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Published on: May 10, 2022
Intravenous iron in postpartum anemia
Geeta Jain1, Urmila Palaria2, S K Jha3
1Department of O&G, Govt. Medical College, Haldwani, Rampur Road, Haldwani, Uttarakhand India.
Objective:
To compare effectiveness of intravenous iron-sucrose versus oral ferrous fumarate in postpartum anemia.
Methods:
In this study, 40 women with postpartum anemia with hemoglobin (Hb) less than 8 g/dl within 48 h postpartum were randomised into two groups. Group I consisted of 20 women who received 300-600 mg of intravenous iron-sucrose every alternate day for 3 days. Group II consisted of 20 women who were given 300 mg ferrous fumarate orally daily for 14 days.
Results:
On day 14, the increase in mean Hb level in group I was 2.4 g/dl in comparison to 1.2 g/dl in group II. Women in group I had significantly higher mean Hb values on days 7 and 14 (p < 0.001) than women in group II.
Conclusion:
These results suggest that intravenous iron-sucrose increases the Hb level more rapidly than oral ferrous fumarate in postpartum anemia without any serious side effects.
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