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Iron deficiency anemia is common in pregnancy with a prevalence of approximately 16% in Austria; however, international guideline recommendations on screening and subsequent treatment with iron preparations are inconsistent. The aim of this study was to find out how often pregnant women take iron-containing supplements, and who recommended them. As hemoglobin data were available for a sub-group of women, hemoglobin status during pregnancy and associated consumption of iron-containing medications were also recorded.
This cross-sectional study was conducted at the Mother-Child-Booklet service center of the Styrian Health Insurance Fund in Graz, Austria. A questionnaire containing seven questions was developed. Absolute and relative numbers were determined, and corresponding 95% confidence intervals calculated using bootstrapping techniques.
A total of 325 women completed the questionnaire, 11% had been diagnosed with anemia before becoming pregnant, 67% reported taking iron-containing compounds. The women reported taking 45 different products but 61% took 1 of 3 different supplements. Overall, 185 (57%) women had not been diagnosed with anemia before becoming pregnant but reported taking an iron-containing supplement and 89% of the women took supplements on the recommendation of their physician. Of the 202 women whose hemoglobin status was assessed, 92% were found not to be anemic.
Overall, 67% of pregnant women took iron-containing compounds, irrespective of whether they were deficient in iron. Physicians were generally responsible for advising them to take them. No standardized procedure is available on which to base the decision whether to take iron during pregnancy, even in guidelines. As most guidelines only recommend taking iron supplements in cases of anemia, the high percentage of women taking them in Austria is incomprehensible.
Herold G. Innere Medizin 2014. 1st ed. 2013.
Österreichische Gesellschaft für Gynäkologie und Geburtshilfe. Eisenmangelanämie in der Schwangerschaft und postpartum – Eine Leitlinie der OEGGG 2011. http://frauenheilkunde-innsbruck.tirol-kliniken.at/data.cfm?vpath=diverse/2011_16_03_11_ll_anaemie_schwangerschaft_final_1011pdf. Accessed 03.09.2018.
American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 95: anemia in pregnancy. Obstet Gynecol. 2008;112(1):201–7. CrossRef
Australian Health Minister Advisory Council. Clinical Practice Guidelines: Antenatal Care – Module 1. 2012. http://www.health.gov.au/internet/main/publishing.nsf/Content/phd-antenatal-care-index/$File/ANC_Guidelines_Mod1_v32.pdf. Accessed 03.09.2018.
Gyselaers W, Jonckheer P, Ahmadzai N, Ansari MT, Carville S, Dworzynski K. What are the recommended clinical assessment and screening tests during pregnancy? Good Clinical Practice (GCP). KCE Reports 248. Brussels: Belgian Health Care Knowledge Centre (KCE); 2015.
National Institute for Health Care Excellence. Antenatal care for uncomplicated pregnancies—Clinical guideline (CG62). 2017. https://www.nice.org.uk/guidance/cg62. Accessed 03.09.2018.
US Department of Veterans Affairs, Department of Defense. Management of Pregnancy, Version 2.0 2009. 2009. https://www.healthquality.va.gov/guidelines/WH/up/mpg_v2_1_full.pdf. Accessed 03.09.2018.
University of Michigan Healthcare Knowledge Centre. Prenatal care. 2013. https://www.med.umich.edu/1info/FHP/practiceguides/newpnc/PNC.pdf. Accessed 03.09.2018.
Cantor AG, Bougatsos C, Dana T, Blazina I, McDonagh M. Routine iron supplementation and screening for iron deficiency anemia in pregnancy: a systematic review for the US preventive services task forceiron supplementation and screening for iron deficiency anemia in pregnancy. Ann Intern Med. 2015;162(8):566–76. CrossRefPubMed
World Health Organization. Guideline: daily iron and folic acid supplementation in pregnant women. 2012. http://apps.who.int/iris/bitstream/10665/77770/1/9789241501996_eng.pdf. Accessed 03.09.2018.
Pena-Rosas JP, De-Regil LM, Dowswell T, Viteri FE. Daily oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2012; https://doi.org/10.1002/14651858.CD004736.pub4. CrossRefPubMedPubMedCentral
Bundesministerium für Frauen und Gesundheit. Mutter-Kind-Pass: Bundesministerium für Frauen und Gesundheit. 2017. https://www.bmgf.gv.at/home/Gesundheit/Gesundheitsfoerderung_Praevention/Eltern_und_Kind/Mutter_Kind_Pass. Accessed 03.09.2018.
Bundesministerium für Frauen und Gesundheit. Weiterentwicklung Mutter-Kind-Pass. 2017. http://www.bmgf.gv.at/home/Gesundheit/Gesundheitsfoerderung_Praevention/Eltern_und_Kind/Weiterentwicklung_Mutter_Kind_Pass. Accessed 03.09.2018.
Reinsperger I, Winkler R, Piso B. Eltern-Kind-Vorsorge neu Teil IX: Empfehlungen aus evidenzbasierten Leitlinien für Screenings von Schwangeren und Kindern (0–6 Jahre).HTA Projektbericht: Ludwig Boltzmann Institut für Health Technology Assessment. 2013. http://eprints.hta.lbg.ac.at/996/1/HTA-Projektbericht_Nr.62.pdf. Accessed 03.09.2018.
Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for women during pregnancy. Cochrane Database Syst Rev. 2017; https://doi.org/10.1002/14651858.CD004905.pub5. CrossRefPubMedPubMedCentral
How many women take oral supplementation in pregnancy in Austria?
Who recommended it? A cross-sectional study
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