Flachs Madsen Lana Rashid, Bülow Nathalie Søderhamn, Tanvig Mette, Oldenburg Anna, Andersen Lise Lotte Torvin, Skorstengaard Malene, Petersen Liselotte, Ring Charlotte Mumm, Magnusson Karin, Lauenborg Jeanette
Ugeskr Laeger. 2018 Oct 8;180(41).
Iron deficiency and iron deficiency anaemia are frequent complications to pregnancy and especially iron deficiency is underdiagnosed because of scarce symptoms. Due to the increased need for iron and the variation in iron storage in healthy pregnant women, iron supplementation should be individualised based on the level of haemoglobin and ferritin. First choice of treatment is oral iron supplementation, unless there is a failure of treatment, a known condition with malabsorption, or severe iron deficiency anaemia very close to due date. In these cases, intravenous iron may be considered.
缺铁和缺铁性贫血是妊娠常见的并发症，尤其是缺铁因症状不明显而经常被漏诊。由于健康孕妇对铁的需求增加以及铁储存量的差异，应根据血红蛋白和铁蛋白水平进行个体化补铁。治疗的首选是口服补铁，除非治疗失败、存在已知的吸收不良情况或临近预产期时患有严重缺铁性贫血。在这些情况下，可以考虑静脉补铁。
