COMPARATIVE STUDY OF IRON THERAPY BY VARIOUS ROUTES IN MANAGEMENT OF POSTPARTUM ANEMIA

Dr. Preeti Dubey; Dr. Rashmi Gupta; Dr. Renu Gupta

Volume : VII, Issue : VIII, August - 2018

COMPARATIVE STUDY OF IRON THERAPY BY VARIOUS ROUTES IN MANAGEMENT OF POSTPARTUM ANEMIA

Dr. Preeti Dubey, Dr. Rashmi Gupta, Dr. Renu Gupta

Abstract :

Objective- To compare the efficacy, side effects, compliance of different routes of iron therapy in postpartum iron deficiency anemia.

Material & methods-study was carried out at UISEMH, department of obstetrics and gynecology, GSVM Medical college ,Kanpur on 375 postpartum iron deficiency anemic patients based on Hb<10gm% 24 hours post-delivery and serum ferritin <15 micro/l. All patients were divided according to their severity of anemia and were subjected to iron therapy by various routes (oral/im/iv) and results were analyzed by applying ANOVA test.

Results – Rise of Hb level was significant in all grade of anemia after treatment with any route of iron therapy (intravenous= intramuscular> oral route). Difference in rise of Hb level is most pronounced in oral versus IV treatment in severe anemia category (intravenous>oral: mean difference of Hb rise was 2.868gm. /dl).

Conclusion- Parenteral iron have shorter treatment periods, increased likelihood of compliance, a lack of gastrointestinal side effects, and rapid replenishment of iron stores, making them superior to oral ferrous sulphate in treatment of mild to moderate postpartum iron deficiency anemia and also decreasing the need of blood transfusion in severe postpartum iron deficiency anemia.