Abstract:
: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.
journal_name
Transfusionjournal_title
Transfusionauthors
Guinn NR,Cooter ML,Maisonave Y,Grimsley A,Cellura C,Grotegut CA,Lamon A,Aronson S,Duke Perioperative Enhancement Team (POET).doi
10.1111/trf.15930subject
Has Abstractpub_date
2020-11-01 00:00:00pages
2476-2481issue
11eissn
0041-1132issn
1537-2995journal_volume
60pub_type
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