Incidence of anemia among obstetric patients in an Appalachian teaching clinic.

Abstract:

OBJECTIVE:The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS:This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, a clinic at Women and Children's Hospital. Data were collected on Women's Medicine Center patients who delivered at Women and Children's Hospital during a 1-year interval, through chart review linked with hospital database and birth certificate data for comorbidities. RESULTS:Inclusion criteria were met by 685 patients. Anemia was present in 32/619 (5.2%) at intake and in 191/670 (28.5%) at delivery. The prevalence throughout pregnancy was 35.6%. Anemia was detected at first encounter or at 28 weeks in 123 (18.0 %) patients who were also tested at delivery. Of the 52 (42.3%) who received iron supplementation, 35(67.3 %) remained anemic at delivery. There were no statistically significant predictors. CONCLUSION:Anemia continues to plague obstetrical patients and its prevalence in our patient population was surprisingly high. Further investigation is warranted to better understand the apparent ineffectiveness of iron supplementation.

journal_name

Mil Med

journal_title

Military medicine

authors

Turner S,Seybold D,Celestine C,Williams D

doi

10.7205/milmed-d-11-00445

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1212-6

issue

10

eissn

0026-4075

issn

1930-613X

journal_volume

177

pub_type

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