Abstract:
:Objective To better understand the knowledge, attitudes and practices of obstetrician-gynecologists with respect to screening and treatment for iron deficiency anemia (IDA). Methods A total of 1,200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a survey on blood disorders. Respondents completed a questionnaire regarding their patient population, screening and treatment practices for IDA, and general knowledge about IDA and its risk factors. Results Overall response rate was 42.4%. Thirty-eight percent of respondents screen non-pregnant patients regularly, based on risk factors; 30.5% screen only when symptoms of anemia are present. For pregnant patients, 50.0% of respondents screen patients at their initial visit, while 46.2% screen every trimester. Sixty-one percent of respondents supplement pregnant patients when there is laboratory evidence of anemia; 31.6% supplement all pregnant patients. Forty-two percent of respondents screen post-partum patients based on their risk factors for IDA. However, when asked to identify risk factors for post-partum anemia, slightly more than half of respondents correctly identified young age and income level as risk factors for post-partum anemia; only 18.9% correctly identified pre-pregnancy obesity as a risk factor. Conclusion There are opportunities for increased education on IDA for obstetrician-gynecologists, specifically with respect to risk factors. There also appears to be substantial practice variance regarding screening and supplementation for IDA, which may correspond to variability in professional guidelines. Increased education on IDA, especially the importance of sociodemographic factors, and further research and effort to standardize guidelines is needed.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Marcewicz LH,Anderson BL,Byams VR,Grant AM,Schulkin Jdoi
10.1007/s10995-016-2252-1subject
Has Abstractpub_date
2017-08-01 00:00:00pages
1627-1633issue
8eissn
1092-7875issn
1573-6628pii
10.1007/s10995-016-2252-1journal_volume
21pub_type
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更新日期:2014-07-01 00:00:00
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journal_title:Maternal and child health journal
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更新日期:2020-02-01 00:00:00
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journal_title:Maternal and child health journal
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