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العنوان
INTRAVENOUS VERSUS ORAL IRON THERAPY FOR POSTPARTUM IRON DEFICIENCY ANEMIA
المؤلف
Ahmed ,Kamel Sadik
هيئة الاعداد
باحث / Ahmed Kamel Sadik
مشرف / Mourad Mohy Eldin El Said
مشرف / Ahmed Hamdy Nagib Abd El Rahman
الموضوع
Post Partum Iron Deficiency Anemia-
تاريخ النشر
2010
عدد الصفحات
216.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2010
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics and Gynecology
الفهرس
Only 14 pages are availabe for public view

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from 216

Abstract

Iron deficiency anemia is the most frequent form of anemia in pregnant women. The diagnosis of IDA relies on blood hemoglobin and plasma ferritin.
Severe IDA requires prompt intervention, especially in women who for various reasons oppose blood transfusions.
In our country there is no statistical data about the exact prevalence of anemia during pregnancy and postpartum period.
Intervention approaches against iron deficiency have taken both public health and clinical or therapeutic tacks.
The public health approaches of education and iron fortification have had great success reducing the prevalence of anemia in women of reproductive age and in young growing infants.
The clinical or therapeutic approach to prevent iron deficiency focuses on the rapid restoration of reduced iron stores through direct interventions that supplement iron consumption by the individual.
Intravenous iron tolerance seems to be excellent in our study without adverse effects
Intravenous iron appears to be a treatment of choice with no serious side effects indicated in the rapid correction of anemia in postpartum period or restoring maternal iron stores, especially because the total dose can be administrated over a shorter period.
Intravenous iron should be considered if oral iron fails to increase hemoglobin within 2 weeks, at profound IDA with hemoglobin of £ 9 g/dl.
If used in a time, this treatment will certainly reduce the risk of homologous blood transfusion.
Intravenous iron preparations are a therapeutic mainstay for severely iron- deficient individuals when they are unable to take oral preparation.
Several intravenous iron preparations are available with different profile of safety and efficacy
The results of our study prove that standardized aqueous alkaline solution of iron (111), hydroxide saccharate complex (Iron Saccharate), showed highly effectiveness in the treatment of postpartum iron deficiency anemia. It has nearly no side effects and thus, it can be considered as a useful and alternative formulation for the treatment of posmtpartum iron deficiency.
However, more studies will be needed for evaluation of the effect of iron administration on the iron stores in the maternal body after delivery.