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[妊娠与铁剂预防——如何进行及剂量多少?]

[Pregnancy and iron prophylaxis--how and how much?].

作者信息

Milman Nils, Hertz Jens

机构信息

Rigshospitalet, Juliane Marie Centeret, og Gentofte Hospital, Gynaekologisk-obstetrisk Klinik, Denmark.

出版信息

Ugeskr Laeger. 2010 Feb 8;172(6):433-6.

Abstract

Iron is essential for normal foetal development. Iron deficiency anaemia in pregnancy is a risk factor for preterm delivery and low birth weight in the newborn. Iron supplementation during gestation increases plasma ferritin and haemoglobin and reduces the prevalence of iron deficiency anaemia. As from June 2008, The Danish National Board of Health had been advocating general iron prophylaxis in pregnancy with 40 mg ferrous iron from the 10th gestation week to delivery. However, the authors suggest that individual prophylaxis according to plasma ferritin should be preferred to general prophylaxis.

摘要

铁对于胎儿的正常发育至关重要。孕期缺铁性贫血是早产和新生儿低出生体重的一个风险因素。孕期补充铁剂可提高血浆铁蛋白和血红蛋白水平,并降低缺铁性贫血的患病率。自2008年6月起,丹麦国家卫生局一直提倡在孕期进行常规铁预防,从妊娠第10周开始至分娩,每日补充40毫克亚铁。然而,作者建议,根据血浆铁蛋白进行个体化预防优于常规预防。

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