PM.78 Use of Intravenous Iron Sucrose Injections in the Treatment of Iron Deficiency Anaemia in Pregnancy. (26th April 2013)

• Record Type: Journal Article
• Authors: Butt, A; Broderick, M; Ciantar, E
• Is Part Of: Archives of disease in childhood. Volume 98(2013)Supplement 1
• Page Start: A47
• Page End: A47
• Publication Date: 2013-04-26
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2013-303966.159
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Background: Iron deficiency anaemia (IDA) is the commonest cause of anaemia in pregnancy affecting 19% of the Leeds pregnant population 1 . It is associated with maternal morbidity including fatigue and postpartum depression 2 . It is also linked to adverse pregnancy outcomes including preterm delivery and intrauterine growth restriction. 3 Aim: To assess the use of intravenous iron sucrose antenatally in women with iron deficiency anaemia who were intolerant to oral treatment and its efficacy in increasing haemoglobin levels. Method: There were 23 patients who received iron sucrose injections in the antenatal period, identified retrospectively from the antenatal day records in the Leeds Teaching Hospitals. Results: Out of 23 patients in our cohort, 9 (39%) were given iron sucrose injections after 37 weeks gestation.2 women (9%) received the injections between 20–30 weeks. The remaining 12 patients (52%) had their injections between 31–36 weeks. The mean gestation for commencing treatment was 34 weeks. The mean cohort haemoglobin level before treatment was 8.5 g/dl which improved to 9.9 g/dl after treatment. The maximum number of doses of iron sucrose injections used was 4. None of the patients required blood transfusion post-delivery. 2 patients (9%) delivered preterm between 31–37 weeks. 20 babies (87%) were born with an average birth weight between 2.5 kg–4.0 kg. Conclusion: Iron sucrose injections are very effective in increasing the haemoglobin level antenatally in women who can't tolerate the oral preparation or very severely anaemic. References: Lee J, Chang C. Audit on Iron Deficiency in Pregnancy in Leeds – Student Selected Component project. Crown EJ et al, Low Hemoglobin Level is a Risk Factor for Postpartum Depression. The Journal of Nutrition 2003 133:4139–42. Williams MD, Wheby MS. Anaemia in pregnancy. Med Clin North Am 1992 76(3):631–4.