Putting Prevention into Practice

An Evidence-Based Approach

Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes

 


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Am Fam Physician. 2016 Jan 15;93(2):137-138.

  Related U.S. Preventive Services Task Force Recommendation Statement: Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes: Recommendation Statement

Author disclosure: No relevant financial affiliations.

Case Study

A 28-year-old woman presents for a routine antepartum visit. She is 33 weeks pregnant and also has a four-year-old son. She has no particular problems, and the findings from your examination are unremarkable. She asks if her blood iron level should be tested.

Case Study Questions

  1. Which of the following factors have been shown to increase the risk of iron deficiency anemia during pregnancy?

    • A. Diet low in iron-rich foods.

    • B. Age older than 35 years.

    • C. First pregnancy.

    • D. Short interval between pregnancies.

  2. Based on the U.S. Preventive Services Task Force (USPSTF) recommendation statement, which one of the following approaches to screening for iron deficiency anemia is most appropriate for this patient?

    • A. She should be routinely screened because there is convincing evidence that the harms associated with screening are small.

    • B. She should be routinely screened because there is moderate certainty that screening has a small benefit on maternal and birth health outcomes.

    • C. She should not be screened because there is moderate certainty that screening has no net benefit.

    • D. There is insufficient evidence to assess the balance of benefits and harms of screening for iron deficiency anemia to improve maternal health and birth outcomes.

  3. Based on the USPSTF's findings, which

Author disclosure: No relevant financial affiliations.

SOURCES

Screening for iron deficiency anemia and iron supplementation in pregnant women to improve maternal health and birth outcomes: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015;163(7):529–536.

Cantor AG, Bougatsos C, Dana T, Blazina I, McDonagh M. Routine iron supplementation and screening for iron deficiency anemia in pregnancy: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2015; 162(8):566–576.

This PPIP quiz is based on the recommendations of the USPSTF. More information is available in the USPSTF Recommendation Statement and the supporting documents on the USPSTF website (http://www.uspreventiveservicestaskforce.org). The practice recommendations in this activity are available at http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Putting Prevention into Practice published in AFP is available at http://www.aafp.org/afp/ppip.



 

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