Anemia of pregnancy in the 21st century. Hematologist’s standpoint


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The article discusses the current state of the problem of anemia of pregnancy. The criteria of anemia, epidemiology and the importance of this condition for the mother and fetus are discussed in detail. The existing ideas about the state of hematopoiesis and iron metabolism during pregnancy are described; iron deficiency is considered as the main cause of anemia, modern approaches and algorithms for its diagnosis are presented. The issues of anemia prevention and treatment are discussed taking into account the latest domestic and foreign recommendations. The anemia treatment issues cover different views and opinions on the optimal therapy; the advantages and disadvantages of oral and parenteral therapy with iron preparations, as well as differentiated approach depending on the severity and pathogenetic variant of anemia are considered. The data contained in the article represent a comprehensive modern view of a hematologist on the problem of anemia of pregnancy in the 21st century.

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作者简介

Nikolay Stuklov

Peoples' Friendship University of Russia; P.A. Hertsen Moscow Oncology Research Institute - Branch of the National Medical Research Radiology Center

Email: stuklovn@gmail.com
Dr. Sci. (Med.), Professor at the Department of Hospital Therapy with Courses of Endocrinology, Hematology and Clinical Laboratory Diagnostics, Medical Institute, Peoples’ Friendship University of Russia, Head of the Course of Hematology; Senior Researcher at the Department of High-Dose Chemotherapy with a Bone Marrow Transplantation Unit

T. Sushinskaya

P.A. Hertsen Moscow Oncology Research Institute - Branch of the National Medical Research Radiology Center

A. Mitchenkova

Peoples' Friendship University of Russia

M. Kovalchuk

Peoples' Friendship University of Russia

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