Iron deficiency anemia in pregnancy and the postpartum: a practical approach by the Italian GOAL Working Group.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Minerva obstetrics and gynecology Pub Date : 2024-10-01 DOI:10.23736/S2724-606X.24.05438-1

Giancarlo Paradisi, Laura Anelli, Francesco Barletta, Francesco A Battaglia, Michelangelo Boninfante, Marco Bonito, Roberto Brunelli, Franco Carboni, Brigida Carducci, Annafranca Cavaliere, Mario Ciampelli, Giulio DE Matteis, Davide DE Vita, Michele Desiato, Antonio DI Cioccio, Romolo DI Iorio, Sergio Ferrazzani, Alessandro Lena, Francesca Lippa, Patrizia Magliocchetti, Francesco Maneschi, Marina Marceca, Emanuela Marinoni, Roberto Marzilli, Valerio Napolitano, Giorgio Nicolanti, Mino Oliva, Pierluigi Palazzetti, Carlo Piscicelli, Antonio Ragusa, Pietro Saccucci, Giovanna Salerno, Giovanbattista Serra, Fabrizio Signore, Vincenzo Spina, Herbert Valensise, Rossana Orabona, Antonio Lanzone

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Abstract

Background: Iron deficiency and iron deficiency anemia represent global health issues, particularly during pregnancy and the postpartum. The present paper aims to summarize the appropriate management of these conditions in order to try to improve how clinicians perceive, diagnose and treat iron deficiency and iron deficiency anemia.

Methods: An expert panel of Italian obstetricians of Lazio region was convened to evaluate the available literature on iron deficiency and iron deficiency anemia during pregnancy and the post-partum in order to try to define a flow chart on the appropriate management of such conditions; aspects related to the patient blood management have also been investigated.

Results: According to both hemoglobin level and ferritin values, five the flow charts on the appropriate management of iron deficiency and iron deficiency anemia have been drawn.

Conclusions: It is desired to define appropriate flow charts to treat iron deficiency and iron deficiency anemia, which are too often not promptly diagnosed and managed, in order to try to improve antenatal care.

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孕期和产后缺铁性贫血：意大利 GOAL 工作组的实用方法。

背景：缺铁和缺铁性贫血是全球性的健康问题，尤其是在孕期和产后。本文旨在总结这些疾病的适当治疗方法，以改善临床医生对缺铁和缺铁性贫血的认识、诊断和治疗：方法：召集拉齐奥大区的意大利产科医生组成专家小组，对有关孕期和产后缺铁和缺铁性贫血的现有文献进行评估，以尝试确定适当处理此类病症的流程图；还对与患者血液管理有关的方面进行了调查：结果：根据血红蛋白水平和铁蛋白值，绘制了五张缺铁和缺铁性贫血的适当治疗流程图：结论：缺铁和缺铁性贫血往往得不到及时的诊断和处理，因此希望确定适当的流程图来治疗缺铁和缺铁性贫血，以努力改善产前护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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