Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes: U.S. Preventive Services Task Force Recommendation Statement

Ann Intern Med. 2015 Oct 6;163(7):529-36. doi: 10.7326/M15-1707.

Abstract

Description: Update of the 2006 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for iron deficiency anemia.

Methods: The USPSTF reviewed the evidence on the association between change in iron status as a result of intervention (oral supplementation or treatment) in pregnant women and adolescents and improvement in maternal and infant health outcomes.

Population: This recommendation applies to pregnant women and adolescents living in the United States who do not have symptoms of iron deficiency anemia. It does not address pregnant women who are malnourished, have symptoms of iron deficiency anemia, or have special hematologic conditions or nutritional needs that may increase their need for iron.

Recommendations: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in pregnant women to prevent adverse maternal health and birth outcomes. (I statement). The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine iron supplementation for pregnant women to prevent adverse maternal health and birth outcomes. (I statement).

Publication types

  • Practice Guideline

MeSH terms

  • Adolescent
  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / drug therapy
  • Anemia, Iron-Deficiency / prevention & control*
  • Asymptomatic Diseases
  • Biomedical Research
  • Cost of Illness
  • Dietary Supplements* / adverse effects
  • Female
  • Humans
  • Iron / administration & dosage*
  • Iron / adverse effects
  • Mass Screening* / adverse effects
  • Pregnancy
  • Pregnancy Complications, Hematologic / diagnosis*
  • Pregnancy Complications, Hematologic / drug therapy
  • Pregnancy Complications, Hematologic / prevention & control*
  • Pregnancy Outcome
  • Risk Assessment

Substances

  • Iron