Thalassaemia in pregnancy

Best Practice & Research. Clinical Obstetrics & Gynaecology
Tak Yeung Leung, Terence T Lao

Abstract

Thalassaemia is the most common monogenetic disease worldwide. Antenatal screening is effective and simple, and accurate genetic prenatal diagnosis can be achieved in early gestation. Less invasive methods are feasible with ultrasound fetal assessment for alpha-thalassaemia, analysis of circulating fetal nucleic acid in maternal plasma, and pre-implantation genetic diagnosis. Women with thalassaemia major and intermedia are at risk of various maternal complications, such as cardiac failure, alloimmunisation, viral infection, thrombosis, endocrine and bone disturbances. Therefore, it is prudent to adhere to a standard management plan in this group of pregnant women. Close monitoring of the maternal and fetal condition during pregnancy is essential, and various treatments, such as blood transfusion or postpartum prophylaxis for thromboembolism, may be indicated. After birth, resumption of iron chelation and bisphosphonates treatment is needed, and counselling on breast feeding and contraception should be given.

References

Dec 1, 1989·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C F LeungA M Chang
Feb 1, 1986·Obstetrics and Gynecology·R NakayamaR W Hale
Mar 1, 1986·Journal of Clinical Pathology·J M WhiteM Ali
Jul 1, 1985·Journal of Clinical Pathology·J M WhiteG Jelenski
Aug 1, 1973·British Journal of Haematology·J E SchumanN K de Leeuw
Jun 7, 1997·BMJ : British Medical Journal·D J Weatherall
Oct 24, 2002·Blood·David H K ChuiV Chan
Feb 5, 2003·Fetal Diagnosis and Therapy·Rosa Maria IbbaGiovanni Monni
May 6, 2004·JAMA : the Journal of the American Medical Association·Yury VerlinskyAnver Kuliev
Jul 13, 2004·Proceedings of the National Academy of Sciences of the United States of America·Chunming DingY M Dennis Lo
Mar 11, 2005·Current Opinion in Obstetrics & Gynecology·Tse N LeungTony Kh Chung
Mar 16, 2007·Fetal Diagnosis and Therapy·C LiaoDong-Zhi Li
Mar 17, 2007·Scandinavian Journal of Clinical and Laboratory Investigation·B ModellE Theodorsson
Nov 21, 2007·Hematology·Elliott Vichinsky
Jan 10, 2008·Acta Haematologica·Alfredo MancusoAnna Meo
Apr 3, 2008·Pediatric Clinics of North America·Melody J Cunningham
Dec 9, 2008·Proceedings of the National Academy of Sciences of the United States of America·Fiona M F LunY M Dennis Lo
Apr 8, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Kasemsri SrisupunditTheera Tongsong
Oct 2, 2009·Clinical Genetics·J P M Geraedts, G M W R De Wert
Oct 9, 2009·Journal of Assisted Reproduction and Genetics·Yan-Wen XuGuang-Lun Zhuang
Oct 22, 2009·Hematology·Constantinos TsatalasEmmanouil Spanoudakis
Nov 12, 2009·Haematologica·Raffaella OrigaRenzo Galanello
Jan 7, 2010·Fetal Diagnosis and Therapy·Ann Tabor, Zarko Alfirevic
Jan 14, 2010·British Journal of Haematology·Kate RyanBritish Committee for Standards in Haematology
Sep 15, 2010·Indian Journal of Human Genetics·Mary Petrou
Nov 16, 2010·Hematology/oncology Clinics of North America·Y M Dennis Lo, Rossa W K Chiu
Dec 15, 2010·Science Translational Medicine·Y M Dennis LoRossa W K Chiu
Dec 16, 2010·Current Opinion in Pediatrics·Daniel E Bauer, Stuart H Orkin

Citations

May 18, 2013·Archives of Gynecology and Obstetrics·Tharangrut HanprasertpongSavitree Pranpanus
Feb 21, 2013·Case Reports in Obstetrics and Gynecology·David KimBrenna L Anderson
Oct 24, 2015·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Simona AmbroggioMaria G Baù
May 24, 2016·Obstetrics and Gynecology Clinics of North America·Jody L Kujovich
Jul 19, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Valerie WhitemanHamisu M Salihu
Jun 24, 2016·Human Fertility : Journal of the British Fertility Society·Maria Antonietta Castaldi, Luigi Cobellis
Aug 16, 2016·Nursing for Women's Health·Cheryl K RothCharlotte Ottley
Jun 7, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Giorgina Barbara Piccoli'Kidney and Pregnancy Study Group' of the 'Italian Society of Nephrology'
Jun 11, 2017·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Kuntharee TraisrisilpTheera Tongsong
Jun 19, 2013·Circulation·Dudley J PennellAmerican Heart Association Committee on Heart Failure and Transplantation of the Council on Clinical Cardiology and Council
Jun 4, 2014·European Journal of Haematology·Ersi VoskaridouEvangelos Terpos
Jan 31, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Malihe Nourollahpour ShiadehZahra Behboodi Moghadam
May 28, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Mary E KrollMaria A Quigley
Mar 3, 2020·Frontiers in Molecular Biosciences·Francesco SorrentinoRoberta Risoluti
Sep 5, 2020·HemaSphere·Ali T TaherRaffaele Vindigni

Related Concepts

Anemia
Embryopathies
Pregnancy Complications, Hematologic
Pregnancy Outcome
Antenatal Screening Procedures
Alpha-Thalassemia
Thalassemia Minor
Preimplantation Screening
Blood Transfusion
Malignant Neoplasm of Breast

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