Despite modern methods of dealing with anemia, the problem of iron deficiency is still relevant. It is because of this disease complications of pregnancy, childbirth and even the postpartum period.
Deficiency of iron in the blood of a pregnant woman is dangerous for both the woman herself and her baby. Anemia is fraught with complications of pregnancy and childbirth. Do not bear the baby in 15-42% of cases with anemia, mild labor is observed in 0-15%, premature detachment of the placenta, hypotonic bleeding - in 10%, fetal hypoxia - in 35%, fetal hypotrophy - in 25%. That is why it is very important to monitor the level of iron in the body of a pregnant woman.
As a rule, anemia in pregnant women is diagnosed by a general blood test. According to certain indicators, the level of hemoglobin is determined - if it is below 110 g / l, then the woman has anemia: lack of iron and protein. To prevent this defect, pregnant women are prescribed iron-containing medications: they should take the entire second and third trimester of pregnancy. The same drugs are prescribed for multiple pregnancies and women with heavy bleeding during menstruation before pregnancy.
Most often, to increase the level of iron in the blood, doctors prescribe Sorbifer to pregnant women. This drug is produced in tablets: in one pill - 100 mg of iron and 60 mg of ascorbic acid. The latter is simply necessary, since it improves the absorption of iron in the body.
The high rate of increase in serum iron levels when treated with Sorbiferum Durules is due to the fact that the preparation contains a high concentration of ferrous iron (100 mg) in the form of sulfate. This improves its absorption in the intestine.
In a therapeutic dose appoint a dose of one tablet in the morning and in the evening - the daily rate of 200 mg. If the anemia is poorly expressed, then the doctor can prescribe a smaller dose - one tablet a day, this is 100 mg. However, each doctor prescribes his dose, based on the analysis and indicators of the pregnant, and therefore the dosage may differ in each individual case.
As a rule, physicians advise taking Sorbifer two hours after a meal. At the same time, there should not be any milk in the food, because it contains calcium, which prevents the absorption of iron in the body of a pregnant woman.
The same two hours of interruption should be made pregnant and between taking Sorbifer and antacid preparations containing aluminum and magnesium, which reduce the absorption of iron.
If the dose is prescribed correctly, the hemoglobin begins to rise somewhere by the end of the third week of taking the drug. If the dosage has been increased, side effects may occur - diarrhea, abdominal pain, constipation, nausea, skin rash, ulcer or stenosis of the esophagus. If this happens, you should immediately seek medical help.
If a pregnant stenosis of the esophagus, hemosiderosis, obstructive changes in the digestive tract, hemochromatosis or anemia, not associated with iron deficiency, it is contraindicated to take Sorbifer.