Evaluation of postpartum anaemia screening to improve anaemia diagnosis and patient care: A prospective non-randomized before-and-after anaemia screening protocol implementation study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
24 05 2019
Historique:
received: 26 04 2018
accepted: 04 04 2019
entrez: 26 5 2019
pubmed: 28 5 2019
medline: 21 10 2020
Statut: epublish

Résumé

We assessed the efficacy of a screening protocol for postpartum anaemia diagnosis and treatment in the maternity ward. A prospective non-randomized before-and-after anaemia screening protocol implementation study during two consecutive periods was conducted. Women who were scheduled for vaginal birth were tested for haemoglobin (Hb) before delivery. During the first period (June 29-October 10, 2015; N = 803) Hb was measured postpartum for women with anaemia-related symptoms, postpartum haemorrhage, or pre-delivery severe anaemia (Hb < 8 g/dL; "symptoms" group). During the second period (October 11, 2015-January 27, 2016; N = 755) Hb was also measured in all women with pre-delivery anaemia [i.e., Hb < 10.5 g/dL] ("screening" group). The primary outcomes were the rates of women with (1) postpartum anaemia diagnosis (Hb < 10 g/dL) and (2) administration of parenteral iron sucrose (indicated for postpartum Hb ≤ 9.5 g/dL). The detection rate of postpartum anaemia was higher in the screening group compared with the symptoms group (140 (19%) versus 100 (12%), OR

Identifiants

pubmed: 31127175
doi: 10.1038/s41598-019-44334-9
pii: 10.1038/s41598-019-44334-9
pmc: PMC6534672
doi:

Substances chimiques

Hematinics 0
Ferric Oxide, Saccharated FZ7NYF5N8L

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7810

Références

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Auteurs

Enav Yefet (E)

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel. enavy1@gmail.com.

Abeer Suleiman (A)

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.

Gali Garmi (G)

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.
Rappaport Faculty of Medicine, Technion, Haifa, Israel.

Aliza Hatokay (A)

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.

Zohar Nachum (Z)

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.
Rappaport Faculty of Medicine, Technion, Haifa, Israel.

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Classifications MeSH