RETHINKING IRON SUPPLEMENTATION DURING PREGNANCY

Authors

  • Phyllis J. Long CNM, MSN

    Corresponding author
    1. Phyllis J. Long is a nurse-midwife at the Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire, and a faculty member of the Community Based Nurse-Midwifery Education Program in Hyden, Kentucky. She received her nurse-midwifery education at the Frontier Graduate School of Nurse-Midwifery in 1965 and an MSN from the University of Kentucky in 1975.
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Address correspondence to Phyllis J. Long, CNM, MSN, 20 Green St., West Lebanon, NH 03784.

ABSTRACT

Iron supplementation is an intervention frequently initiated without adequate data collection to identify iron deficiency. The physiologic changes of normal pregnancy result in lowered hemoglobin and hematocrit levels and make these lab values difficult to interpret. Because excess iron intake by healthy women may have harmful sequelae, safe practice requires an individual assessment of iron status.

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