Schwartz W J, Thurnau G R
University of Oklahoma, Oklahoma City, USA.
Clin Obstet Gynecol. 1995 Sep;38(3):443-54. doi: 10.1097/00003081-199509000-00004.
Iron deficiency is seen commonly in women during their reproductive years and particularly during pregnancy. The physician who primarily cares for women should be aware of this and initiate iron supplementation when indicated. The association of poor pregnancy outcome is of concern when iron deficiency is present in the first trimester. It is unclear whether this is because of the anemia or other epidemiologic factors. It is also unknown whether correcting iron deficiency before conception improved neo-natal outcome. Until more is known concerning IDA, it is recommended that pregnant women receive nutritional assessment and prenatal care along with adequate iron supplementation to potentially decrease the risk of poor pregnancy outcome.
缺铁在育龄女性中很常见,尤其是在孕期。主要负责诊治女性患者的医生应意识到这一点,并在有指征时开始补铁。孕早期出现缺铁时,不良妊娠结局的关联令人担忧。目前尚不清楚这是由于贫血还是其他流行病学因素。孕前纠正缺铁是否能改善新生儿结局也尚不清楚。在对缺铁性贫血有更多了解之前,建议孕妇接受营养评估和产前护理,并补充足够的铁剂,以潜在降低不良妊娠结局的风险。