{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:46:30Z","timestamp":1762508790943,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["Clinical Research Training Fellowship"],"award-info":[{"award-number":["Clinical Research Training Fellowship"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of postpartum anaemia (PPA) in New Zealand, and the extent of intravenous iron (IV\u2010iron) use in its treatment, are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To report the incidence of PPA in three district health board (DHB) regions and describe current management of moderate to severe PPA, including by ethnicity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Retrospective observational study of PPA (haemoglobin (Hb) &lt;100\u2009g\/L) in three DHBs from July\u2013December 2019. Cases with moderate to severe PPA (Hb &lt;90\u2009g\/L) were reviewed and management compared to local and national guidance. Logistic regression examined demographic associations of PPA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 8849 women who gave birth during the study period: 4076 (46%) had postpartum Hb testing and 1544 (38%) had PPA. Of those tested, and after adjusting for deprivation and region, European women had lower adjusted odds ratios compared to M\u0101ori for being identified as having PPA (0.46, 95% CI 0.37\u20130.57, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.01). Of 681 women with Hb &lt;90\u2009g\/L, 278 (41%) received IV\u2010iron only, 66 (10%) red blood cell transfusion (RBC\u2010T) only and 155 (23%) both. Of those receiving RBC\u2010T, 40\/221 (18%) were actively bleeding. M\u0101ori (92\/138, 67%) and Pacific (127\/188, 68%) women with Hb &lt;90\u2009g\/L had the highest incidence of IV\u2010iron use. No guidelines provided recommendations for haemodynamically stable women without active bleeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence and management of PPA differs by ethnicity but fewer than half of the women had Hb testing, making precise determination of incidence impossible. The majority of women with Hb &lt;90\u2009g\/L received IV\u2010iron, with or without RBC\u2010T.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13588","type":"journal-article","created":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T07:00:15Z","timestamp":1658214015000},"page":"178-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Postpartum anaemia in three New Zealand district health board regions: An observational study of incidence and management"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2398-8704","authenticated-orcid":false,"given":"Esther","family":"Calje","sequence":"first","affiliation":[{"name":"Liggins Institute The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5361-2412","authenticated-orcid":false,"given":"Joy","family":"Marriott","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1762-7905","authenticated-orcid":false,"given":"Charlotte","family":"Oyston","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences The University of Auckland  Auckland New Zealand"},{"name":"Middlemore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1967-5182","authenticated-orcid":false,"given":"Lesley","family":"Dixon","sequence":"additional","affiliation":[{"name":"New Zealand College of Midwives  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6424-6577","authenticated-orcid":false,"given":"Frank","family":"Bloomfield","sequence":"additional","affiliation":[{"name":"Liggins Institute The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5495-5617","authenticated-orcid":false,"given":"Katie","family":"Groom","sequence":"additional","affiliation":[{"name":"Liggins Institute The University of Auckland  Auckland New Zealand"},{"name":"National Women's Health, Auckland City Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4526-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30078-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16216"},{"volume-title":"Global Anaemia Reduction Efforts among Women of Reproductive Age: Impact, Achievement of Targets and the Way Forward for Optimizung Efforts","year":"2020","author":"WHO","key":"e_1_2_7_5_1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.01.001"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2017.06.010"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/135.2.267"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/135.4.850"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2007.0605"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.115996"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.12.016"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2017.1328669"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003557"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3324\/haematol.2019.232124"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.16221"},{"volume-title":"Patient Blood Management Guidelines: Module 5 \u2013 Obstetrics and Maternity","year":"2015","author":"National Blood Authority","key":"e_1_2_7_17_1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05374-8"},{"key":"e_1_2_7_19_1","unstructured":"Ministry of Health.Report on Maternity: further information [Internet].2021. 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