|LETTER TO EDITOR
|Year : 2022 | Volume
| Issue : 1 | Page : 78
Pregnancy in thalassemia: Correspondence
Pathum Sookaromdee1, Viroj Wiwanitkit2
1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr. D.Y. Patil University, Pune, Maharashtra, India
|Date of Submission||27-Nov-2021|
|Date of Acceptance||10-Dec-2021|
|Date of Web Publication||14-Mar-2022|
Dr. Pathum Sookaromdee
Private Academic Consultant, Bangkok
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sookaromdee P, Wiwanitkit V. Pregnancy in thalassemia: Correspondence. J Obstet Anaesth Crit Care 2022;12:78
We would like to share ideas on 'Pregnancy in thalassemia, anaesthetic implication and perioperative management—A narrative review'. Singh et al. concluded that 'Pregnancy appears to be safe and uneventful in patients with non-transfusion-dependent thalassemia intermedia and minor, but a multidisciplinary approach is needed for a preoperative investigation, optimisation and uneventful perioperative management'. We agree that there should be special attention for a pregnant woman with thalassemia. In our setting in Southeast Asia, thalassemia minor is highly prevalent and several pregnant women have thalassemia. The standard obstetric care and anaesthesia procedure can well serve those patients. There is no different complication in mothers with thalassemia compared with those without thalassemia. Only special monitoring is the blood loss and haemoglobin. Supplementation should be started since the first antenatal care visit. Because thalassemia might be a silent disease, screening for any pregnant woman with an anaemic problem is recommended.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Singh A, Sharma K, Venkateswaran V, Trikha A. Pregnancy in thalassemia, anaesthetic implication and perioperative management- A narrative review. J Obstet Anaesth Crit Care 2021;11:81-9. [Full text]
Traisrisilp K, Luewan S, Tongsong T. Pregnancy outcomes in women complicated by thalassemia syndrome at Maharaj Nakorn Chiang Mai Hospital. Arch Gynecol Obstet 2009;279:685-9.