» Articles » PMID: 34394714

Iron Deficiency Anaemia in Pregnancy: A Contemporary Review

Overview
Journal Obstet Med
Date 2021 Aug 16
PMID 34394714
Citations 19
Authors
Affiliations
Soon will be listed here.
Abstract

Iron deficiency anaemia is a global health problem, which particularly affects pregnant women. Iron deficiency anaemia during pregnancy is associated with increased maternal and perinatal morbidity and mortality. Maternal iron deficiency may also be associated with neurocognitive deficits in infants. Iron requirements increase during pregnancy and are influenced by hepcidin, the master regulator of iron homeostasis. The enduring global burden of maternal anaemia suggests that currently employed iron supplementation strategies are suboptimal. Recent developments in our understanding of systemic and placental iron homeostasis may improve therapeutic effectiveness by altering the dose and frequency of oral iron. Intravenous iron appears to be a safe treatment to correct maternal anaemia rapidly but research on patient-centred outcomes and cost-effectiveness is needed. Future trials should be adequately powered to assess outcomes relevant to pregnant women.

Citing Articles

Iron deficiency anemia in patients with heavy menstrual bleeding: The patients' perspective from diagnosis to treatment.

Akpan I, Narang M, Zampaglione E, Marshall S, Stefanik D Womens Health (Lond). 2025; 21:17455057251321221.

PMID: 40014696 PMC: 11869313. DOI: 10.1177/17455057251321221.


The role of iron deficiency and factors associated with anemia during pregnancy in Southeastern Tigray, Ethiopia, 2020.

Bereket T, Tela F, Gebretsadik G, Beyene S PLoS One. 2025; 20(2):e0318275.

PMID: 39928589 PMC: 11809803. DOI: 10.1371/journal.pone.0318275.


Iron optimisation in pregnancy: a Haematology in Obstetric and Women's Health Collaborative consensus statement.

Clarke L, Froessler B, Tang C, King K, Ross B, Kidson-Gerber G Intern Med J. 2025; 55(2):300-307.

PMID: 39907166 PMC: 11817901. DOI: 10.1111/imj.16602.


Exploration of iron deficiency anemia and its associated factors among pregnant women seeking antenatal care in public health facilities of southwestern Ethiopia. A mixed study.

Burayu E, Degefa B AJOG Glob Rep. 2024; 4(4):100417.

PMID: 39634199 PMC: 11616048. DOI: 10.1016/j.xagr.2024.100417.


Iron Deficiency Anaemia in Pregnancy: A Narrative Review from a Clinical Perspective.

Obianeli C, Afifi K, Stanworth S, Churchill D Diagnostics (Basel). 2024; 14(20).

PMID: 39451629 PMC: 11506382. DOI: 10.3390/diagnostics14202306.


References
1.
Pena-Rosas J, De-Regil L, Dowswell T, Viteri F . Intermittent oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2012; (7):CD009997. PMC: 4053594. DOI: 10.1002/14651858.CD009997. View

2.
Ehlken B, Nathell L, Gohlke A, Bocuk D, Toussi M, Wohlfeil S . Evaluation of the Reported Rates of Severe Hypersensitivity Reactions Associated with Ferric Carboxymaltose and Iron (III) Isomaltoside 1000 in Europe Based on Data from EudraVigilance and VigiBase™ between 2014 and 2017. Drug Saf. 2018; 42(3):463-471. PMC: 6426989. DOI: 10.1007/s40264-018-0769-5. View

3.
Moretti D, Goede J, Zeder C, Jiskra M, Chatzinakou V, Tjalsma H . Oral iron supplements increase hepcidin and decrease iron absorption from daily or twice-daily doses in iron-depleted young women. Blood. 2015; 126(17):1981-9. DOI: 10.1182/blood-2015-05-642223. View

4.
Koenig M, Tussing-Humphreys L, Day J, Cadwell B, Nemeth E . Hepcidin and iron homeostasis during pregnancy. Nutrients. 2014; 6(8):3062-83. PMC: 4145295. DOI: 10.3390/nu6083062. View

5.
Tolentino K, Friedman J . An update on anemia in less developed countries. Am J Trop Med Hyg. 2007; 77(1):44-51. View