Iron deficiency in pregnancy is low

ironjustice@aol.com · medicine forum Guru Joined: 28 Apr 2005 Posts: 1522

Blood Cells Mol Dis. 2006 Jun 2; [Epub ahead of print] Links

Thalassemia and hemoglobinopathies rather than iron deficiency are
major causes of pregnancy-related anemia in northeast Thailand.

Sanchaisuriya K, Fucharoen S, Ratanasiri T, Sanchaisuriya P, Fucharoen
G, Dietz E, Schelp FP.

The Graduate School of Khon Kaen University, Khon Kaen, Thailand;
Centre for Research and Development of Medical Diagnostic Laboratories,
Faculty of Associated Medical Sciences, Khon Kaen University, Khon
Kaen, Thailand 40002.

A cross-sectional prevalence study of anemia was undertaken on 412
pregnant women in northeast Thailand during January 2003 to May 2004.
With standardized diagnostic protocols and the CDC criteria of anemia
[hemoglobin (Hb) <11 g/dl at </=12 weeks of gestation and Hb <10.5 g/dl
at </=20 weeks of gestation], 71 (17.2%) subjects were anemic. Of
these, 42 (59.2%) subjects had thalassemia, 5 (7.0%) had iron
deficiency, 18 (25.4%) had combined thalassemia and iron deficiency and
6 (8.5%) had no thalassemia nor iron deficiency. Adjusted logistic
regression analyses indicated that various thalassemia genotypes were
significantly related to anemia, while homozygous Hb E had the highest
risk with an odds ratio (OR) of 44.8 (95% CI 12.6-159.7). In
comparison, iron deficiency demonstrated a much lower risk with OR of
3.1 (95% CI 1.4-6. Cool

. This finding suggests that the contribution of
iron deficiency to pregnancy associated anemia in this region is low.

PMID: 16750922 [PubMed - as supplied by publisher]

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babawali@world.com · medicine forum addict Joined: 29 Apr 2006 Posts: 81

"This finding suggests that the contribution of iron deficiency to
pregnancy associated anemia in this region is low."

Low but not non-existent, and in this very small region of the world only.
It is good the shades of gray that make up the real world are now being
recognized, the iron story is not black and white.

ironjustice@aol.com · medicine forum Guru Joined: 28 Apr 2005 Posts: 1522

babawali@world.com wrote:

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