妊娠中の鉄欠乏症と鉄欠乏性貧血のスクリーニングと補給:米国予防サービスタスクフォースの勧告声明
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|August 20, 2024
まとめ
妊娠中の女性の鉄分検査と補給の利益と害を判断するには,証拠は不十分です. 妊婦と乳児の健康への影響を評価するには,さらなる研究が必要です.
科学分野:
- 産婦人科
- 血液学
- 予防医学
背景:
- 鉄欠乏症は妊娠中の貧血の主な原因で,妊娠中の約18%が罹患しています.
- 発症率は3ヶ月間で著しく増加し,5%が鉄欠乏性貧血を発症しています.
- 米国予防サービスタスクフォース (USPSTF) は,無症状の妊婦における鉄欠乏症のスクリーニングと補給に関する証拠をレビューした.
研究 の 目的:
- 無症状の妊婦における鉄欠乏症および鉄欠乏性貧血のスクリーニングの利害を評価する.
- 無症状の妊婦の鉄補給の利益と害を評価する.
- 妊婦と乳児の健康に与える影響を 調べる
主な方法:
- USPSTFに委託された 体系的なレビュー
- 検査と鉄補給に関する証拠の評価
- 無症状の妊婦と成人に集中する.
主要な成果:
- 現在の証拠は,スクリーニングの利益と害のバランスを決定するのに不十分です.
- 鉄補給の利益と害のバランスを決定するには,現在の証拠は不十分です.
- USPSTFは母親と乳児の健康に関する 純健康成果を確立することができなかった.
結論:
- USPSTFは,妊婦における鉄欠乏症と貧血のスクリーニングの利益と害を評価するのに十分な証拠がないと結論付けています.
- USPSTFは,妊婦の定期的な鉄補給の利益と害を評価するには,証拠が不十分であると結論付けています.
- 母と乳児の不良結果を防ぐためのスクリーニングと補給に関する勧告を導くために,さらなる研究が必要である.
関連する概念動画
01:30Preventive Healthcare Services
977
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
977
01:07Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
01:14Imaging Studies I: CT and MRI
208
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
208