title: [Prevention of iron deficiency anemia--influence on the course of pregnancy, delivery and the infant's status].
abstract: Iron deficiency is probably the most common nutritional disturbance in the world. At the highest risk, irrespective of economical status, are women at the reproductive age--especially those who are pregnant. Retrospective analysis of a course of gestation, delivery and the infant's status depending on mothers' iron supplementation during pregnancy. Medical notes of healthy 860 pregnant women hospitalized at term in the Clinic of Perinatology and Gynaecology, Zabrze, Poland were analyzed. Patients were divided into two categories: Group I (n = 610) were those having iron subjunction and Group II (n = 250) those who did not. Mean gestational age at the delivery was significantly lower in those without the prophylaxis. These patients had significantly higher rate of preterm deliveries and caesarean sections. Macroscopic abnormalities of the afterbirth were commoner in this group as were bleeding during III labour stage and indications for postpartum curettage. insignificantly lower mean birth weight and 1st/5th minute Apgar scores had children born to women without supplementation. Routine iron supplementation in women with initially normal haemoglobin levels seems to be a safe strategy for preventing perinatal complications.
authors.affiliation: Z Katedry i Kliniki Perinatologii i Ginekologii w Zabrzu. patpregr@slam.katowice.pl
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kaźmierczak
authors.forename: Patrycja
authors.initials: P
authors.lastname: Fiegler
authors.forename: Ryszarda
authors.initials: R
authors.lastname: Adamowicz
authors.forename: Marcin
authors.initials: M
authors.lastname: Muszer
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Kamiński
mesh_terms: D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D005296:Ferrous Compounds / Q000627:therapeutic use; D006266:Health Education / Q000592:standards; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000592:standards*; D008429:Maternal Welfare; D007744:Obstetric Labor Complications / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D011044:Poland / Q000453:epidemiology; D049590:Postpartum Period; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D011256:Pregnancy Outcome; D012189:Retrospective Studies
chemical_list: D005296:Ferrous Compounds; D006454:Hemoglobins