Evaluation of ferric carboxymaltose treatment efficacy in women with postpartum iron deficiency anemia

Yıl 2021, Cilt: 4 Sayı: 1, 23 - 27, 21.01.2021

Mustafa Tekin Navdar Doğuş Uzun Fulya Uzun

https://doi.org/10.32322/jhsm.800829

Öz

Aim: Anemia due to iron deficiency is a commonly seen problem among Turkish women. Especially among the pregnant women and particularyly postpartum period its rate increases. In this study, we aimed to evaluate the efficacy of intravenous ferric carbomaltose administration in anemic women in postpartum period.

Materials and Methods: The hemoglobin (Hb) and hematocrit (Htc) values of 64 patients who received intravenous ferric carboxymaltose treatment between January 1, 2020 and July 1, 2020 in Mardin State Hospital, Gynecology and Obstetrics Clinic were retrospectively evaluated. Patients who received intravenous iron carbomaltose treatment for postpartum iron deficiency anemia were compared after treatment. The length of stay in the hospital and whether the patient priorly received an erythrocyte suspension were evaluated.8

Results: The population that was given intravenous (iv) ferric carbomaltose mostly due to anemia post-cesarean and normal delivery (NSD) was included in the study Pregnancy week and hospitalization duration means were significantly higher in the C/S group (p<0.05). A statistically significant increase was observed in Hb and Htc values after intravenous iron treatment given after cesarean delivery. (p<0.05). The birth rate was higher in the young and normal group, and it was statistically significant (p<0.01). A significant increase in control hemoglobin values was observed after 10 days in patients who received intravenous iron therapy.

Conclusion: In postpartum period, iv ferric carbomaltose use for moderate anemia is a safe and logical approach.

Anahtar Kelimeler

Anemia, Ferric Carboxymaltose, Hemoglobin, Iron Deficiency Anemia, Intravenous Iron

Doğum sonrası demir eksikliği anemisi olan kadınlarda ferrik karboksimaltoz tedavisinin etkinliğinin değerlendirilmesi

Öz

Amaç: Demir eksikliğine bağlı anemi, Türk kadınları arasında sık görülen bir sorundur. Özellikle gebelerde ve özellikle doğum sonrası dönemde anemi oranları artmaktadır. Bu çalışmada postpartum dönemde anemili kadınlarda intravenöz ferrik karbomaltoz uygulamasının etkinliğini değerlendirmeyi amaçladık.

Gereç ve Yöntem: 1 Ocak 2020 ile 1 Temmuz 2020 tarihleri arasında Mardin Devlet Hastanesi Kadın Hastalıkları ve Doğum Kliniği'nde intravenöz ferrik karboksimaltoz tedavisi alan 64 doğum sonrası hastanın hemoglobin ve hematokrit değerleri retrospektif olarak değerlendirildi. Postpartum demir eksikliği anemisi için intravenöz demir karbomaltoz tedavisi alan hastalar tedavi sonrası karşılaştırıldı. Hastanede kalış süresi ve hastanın daha önce eritrosit süspansiyonu alıp almadığı değerlendirildi.

Bulgular: Çoğunlukla sezaryen sonrası anemi ve normal doğum (NSD) nedeniyle intravenöz ferrik karbomaltoz verilen popülasyon çalışmaya dahil edildi. Gebelik haftası ve hastanede kalış süresi ortalamaları C / S grubunda anlamlı olarak daha yüksekti (p <0.05). Sezaryen doğum sonrası verilen intravenöz demir tedavisi sonrası Hb ve Htc değerlerinde istatistiksel olarak anlamlı artış gözlendi. (p <0.05). Genç ve normal doğum yapan grupta son Hb değeri daha yüksekti ve istatistiksel olarak anlamlıydı (p <0.01). İntravenöz demir tedavisi alan hastalarda 10 gün sonra kontrol hemoglobin değerlerinde önemli bir artış gözlenmiştir.

Sonuç: Postpartum dönemde, orta derecede anemi için iv ferrik karbomaltoz kullanımı güvenli ve mantıklı bir yaklaşımdır.

Anahtar Kelimeler

Anemi, Ferrik Karboksimaltoz, Hemoglobin, Demir Eksikliği Anemisi, İntravenöz Demir

Kaynakça

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