Use of deferoxamine (DFO) in transfusion-dependent β-thalassemia during pregnancy: A retrospective study

• Κύριοι συγγραφείς: Maria Grazia Piccioni (Συγγραφέας), Carmela Capone (Συγγραφέας), Flaminia Vena (Συγγραφέας), Valentina Del Negro (Συγγραφέας), Michele Carlo Schiavi (Συγγραφέας), Valentina D'Ambrosio (Συγγραφέας), Antonella Giancotti (Συγγραφέας), Maria Paola Smacchia (Συγγραφέας), Roberto Brunelli (Συγγραφέας)
• Μορφή: Βιβλίο
• Έκδοση: Elsevier, 2020-01-01T00:00:00Z.
• Θέματα: article
• Διαθέσιμο Online: Connect to this object online.

Περίληψη

Objective: To report cases of use of chelation therapy during pregnancy which resulted in favorable outcomes for the babies. Materials and methods: In this retrospective cohort study, we described the evolution and outcome of 9 pregnancies in Italian thalassemic women who received deferoxamine (DFO) inadvertently during early pregnancy. Results: The use of deferoxamine during first trimester did not lead to adverse effects on the fetus or cause major complications for the gestation, although an increase in iron burden was observed after suspending chelation therapy. Conclusion: In our experience, iron-chelation therapy might be administrated in pregnancy where the benefits to the mother outweigh the potential risks to the baby. Keywords: Deferoxamine, Iron chelation therapy, Magnetic resonance T2*, Pregnancy, Thalassemia

Περιγραφή τεκμηρίου

1028-4559
10.1016/j.tjog.2019.11.018