Anemia por deficiencia de hierro en el embarazo, una visión general del tratamiento

Palabras clave: embarazo, hierro, anemia, deficiencia de hierro, ferritina, hemoglobina

Resumen

La anemia es un importante problema de salud a nivel global y es bastante común en la práctica obstétrica. La deficiencia de hierro es la causa principal de anemia durante el embarazo y se asocia a serias complicaciones maternas y fetales. Su prevalencia es mayor en países en vías de desarrollo, sobretodo por su situación socioeconómica y nutricional. La presentación clínica es parecida a la de un embarazo normal y por eso se requiere de vigilancia activa. El diagnóstico se confirma por medio de exámenes de laboratorio; una hemoglobina y una ferritina sérica bajas son diagnósticos de anemia por deficiencia de hierro. El tratamiento temprano y efectivo disminuye las complicaciones asociadas; y debe ser individualizado. El hierro oral es la terapia de primera línea a pesar de estar asociado a  un alto nivel de efectos adversos gastrointestinales; mientras que la terapia de hierro intravenosa es una buena alternativa para el manejo de la anemia por deficiencia de hierro luego del segundo trimestre del embarazo.

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Biografía del autor/a

Dra. Valeria Garro Urbina, Investigadora independiente, Cartago, Costa Rica

Médico general, graduado de la Universidad de Ciencias Médicas (UCIMED). cod. MED15307 . Correo: vale.garro@hotmail.com

Dra. Mónica Thuel Gutiérrez, Hospital Metropolitano, Heredia, Costa Rica

Médico general, graduada de la Universidad de Ciencias Médicas (UCIMED). cod. MED15342 . Correo:dra.thuelgutierrez@gmail.com

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Publicado
2020-03-01
Cómo citar
1.
Garro Urbina V, Thuel Gutiérrez M. Anemia por deficiencia de hierro en el embarazo, una visión general del tratamiento. Rev.méd.sinerg. [Internet]. 1 de marzo de 2020 [citado 26 de octubre de 2020];5(3):e397. Disponible en: https://revistamedicasinergia.com/index.php/rms/article/view/397
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