[Practical Recommendations from Clinical Experts for Optimizing Screening, Diagnosis, and Treatment of Iron Deficiency during Pregnancy in Portugal].

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
João Mairos, Nina Monteiro, Nuno Clode, Tiago Maricoto, Rúben Catarino, Bruno Fidaldo Dias
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Abstract

Iron deficiency is a clinical condition characterized by the depletion of iron stores, potentially affecting up to 95% of pregnant women in Portugal. If not identified and treated early, this condition can progress from fatigue, tiredness and reduced work productivity to anemia, increasing the risk of maternal-fetal complications. Therefore, early detection of iron deficiency during pregnancy is crucial for promptly addressing iron deficits and preventing complications during childbirth and the postpartum period. Scientific evidence and international guidelines recognize serum ferritin as the most reliable marker for detecting iron deficiency. However, in Portugal, its measurement is not currently standardized in the pregnancy monitoring guidelines for any trimester. This lack of formal recommendation leads to a heterogeneous clinical approach, contributing to the underdiagnosis and undertreatment of iron deficiency, with a significant negative impact on maternal and fetal health. To address this gap, the Portuguese Association of Family Medicine, the Portuguese Society of Obstetrics and Maternal-Fetal Medicine, and the Anemia Working Group Portugal established a working group of four clinical experts. This group convened to develop a set of practical guidelines aimed at standardizing serum ferritin measurements across all three trimesters of pregnancy in the national healthcare system. Through these recommendations, experts aim to raise awareness among key stakeholders involved in pregnancy monitoring in Portugal and to urge national health authorities to incorporate this indicator into the digital IT systems used for pregnancy surveillance in primary healthcare. The aim of this initiative is to ensure a more effective approach to gestational iron deficiency and reduce its burden on maternal and fetal health.

【临床专家对优化筛查、诊断和治疗妊娠期缺铁的实用建议】。
缺铁是一种临床症状,其特征是铁储备不足,可能影响到葡萄牙高达95%的孕妇。如果不及早发现和治疗,这种情况可能会从疲劳、疲劳和工作效率下降发展到贫血,从而增加母胎并发症的风险。因此,怀孕期间早期发现缺铁对于及时解决缺铁问题和预防分娩和产后并发症至关重要。科学证据和国际指南承认血清铁蛋白是检测缺铁最可靠的标志物。然而,在葡萄牙,它的测量目前还没有在任何三个月的妊娠监测指南中标准化。由于缺乏正式建议,导致临床方法不一致,导致对缺铁的诊断和治疗不足,对孕产妇和胎儿健康产生重大负面影响。为了弥补这一差距,葡萄牙家庭医学协会、葡萄牙产科和母胎医学协会以及葡萄牙贫血工作组成立了一个由四名临床专家组成的工作组。该小组召开会议,旨在制定一套实用指南,旨在标准化全国卫生保健系统中所有三个妊娠期的血清铁蛋白测量。通过这些建议,专家们旨在提高参与葡萄牙妊娠监测的主要利益攸关方的认识,并敦促国家卫生当局将这一指标纳入用于初级卫生保健妊娠监测的数字IT系统。这一举措的目的是确保采取更有效的办法解决妊娠期缺铁问题,并减轻其对孕产妇和胎儿健康造成的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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