Evidence map›Paper›PMID 41031541›Full record

GuidelineInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

FIGO good practice recommendations on anemia in pregnancy, to reduce the incidence and impact of postpartum hemorrhage (PPH).

Akaninyene E Ubom, Ferdousi Begum, Diana Ramasauskaite, Albaro J Nieto-Calvache, Monica Oguttu, Inês Nunes, Zechariah J Malel, Jolly Beyeza-Kashesya, Alison Wright, FIGO Committee on Childbirth and Postpartum Hemorrhage

Abstract readPractice Guideline
In one paragraph

Guideline in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. FIGO good practice recommendations on anemia in pregnancy, to reduce the incidence and impact of postpartum hemorrhage (PPH).International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Guideline
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  8. Review
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  10. Patient blood management in pregnancy, the peripartum, and the postpartum period.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Akaninyene E UbomDepartment of Obstetrics and Gynecology, Faculty of Clinical Sciences, PAMO University of Medical Sciences, Port Harcourt, Nigeria.
Ferdousi BegumDepartment of Obstetrics & Gynecology, Institute of Woman and Child Health, Dhaka, Bangladesh.
Diana RamasauskaiteCenter of Obstetrics and Gynecology, Vilnius University Medical Faculty, Vilnius, Lithuania.
Albaro J Nieto-CalvacheDepartamento de Ginecología y Obstetricia, Fundación Valle del Lili, Cali, Colombia.
Monica OguttuKisumu Medical and Education Trust, Kisumu, Kenya.
Inês NunesDepartment of Obstetrics and Gynecology, Gaia/Espinho Local Health Unit, Porto, Portugal.
Zechariah J MalelDepartment of Obstetrics and Gynecology, School of Medicine, University of Juba, South Sudan.
Jolly Beyeza-KashesyaMulago Specialised Women and Neonatal Hospital, Kampala, Uganda.
Alison WrightRoyal Free London NHS Foundation Trust, London, UK.
FIGO Committee on Childbirth and Postpartum Hemorrhage

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anemia affects 32 million pregnant women globally, contributing annually to more than 115 000 maternal deaths and 591 000 perinatal deaths worldwide. Low- and middle-income countries (LMICs) bear the highest burden of anemia in pregnancy, with nearly 50% of affected pregnant women. It is now 2025, which is WHO's target year for a 50% reduction in maternal anemia, and the global prevalence of anemia in pregnancy remains more than twice the target of 15%. This calls for a renewed global focus on optimal approaches for reducing the burden and complications of anemia in pregnancy. In this FIGO Childbirth and Postpartum Hemorrhage (PPH) Committee paper, current best evidence on anemia in pregnancy has been reviewed and synthesized, to make recommendations on screening, diagnosis, prevention, and treatment of anemia in pregnancy. We recommend that all pregnant women should be screened for anemia in pregnancy at booking and again at 28 weeks of pregnancy, with a full blood count (FBC), or packed cell volume/hemoglobin concentration in settings where FBC is not available. A hemoglobin concentration cutoff of less than 11 g/dL in all trimesters of pregnancy and during the postpartum period, as well as in all settings and populations, is recommended for the diagnosis of anemia in pregnancy. Routine iron and folic acid supplementation, either alone, or as components of multiple micronutrient supplements, is also recommended during pregnancy. We also made recommendations for malaria and anti-helminthic chemoprophylaxis, hemoglobinopathy screening, iron, folate, and multiple micronutrient supplementation, and blood transfusion in pregnant women with hemoglobinopathies. Finally, the relationship between anemia and postpartum hemorrhage is highlighted.

Indexed as

AnemiaPostpartum HemorrhagePregnancy Complications, HematologicFemaleFolic AcidHemoglobinsHumansIncidenceIronPregnancyFolic AcidHemoglobinsIronfolic acidhemoglobinopathyironmalariamaternal anemiamultiple micronutrient

Identifiers

PMID41031541
PMCPMC12640178

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.