在怀孕期间对缺铁和缺铁性贫血进行查和补充:美国预防服务工作组建议声明
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|August 20, 2024
概括
没有足够的证据来确定在孕妇中查和补充铁的益处和危害. 需要更多的研究来评估对母亲和婴儿健康的影响.
科学领域:
- 产科和妇科
- 血液学
- 预防医学
背景情况:
- 铁缺乏是导致妊娠贫血的主要原因,约有18%的孕妇受到影响.
- 发病率在三个月内显著增加,5%的人患有缺铁性贫血.
- 美国预防服务工作组 (USPSTF) 审查了对无症状孕妇缺铁查和补充剂的证据.
研究的目的:
- 在无症状的孕妇中评估缺铁和缺铁性贫血的益处和危害.
- 在无症状的孕妇中评估补充铁的益处和危害.
- 确定对母亲和婴儿健康结果的影响.
主要方法:
- 系统审查由USPSTF委托进行.
- 对查和补充铁的证据的评估.
- 专注于无症状的怀孕青少年和成年人.
主要成果:
- 目前的证据不足以确定查的益处和危害的平衡.
- 目前的证据不足以确定补充铁的益处和危害.
- 美国妇幼保健局无法确定母亲和婴儿健康的净健康结果.
结论:
- 美国铁素缺乏症和贫血查的益处和危害的证据是不够的.
- 美国铁素补充剂委员会 (USPSTF) 认为,没有足够的证据来评估常规铁素补充剂对孕妇的益处和危害.
- 需要进一步的研究,以提供有关查和补充剂的建议,以防止对母亲和婴儿的不良后果.
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