Iron deficiency anemia in pregnancy: controversies in iron supplementation

The gestational period is associated with a series of physiological and anatomical modifications, such as changes in the hematological, respiratory and cardiovascular system. In addition to functional modifications, anemia due to iron deficiency stands out as one of the most common complications of...

Full description

Bibliographic Details
Main Authors: Maria Teresa C. F. Modott, Cauê C. Modott, Mônica Y. Marcelino, Taís B. de Oliva, Daniel S. Dias, Flávia N. B. Dias, Natália Pavoni Rodrigues, Waldir P. Modott
Format: Article
Language:Portuguese
Published: Universidade de São Paulo 2015-12-01
Series:Medicina
Subjects:
Online Access:http://www.revistas.usp.br/rmrp/article/view/108158
_version_ 1818042876352790528
author Maria Teresa C. F. Modott
Cauê C. Modott
Mônica Y. Marcelino
Taís B. de Oliva
Daniel S. Dias
Flávia N. B. Dias
Natália Pavoni Rodrigues
Waldir P. Modott
author_facet Maria Teresa C. F. Modott
Cauê C. Modott
Mônica Y. Marcelino
Taís B. de Oliva
Daniel S. Dias
Flávia N. B. Dias
Natália Pavoni Rodrigues
Waldir P. Modott
author_sort Maria Teresa C. F. Modott
collection DOAJ
description The gestational period is associated with a series of physiological and anatomical modifications, such as changes in the hematological, respiratory and cardiovascular system. In addition to functional modifications, anemia due to iron deficiency stands out as one of the most common complications of pregnancy and depending on severity can cause harm to mother and/or fetus. The administration of iron for pregnant women, with or without a previous diagnosis of anemia, is a common practice in obstetrics. Although there’s no evidence about the benefits of prophylactic iron supplementation for pregnant women, this approach appears as an appropriate procedure, since it reduces the prevalence of iron deficiency anemia during pregnancy and after childbirth. However, there are reports in the literature that describe the harmful aspects of indiscriminate use of iron during pregnancy. Thus, this literature review intend to present the main aspects of hematological changes that takes place during pregnancy, particularly iron deficiency anemia, to show advantages and disadvantages of iron supplementation, and to guide the obstetrician to perform a more accurate diagnosis of iron deficiency anemia during pregnancy. This literature also intend to propose a consistent alternative of iron supplementation for pregnant women, minimizing the undesirable risks of excess or deficiency of this supplementation.
first_indexed 2024-12-10T08:53:17Z
format Article
id doaj.art-c5349319329a4d08b7670dd43753d250
institution Directory Open Access Journal
issn 0076-6046
2176-7262
language Portuguese
last_indexed 2024-12-10T08:53:17Z
publishDate 2015-12-01
publisher Universidade de São Paulo
record_format Article
series Medicina
spelling doaj.art-c5349319329a4d08b7670dd43753d2502022-12-22T01:55:31ZporUniversidade de São PauloMedicina0076-60462176-72622015-12-0148410.11606/issn.2176-7262.v48i4p401-407Iron deficiency anemia in pregnancy: controversies in iron supplementationMaria Teresa C. F. ModottCauê C. ModottMônica Y. MarcelinoTaís B. de OlivaDaniel S. DiasFlávia N. B. DiasNatália Pavoni RodriguesWaldir P. ModottThe gestational period is associated with a series of physiological and anatomical modifications, such as changes in the hematological, respiratory and cardiovascular system. In addition to functional modifications, anemia due to iron deficiency stands out as one of the most common complications of pregnancy and depending on severity can cause harm to mother and/or fetus. The administration of iron for pregnant women, with or without a previous diagnosis of anemia, is a common practice in obstetrics. Although there’s no evidence about the benefits of prophylactic iron supplementation for pregnant women, this approach appears as an appropriate procedure, since it reduces the prevalence of iron deficiency anemia during pregnancy and after childbirth. However, there are reports in the literature that describe the harmful aspects of indiscriminate use of iron during pregnancy. Thus, this literature review intend to present the main aspects of hematological changes that takes place during pregnancy, particularly iron deficiency anemia, to show advantages and disadvantages of iron supplementation, and to guide the obstetrician to perform a more accurate diagnosis of iron deficiency anemia during pregnancy. This literature also intend to propose a consistent alternative of iron supplementation for pregnant women, minimizing the undesirable risks of excess or deficiency of this supplementation.http://www.revistas.usp.br/rmrp/article/view/108158AnemiaIron-Deficiency. Pregnancy. Iron. clinical and laboratory diagnosisiron supplementation
spellingShingle Maria Teresa C. F. Modott
Cauê C. Modott
Mônica Y. Marcelino
Taís B. de Oliva
Daniel S. Dias
Flávia N. B. Dias
Natália Pavoni Rodrigues
Waldir P. Modott
Iron deficiency anemia in pregnancy: controversies in iron supplementation
Medicina
Anemia
Iron-Deficiency. Pregnancy. Iron. clinical and laboratory diagnosis
iron supplementation
title Iron deficiency anemia in pregnancy: controversies in iron supplementation
title_full Iron deficiency anemia in pregnancy: controversies in iron supplementation
title_fullStr Iron deficiency anemia in pregnancy: controversies in iron supplementation
title_full_unstemmed Iron deficiency anemia in pregnancy: controversies in iron supplementation
title_short Iron deficiency anemia in pregnancy: controversies in iron supplementation
title_sort iron deficiency anemia in pregnancy controversies in iron supplementation
topic Anemia
Iron-Deficiency. Pregnancy. Iron. clinical and laboratory diagnosis
iron supplementation
url http://www.revistas.usp.br/rmrp/article/view/108158
work_keys_str_mv AT mariateresacfmodott irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT cauecmodott irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT monicaymarcelino irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT taisbdeoliva irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT danielsdias irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT flavianbdias irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT nataliapavonirodrigues irondeficiencyanemiainpregnancycontroversiesinironsupplementation
AT waldirpmodott irondeficiencyanemiainpregnancycontroversiesinironsupplementation