Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2017  |  Volume : 10  |  Issue : 1  |  Page : 289-

Mild anemia and pregnancy loss: Topic for discussion


Beuy Joob1, Viroj Wiwanitkit2,  
1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, Haikou, Hainan, China

Correspondence Address:
Dr. Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand




How to cite this article:
Joob B, Wiwanitkit V. Mild anemia and pregnancy loss: Topic for discussion.Ann Trop Med Public Health 2017;10:289-289


How to cite this URL:
Joob B, Wiwanitkit V. Mild anemia and pregnancy loss: Topic for discussion. Ann Trop Med Public Health [serial online] 2017 [cited 2020 Mar 30 ];10:289-289
Available from: http://www.atmph.org/text.asp?2017/10/1/289/205580


Full Text

Dear Sir,

Anemia is a very common public health problem. It is considered to be prevalent in any country and affects any age group. Anemia during pregnancy is the specific topic to be managed. It has become a topic for public health policy in maternal and child health aspect. The important consideration is anemia can result in poor pregnancy and unwanted maternal and child health problems. However, some new reports have mentioned controversial findings. A recent publication from Russia on mild anemia and pregnancy loss is very interesting.[1] Buzyan suggested “a protective role of mild anemia during pregnancy in relation to pregnancy loss.”[1] In fact, the results in Buzyan's study might imply this conclusion. Nevertheless, there are some facts to be considered. First, Buzyan did not classify the causes of anemia. In different settings, anemia can be due to different etiologies. The hemoglobinopathy and thalassemia is an important cause of anemia that is common in some areas of the world such as the Mediterranean and Southeast Asia. Pregnancy loss is proved to increase in cases with underlying hemoglobinopathy and thalassemia.[2],[3] Second, the management of determined anemia in pregnancy might be an important factor affecting the outcome of pregnancy. In an anemic case that is corrected during the antenatal care, there is no doubt that the outcome of the pregnancy will be favorable.

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References

1Buzyan LO. Mild anemia as a protective factor against pregnancy loss. Int J Risk Saf Med 2015;27(Suppl 1):S7-8.
2Seale TW, Rennert OM. Prenatal diagnosis of thalassemias and hemoglobinopathies. Ann Clin Lab Sci 1980;10:383-94.
3Jans SM, de Jonge A, Lagro-Janssen AL. Maternal and perinatal outcomes amongst haemoglobinopathy carriers: A systematic review. Int J Clin Pract 2010;64:1688-98.