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PREGNANCY AND IRON

https://studmed.uio.no/elaring/lcms16/ernaeringslaere/iron/illustrations/ironstatementpregnancy.JPG

Several reasons why the diet is inadequate with regard to iron for all pregnant women.

In relation to earlier periods:

  • Energy requirement reduced
  • Iron intake reduced
  • Iron density of diet reduced (mg iron/1000 kcal)
  • Iron absorption lower
https://studmed.uio.no/elaring/lcms16/ernaeringslaere/iron/illustrations/stoneagediet.JPG

[Ref 20]

Question: Why is the iron absorption lower today?

Iron needs in pregnancy: 21
Foetus (300 mg)
Placenta (50 mg)
Increase in red blood cells (450 mg)
Basal iron loss (240 mg)
Total iron needs (1040 mg)

At birth:
Decrease in maternal blood cells (+ 450 mg)
Blood loss (200 mg)

NETTO TOTAL NEED (790 mg)

Iron needs at start: 0,8 mg iron/day
Iron needs last month: 10-12 mg iron/day

(Source: Hallberg, 1988)