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Serum ferritin in pregnancy.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1978
Summary
Low iron stores are common in pregnant women, with serum ferritin levels being a better indicator of iron status than hemoglobin. All pregnant individuals should receive iron supplements, regardless of social class or parity.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Nutritional Science
Background:
- Iron deficiency is a prevalent issue during pregnancy, potentially impacting maternal and fetal health.
- Assessing iron status accurately is crucial for timely intervention.
Purpose of the Study:
- To evaluate serum ferritin levels as an indicator of iron status in pregnant women.
- To determine the prevalence of low iron stores at the first antenatal visit.
- To correlate iron status with gestational age, parity, and social class.
Main Methods:
- Serum ferritin levels were measured in 200 pregnant women during their initial antenatal visit.
- Results were correlated with hemoglobin concentration, serum iron, gestation, parity, and social class.
Main Results:
- 32% of pregnant women exhibited serum ferritin levels below the normal range.
- Low iron stores increased with advancing gestation.
- Serum ferritin was a more sensitive indicator of iron status than serum iron or hemoglobin.
- No significant correlation was found between low iron stores and social class or parity.
Conclusions:
- Serum ferritin is a reliable marker for assessing iron status in pregnancy.
- Iron supplementation should be universally recommended for all pregnant women.
- Early detection and management of iron deficiency are essential for optimal pregnancy outcomes.