Читать книгу Protocols for High-Risk Pregnancies - Группа авторов - Страница 130

Most cases of microcytic anemia in pregnancy are due to iron deficiency anemia. Evaluation of a ferritin level should be the next step, as shown in Figure 11.3. Serum ferritin is the most sensitive and specific screening test for iron deficiency, with a level less than 10–15 μg/dL indicating depleted iron stores. If serum ferritin is normal or high, the next step is hemoglobin electrophoresis to evaluate for a thalassemia. Such situations usually warrant consultation with a hematologist for further evaluation and bone marrow biopsy as indicated.

Figure 11.3 Algorithm for evaluation of microcytic anemia.