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Clinical Summary

Iron Deficiency Anemia in Pregnant Women: Screening and Supplementation

Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.

Clinical Summary

Population Asymptomatic pregnant women and adolescents
Recommendation Screening: No recommendation.
Grade: I statement (insufficient evidence)
Iron Supplementation: No recommendation.
Grade: I statement (insufficient evidence)
Risk Assessment No studies assessed the performance of risk assessment tools to identify pregnant women who are at increased risk for iron deficiency anemia.
Screening Tests Although the evidence is insufficient to recommend specific tests for screening, measurement of serum hemoglobin or hematocrit is often the first step.
Treatment and Interventions Iron deficiency anemia in pregnant women is treated through additional iron intake with oral iron pills (usually 60 to 120 mg of elemental iron per day) and diet. Intravenous iron treatment can also be used during pregnancy. Although the evidence is insufficient to recommend routine iron supplementation for pregnant women, prenatal vitamins often include a low dose of iron (usually 30 mg of elemental iron per day).
Balance of Benefits and Harms The current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in pregnant women. The current evidence is insufficient to assess the balance of benefits and harms of routine iron supplementation for pregnant women.
Other Relevant USPSTF Recommendations The USPSTF addresses screening for iron deficiency anemia in children and folic acid supplementation during pregnancy in separate recommendation statements (available at www.uspreventiveservicestaskforce.org).

For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents, please go to http://www.uspreventiveservicestaskforce.org.

Current as of: September 2015

Internet Citation: Clinical Summary: Iron Deficiency Anemia in Pregnant Women: Screening and Supplementation. U.S. Preventive Services Task Force. September 2015.
https://www.uspreventiveservicestaskforce.org/Page/Document/ClinicalSummaryFinal/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation

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