%0 Conference Paper %A Calje, Esther %D 2020 %T ECalje MBOP PSANZ Conference Poster-proof2.pdf %U https://auckland.figshare.com/articles/poster/ECalje_MBOP_PSANZ_Conference_Poster-proof2_pdf/12084984 %R 10.17608/k6.auckland.12084984.v1 %2 https://auckland.figshare.com/ndownloader/files/22219338 %K Anaemia in pregnancy %K anaemia postpartum %K Iron deficiency %K oral iron %K hepcidin %K ferritin %K inflammation %K Obstetrics and Gynaecology %X Background: iron-deficiency and anaemia in pregnancy is common but surprisingly challenging, and has lead to inconsistencies in management usually due to lack of clinical guidance.
Methods: A Maternity Blood Optimisation (MBOP) strategy has been adapted from the Australian Red Cross Blood Service. However, specific challenges remain in applying evidence to practice. The challenges are: inconsistent treatment thresholds; the influence of inflammation on iron metabolism; and oral iron dosing regimens.
Pre-pilot data: 82% 2nd trimester women were iron-deficient and 7% had late stage iron-deficiency anaemia.
Discussion: Although challenges in interpreting evidence remain, knowledge advancements do suggest improved clinical pathways based on an early and consistent approach
%I The University of Auckland