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PRISM study—Pre‐natal iron deficiency screening and management within an Australian regional centre

PRISM study—Pre‐natal iron deficiency screening and management within an Australian regional centre What is already known about this subject?Anaemia is a prevalent obstetric issue affecting 38% of all pregnanciesIron deficiency is the most common cause and has significant maternal and foetal morbidityCurrent RANZCOG guidelines recommend screening for iron deficiency anaemia using haemoglobin alone on first instance, and only ordering dedicated iron studies if this is lowPrevious Australian and international research has shown significant benefits to more active approach to iron deficiency screening and management within the antenatal periodWhat this paper addsThis is the first regional study to show a clinically useful and statistically significant reduction in the rates of anaemia and blood transfusionWe hope our study prompts other obstetric centres to adopt similar toolkits in their antenatal careWe also hope our results prompt RANZCOG to re‐think the current recommendations regarding antenatal iron deficiency screening and managementINTRODUCTIONAnaemia affects an estimated 38% of pregnant women worldwide and 18% in high‐income countries.1 Nutritional iron deficiency is the leading cause1 and is associated with serious consequences including maternal and foetal mortality2–4 intrauterine growth restriction, premature birth and childhood developmental delay.4–6 Maternal morbidity includes increased infection,5 increased postpartum haemorrhage and increased peripartum blood transfusions.3,4It is not clear from current research the best way to diagnose and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australian Journal of Rural Health Wiley

PRISM study—Pre‐natal iron deficiency screening and management within an Australian regional centre

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References (13)

Publisher
Wiley
Copyright
Copyright © 2023 National Rural Health Alliance Ltd.
ISSN
1038-5282
eISSN
1440-1584
DOI
10.1111/ajr.13002
Publisher site
See Article on Publisher Site

Abstract

What is already known about this subject?Anaemia is a prevalent obstetric issue affecting 38% of all pregnanciesIron deficiency is the most common cause and has significant maternal and foetal morbidityCurrent RANZCOG guidelines recommend screening for iron deficiency anaemia using haemoglobin alone on first instance, and only ordering dedicated iron studies if this is lowPrevious Australian and international research has shown significant benefits to more active approach to iron deficiency screening and management within the antenatal periodWhat this paper addsThis is the first regional study to show a clinically useful and statistically significant reduction in the rates of anaemia and blood transfusionWe hope our study prompts other obstetric centres to adopt similar toolkits in their antenatal careWe also hope our results prompt RANZCOG to re‐think the current recommendations regarding antenatal iron deficiency screening and managementINTRODUCTIONAnaemia affects an estimated 38% of pregnant women worldwide and 18% in high‐income countries.1 Nutritional iron deficiency is the leading cause1 and is associated with serious consequences including maternal and foetal mortality2–4 intrauterine growth restriction, premature birth and childhood developmental delay.4–6 Maternal morbidity includes increased infection,5 increased postpartum haemorrhage and increased peripartum blood transfusions.3,4It is not clear from current research the best way to diagnose and

Journal

Australian Journal of Rural Health – Wiley

Published: Aug 1, 2023

Keywords: clinical; management; obstetrics; quality use of medicine; safety and quality

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