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Kvinnor i fertil ålder behöver ofta järntillskott
Engelsk titel: Women of childbearing age often need iron supplements Läs online Författare: Wesström, Jan Språk: Swe Antal referenser: 27 Dokumenttyp: Översikt UI-nummer: 15047015

Tidskrift

Läkartidningen 2015;112(11)524-6 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Estimations suggest that 30.2% of non-pregnant women ages 15-50 years are anaemic, compared to only 12.7% of men. Among pregnant women the prevalence exceeds 40%, iron deficiency being the underlying cause in 50% of the patients. Symptoms include fatigue, exhaustion and impaired cognitive function. The increased need for iron in women with heavy or prolonged menstrual bleeding or in pregnancy (~10-fold increase from first to third trimester) is largely unmet. Iron deficiency anaemia in pregnancy is associated with increased risk of maternal as well as infant morbidity or mortality. Postpartum it may lead to reduced milk production, increased prevalence of postpartum depression and impaired physical function. Treatment to prevent or improve iron deficiency with or without anaemia during and following pregnancy is recommended. Oral treatment is the method of choice. However, intravenous iron should be considered for patients that respond poorly to oral treatment, suffer from side effects or are in need of rapid effect. Intravenous iron may also be used during pregnancy.