A prospective study of improvement in anemia after intravenous iron sucrose in pregnancy in moderate to severe anemia
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 10
Abstract
In Indian scenario, the nutritional anemia especially iron deficiency anemia (IDA) is commonly found. Pregnancy further takes its toll, worsening the status of iron deficiency. Government of India introduced ferrous sulphate distribution program to combat the severity of IDA .But even this does not seem to work out. Hence a prospective analysis was carried out to see the response & rise in hemoglobin after giving intravenous iron sucrose to pregnant women. The analysis was carried out in department of obstetrics & gynecology, government medical college, Akola. It was carried out over a period of 3 years ( January 2013 to December 2015 ) .Almost 350 pregnant women in 2 nd trimester of pregnancy with hemoglobin of 4-8 gm % were included. The Cause of anemia was confirmed as iron deficiency anemia. The iron sucrose was given 200 mg in 100 CC NS every third day after calculating dose requirement. Interestingly we noted mean hemoglobin increased from 6.71+/- 0.32 gm to 10.9 +/- 0.43 gm ( P <0.01) Serum ferritin also increased significantly. There was also rise in reticulocyte count. Other red cell indices & serum iron also showed rise .No anaphylactic reaction was noted during study period. Parenteral iron therapy is very effective and safe therapy to improve iron deficiency anemia in pregnant women. Keywords: Iron deficiency anaemia, intravenous iron sucrose, serum filtration, serum iron, reticulocyte count.
Authors and Affiliations
Dr Prachi Bhikaji Shitut, Dr Shyam Kumar Sirsam, Dr Aparna Wahane, Dr Madhuri Dhakne, Dr Poonam Bagdiya
Keywords
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