How do I develop a process to effectively treat parturients with iron deficiency anemia?

Published online

Journal Article

Anemia is common in pregnant women and is associated with increased morbidity for the mother and the fetus, including increased risk of allogeneic blood transfusion. Iron deficiency is the most common etiology for anemia during pregnancy. Oral iron therapy remains the standard treatment but is often poorly tolerated due to its gastrointestinal side effects. Intravenous iron has been shown to be a safe and effective way to treat iron deficiency anemia but may be challenging to do in the outpatient setting given the need for an indwelling venous catheter and a small risk of infusion reactions. To improve outcomes associated with anemia, we launched a program to refer and treat obstetric patients with iron deficiency anemia for outpatient intravenous iron therapy through our preoperative anemia clinic. Here, we describe the process and successes of our program, including the clinical outcomes (change in hemoglobin and transfusion rates) from the first 2 years of the program.

Full Text

Duke Authors

Cited Authors

  • Guinn, NR; Cooter, ML; Maisonave, Y; Grimsley, A; Cellura, C; Grotegut, CA; Lamon, A; Aronson, S; Duke Perioperative Enhancement Team (POET),

Published Date

  • July 13, 2020

Published In

PubMed ID

  • 32659040

Pubmed Central ID

  • 32659040

Electronic International Standard Serial Number (EISSN)

  • 1537-2995

Digital Object Identifier (DOI)

  • 10.1111/trf.15930

Language

  • eng

Conference Location

  • United States