eclampsia. |
| format | Article |
| id | doaj-art-adb8e216f8184d3daaa56581b25a3eed |
| institution | DOAJ |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2019-09-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-adb8e216f8184d3daaa56581b25a3eed2025-08-20T03:19:57ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412019-09-0143526010.23946/2500-0764-2019-4-3-54-60160Pregnancy and severe anemia: problems in diagnosis and treatmentM. N. Surina0E. A. Chvanova1T. Yu. Marochko2O. B. Karelina3Kemerovo State Medical UniversityKemerovo State Medical University; Reshetova Kemerovo Regional Perinatal CenterKemerovo State Medical UniversityKemerovo State Medical UniversityAim. To determine features, course, complications, and outcomes of pregnancy in women with severe anemia.Materials and Methods. We retrospectively analysed 39 case histories of women with severe anemia during pregnancy who delivered in Reshetova Kemerovo Regional Perinatal Center during 2017-2018.Results. Average age of women was 30 ± 5 years (average age of sexual debut 17 ± 1 years). The proportions of primiparous and smoking women were 28% and 56%, respectively. More than two-thirds (69%) of women suffered from chronic anemia before the pregnancy, and 21% were HIVinfected. Average first visit to the obstetrician was registered during the second trimester (at 14 ± 6 weeks of gestation), and 13% did not receive the medical care during the pregnancy. The prevalence of preterm and emergency childbirth was 31% and 69%, respectively; 80% of patients required a Cesarean section, and the average birth weight was 2,820 ± 805 g. Intrauterine growth restriction was observed in 28% of cases. Average values of hemoglobin at the first visit, at hospital admission, and at the time of blood transfusion were 103 ± 13 g/L, 74 ± 8 g/L, and 65 ± 4 g/L, respectively; average serum iron at the first visit and at hospital admission was 11 ± 5 µmol/L and 8 ± 3 µmol/L, respectively. Iron replacement therapy was inefficient in 84% of women who received it (90%).Conclusion. In the majority of cases, severe anemia developed from chronic anemia which had occurred before pregnancy and could not be corrected by means of iron replacement therapy. Pregnant women with severe anemia often require Cesarean section due to pre-eclampsia.https://fcm.kemsmu.ru/jour/article/view/161pregnancysevere anemiairon deficiencyiron preparationsblood transfusionpre-eclampsia |
| spellingShingle | M. N. Surina E. A. Chvanova T. Yu. Marochko O. B. Karelina Pregnancy and severe anemia: problems in diagnosis and treatment Фундаментальная и клиническая медицина pregnancy severe anemia iron deficiency iron preparations blood transfusion pre-eclampsia |
| title | Pregnancy and severe anemia: problems in diagnosis and treatment |
| title_full | Pregnancy and severe anemia: problems in diagnosis and treatment |
| title_fullStr | Pregnancy and severe anemia: problems in diagnosis and treatment |
| title_full_unstemmed | Pregnancy and severe anemia: problems in diagnosis and treatment |
| title_short | Pregnancy and severe anemia: problems in diagnosis and treatment |
| title_sort | pregnancy and severe anemia problems in diagnosis and treatment |
| topic | pregnancy severe anemia iron deficiency iron preparations blood transfusion pre-eclampsia |
| url | https://fcm.kemsmu.ru/jour/article/view/161 |
| work_keys_str_mv | AT mnsurina pregnancyandsevereanemiaproblemsindiagnosisandtreatment AT eachvanova pregnancyandsevereanemiaproblemsindiagnosisandtreatment AT tyumarochko pregnancyandsevereanemiaproblemsindiagnosisandtreatment AT obkarelina pregnancyandsevereanemiaproblemsindiagnosisandtreatment |