Using race to diagnose anemia during pregnancy may increase its risk at delivery

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Using race to diagnose anemia during pregnancy may increase its risk at delivery

Clinicians should not take race into account when diagnosing anemia in pregnant patients and pursuing interventions, according to new research from the Perelman School of Medicine at the University of Pennsylvania. While national guidelines define anemia (low iron levels) differently depending on whether a pregnant patient is Black because lower iron levels are more common among Black women, the researchers found Black patients with no diagnosed anemia during pregnancy were more likely to have anemia at time of delivery compared to non-Black patients. The results suggest that, in order to intervene early and decrease risk of poor health outcomes and a need for blood transfusions during delivery, Black and non-Black pregnant patients should be treated with the same thresholds when evaluated for anemia. The findings are published in the journal Obstetrics & Gynecology.

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