Literature DB >> 12652056

Iron and folate status before pregnancy and anemia during pregnancy.

Esther Casanueva1, Frania Pfeffer, Alejandra Drijanski, Ana Cecilia Fernández-Gaxiola, Verónica Gutiérrez-Valenzuela, Stephen J Rothenberg.   

Abstract

BACKGROUND: A lack of information about the role that iron and folate stores (erythrocyte folate) play on the anemia incidence in pregnant women.
OBJECTIVE: To evaluate the predictive value of ferritin and erythrocyte folate before pregnancy in relationship to the incidence of anemia throughout pregnancy.
METHODS: Thirty-five non-anemic non-pregnant women were evaluated 1 or 2 months before the pregnancy. After becoming pregnant they were evaluated every 4 weeks starting in the 8th week of pregnancy until 1 month post-partum. Every evaluation included determination of hemoglobin, ferritin and erythrocyte folate.
RESULTS: When the women started gestation with an insufficient iron store (<20 microg/l), the trend was to present anemia at significantly earlier gestational ages, in such a way that at week 20 of gestation almost 60% of the women with an inadequate store had anemia and only 25% of the women with an adequate store had this condition. On the other hand, the pregestational erythrocyte folate did not predict anemia incidence.
CONCLUSIONS: Pregestational ferritin concentration predicts value of incidence of anemia throughout pregnancy. Copyright 2003 S. Karger AG, Basel

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Year:  2003        PMID: 12652056     DOI: 10.1159/000069276

Source DB:  PubMed          Journal:  Ann Nutr Metab        ISSN: 0250-6807            Impact factor:   3.374


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