ROLE OF SERUM IRON STUDIES IN PREGNANT WOMEN WITH ANAEMIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 93
Abstract
BACKGROUND Serum iron studies are recommended only for those not showing improvement after transfusion. The aim is to study the role of estimation of serum iron, serum ferritin and TIBC in the management of anaemic pregnant women. MATERIALS AND METHODS Among the 100 anaemic pregnant women admitted in the antenatal ward of Government Rajaji Hospital Madurai, between January 2017 and June 2017, in randomly selected 50 cases (Group I), serum iron studies were done. In another 50 cases, complete haemogram with peripheral smear was done (Group II) to assess the haemoglobin status. RESULTS Among group I, 40 cases (80%) had serum iron levels below 40 mcg/dL. Serum ferritin was below 20 ng/mL in 28 cases (56%). TIBC <200 mcg/dL seen in 43 cases (86%). Group II, in whom complete haemogram with peripheral smear was done, 45 cases (90%) showed microcytic hypochromic anaemia. Peripheral smear was done in group I cases in which 47 cases (94%) had hypochromic microcytic anaemia. Among which 6 patients in group I, 2 patients in group II had three transfusions. 25 patients in group I and 23 patients in group II had two transfusions. CONCLUSION In developed countries, iron supplementation is based on serum ferritin levels. But pregnant women in India should continue to get iron supplementation based on haemoglobin estimation. Peripheral smear can be done in a tertiary care centre and Serum iron studies can be done in cases whom haemoglobin is not improving after transfusion and when the cause is doubtful.
Authors and Affiliations
Sumathi N, Rajam J, Swathika M. N
Keywords
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- EP ID EP279343
- DOI 10.14260/jemds/2017/1445
- Views 98
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