KIDNEY FUNCTIONS IN ANEMIA IN PREGNANT WOMEN
Keywords:
anemia, pregnancy, kidney disfunction, postpartum periodAbstract
A normal pregnancy places great demands on a woman’s body. During pregnancy, big changes occur in the body. Every day, the developing fetus requires large energy expenditures from the mother’s body, which can be satisfied with enormous efforts from various body systems, including the hematopoietic organs. During pregnancy, the blood picture changes significantly. The total number of red blood cells and hemoglobin increases by an average of 18-20% ( A.A. Kadyrova , 1969; E.M. Feder , 1973). The need for vitamins, proteins, and microelements increases. Absorption of iron for the needs of the fetus and mother during pregnancy occurs 5-6 times faster. Anemia of pregnancy is quite common in obstetric practice and is one of the serious complications of pregnancy, childbirth and the postpartum period. Anemia in pregnant women is quite often combined with extragenital pathology, which in turn affects the frequency and amount of blood loss during childbirth according to data from pregnant women at different stages of pregnancy. The studies were conducted upon admission to the hospital, during treatment and before discharge from the hospital
References
Williams D, Davison J.Chronic kidney disease in pregnancy. BMJ 2008; 336: 211–215. [PMC free article] [PubMed] [Google Scholar]
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System, www.who.int/vmnis/indicators/haemoglobin.pdf (2011, accessed 2 August 2020).
Macginley RJ, Walker RG.International treatment guidelines for anaemia in chronic kidney disease – what has changed? Med J Aust 2013; 199: 84–85. [PubMed] [Google Scholar]
Ratcliffe LE, Thomas W, Glen J, et al. Diagnosis and management of iron deficiency in CKD: a summary of the NICE guideline recommendations and their rationale. Am J Kidney Dis 2016; 67: 548–558. [PubMed] [Google Scholar]
Pavord S, Daru J, Prasannan N, et al. UK guidelines on the management of iron deficiency in pregnancy. Br J Haematol 2020; 188: 819–830. [PubMed] [Google Scholar]
WHO. Prevalence of anemia among pregnant women, https://data.worldbank.org/indicator/sh.prg.anem (2019, accessed 1 February 2019).
Leonard D, Buttner P, Thompson F, et al. Anaemia in pregnancy among Aboriginal and Torres Strait Islander women of Far North Queensland: a retrospective cohort study. Nutr Diet 2018; 75: 457–467. [PubMed] [Google Scholar]
Davidson NL, Wolski P, Callaway LK, et al. Chronic kidney disease in pregnancy: maternal and fetal outcomes and progression of kidney disease. Obstet Med 2015; 8: 92–98. [PMC free article] [PubMed] [Google Scholar]
Mikhail A, Brown C, Williams JA, et al. Renal association clinical practice guideline on anaemia of chronic kidney disease. BMC Nephrol 2017; 18: 345. [PMC free article] [PubMed] [Google Scholar]
Demmers MW, Niens M, Van der Haar G, et al. Functional iron deficiency markers are absent during pregnancy despite evidence of low iron stores. Ann Clin Biochem 2019; 56: 450–456. [PubMed] [Google Scholar]
Besarab A.Resolving the paradigm crisis in intravenous iron and erythropoietin management. Kidney Int Suppl 2006; S13–S18. [PubMed] [Google Scholar]
Scholl TO.Iron status during pregnancy: setting the stage for mother and infant. Am J Clin Nutr 2005; 81: 1218S–1222S. [PubMed] [Google Scholar]
Arnold DL, Williams MA, Miller RS, et al. Iron deficiency anemia, cigarette smoking and risk of abruptio placentae. J Obstet Gynaecol Res 2009; 35: 446–452. [PubMed] [Google Scholar]
Villar J, Merialdi M, Gulmezoglu AM, et al. Nutritional interventions during pregnancy for the prevention or treatment of maternal morbidity and preterm delivery: an overview of randomized controlled trials. J Nutr 2003; 133: 1606S–1625S. [PubMed] [Google Scholar]
Suryanarayana R, Chandrappa M, Santhuram AN, et al. Prospective study on prevalence of anemia of pregnant women and its outcome: a community based study. J Family Med Prim Care 2017; 6: 739–743. [PMC free article] [PubMed] [Google Scholar]
Rahmati S, Azami M, Badfar G, et al. The relationship between maternal anemia during pregnancy with preterm birth: a systematic review and meta-analysis. J Matern Fetal Neonatal Med 2020; 33: 2679–2689. [PubMed] [Google Scholar]
Figueiredo A, Gomes-Filho IS, Silva RB, et al. Maternal anemia and low birth weight: a systematic review and meta-analysis. Nutrients 2018; 10: 601. [PMC free article] [PubMed] [Google Scholar]
Chen C, Grewal J, Betran AP, et al. Severe anemia, sickle cell disease, and thalassemia as risk factors for hypertensive disorders in pregnancy in developing countries. Pregnancy Hypertens 2018; 13: 141–147. [PubMed] [Google Scholar]
Daru J, Zamora J, Fernandez-Felix BM, et al. Risk of maternal mortality in women with severe anaemia during pregnancy and post partum: a multilevel analysis. Lancet Glob Health 2018; 6: e548–e554. [PubMed] [Google Scholar]
Auerbach M, James SE, Nicoletti M, et al. Results of the first American prospective study of intravenous iron in oral iron-intolerant iron-deficient gravidas. Am J Med 2017; 130: 1402–1407. [PubMed] [Google Scholar]
Rahman MM, Abe SK, Rahman MS, et al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. Am J Clin Nutr 2016; 103: 495–504. [PubMed] [Google Scholar]
ElAlfy MS, El-Farrash RA, Taha HM, et al. Auditory brainstem response in full-term neonates born to mothers with iron deficiency anemia: relation to disease severity. J Matern Fetal Neonatal Med 2020; 33: 1881–1888. [PubMed] [Google Scholar]
Seeho SKM, Morris JM.Intravenous iron use in pregnancy: ironing out the issues and evidence. Aust N Z J Obstet Gynaecol 2018; 58: 145–147. [PubMed] [Google Scholar]
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