Department of Obstetrics and Gynecology, School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia.
Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, University of California, Los Angles, Los Angeles, California, USA.
Int J Gynaecol Obstet. 2023 Aug;162 Suppl 2:89-92. doi: 10.1002/ijgo.14952.
The symptom of heavy menstrual bleeding and the frequently associated condition of iron deficiency (ID) individually and collectively adversely impact the lives of women and girls of reproductive age in various ways. The insidious but sometimes profound effects of periconceptual ID on the developing fetus may continue throughout the individual's life with consequences that are also felt by families, friends, and society at large. Unfortunately, in most instances, current healthcare policies are not designed to address the plethora of issues in a fashion that will result in meaningful improvement in health and other outcomes that affect both individuals and society. Identification and prioritization of the many evidence gaps will be an essential component of the strategy for change. This article identifies and describes the evidence gaps and provides direction for investigators and those involved in healthcare policy.
月经过多的症状和经常伴随的缺铁(ID)状况单独和共同以各种方式对育龄妇女和女孩的生活产生不利影响。围孕期 ID 对发育中胎儿的隐匿但有时深刻的影响可能会持续到个体的一生,其后果也会被家庭、朋友和整个社会感受到。不幸的是,在大多数情况下,当前的医疗保健政策并非旨在以一种将导致个人和社会健康和其他结果得到有意义改善的方式来解决众多问题。确定和优先考虑许多证据差距将是变革策略的重要组成部分。本文确定并描述了证据差距,并为研究人员和参与医疗保健政策的人员提供了指导。