#16
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посмотрите здесь: железа бисглицинат обладал наилучшей переносимостью во время беременности:
Of the 517 women (84.5%) reported using iron supplements, 453 were eligible for the study. The most common preparation was ferrous fumarate (46.8%, P < 0.01), followed by ferrous sulfate (31.8%), ferric polymaltose (12.4%), and ferric bisglycinate (7.3%). Almost half the participants (45%) reported at least one adverse effect, especially constipation (27.4%, P < 0.01), nausea (10.8%). Multivitamin preparations and ferric bisglycinate were associated with the fewest side effects (23.7, 21.2% respectively, P < 0.01), and ferrous fumarate and immediate-release ferrous sulfate with the most (56.3, 53.7% respectively). Eighty-three women discontinued their originally prescribed iron preparation, mainly (89%) due to side effects. Discontinuation rates were lowest for the multivitamin and ferric bisglycinate (10.5, 9.1%, respectively). --- Arch Gynecol Obstet. 2007 Dec;276(6):601-4. Iron supplementation in pregnancy--does the preparation matter? Melamed N...
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Искренне, Вадим Валерьевич. |
#17
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Спасибо!
То есть сейчас уже со 2 триместра не бояться капать железо ? раньше прям табу было. |
#18
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Вот комментарий Ауэрбаха в 2018 году - практике назначения в/в железа беременным в 2-3 триместрах более 50 лет:
The successful use of intravenous iron in pregnancy is hardly new. In 1964 and in 1973, two different studies of intravenous iron in iron deficient gravidas reported the safety and efficacy in more than 2500 pregnant women, of complete replacement dosing with iron dextran in a single setting [27, 28]. [Ссылки доступны только зарегистрированным пользователям ]
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Искренне, Вадим Валерьевич. |
#19
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Новая версия от 2019 (пока не смотрел, что именно изменилось в них за последние 8 лет)
UK guidelines on the management of iron deficiency in pregnancy Sue Pavord on behalf of the BSH Committee First published: 02 October 2019 [Ссылки доступны только зарегистрированным пользователям ]
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Искренне, Вадим Валерьевич. |