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• W2021197114 abstract "Article1 January 1967Megaloblastic Anemia of Pregnancy in New York CityCHRISTINE LAWRENCE, M.D., FREDERICK A. KLIPSTEIN, M.D.CHRISTINE LAWRENCE, M.D.Search for more papers by this author, FREDERICK A. KLIPSTEIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-1-25 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMegaloblastic anemia of pregnancy occurs characteristically during the last trimester of pregnancy or during the puerperium (1-3) and in temperate climates is usually secondary to folate deficiency. Serum folate concentrations are subnormal in the majority of patients with this abnormality (3-5), the anemia responds to treatment with pharmacologic doses of folic acid (1, 6, 7), and the routine administration of folic acid during pregnancy can prevent the development of megaloblastic anemia (3, 8, 9). Recent observations have indicated that folate deficiency, in addition to being responsible for anemia, may be present during late pregnancy without anemia (5) and may be...References1. GILESSHUTTLEWORTH CEM: Megaloblastic anaemia of pregnancy and the puerperium. Lancet 2: 1341, 1958. CrossrefMedlineGoogle Scholar2. GATENBYLILLIE PBEW: Clinical analysis of 100 cases of severe megaloblastic anaemia of pregnancy. Brit. Med. J. 2: 1111, 1960. CrossrefMedlineGoogle Scholar3. GILES C: An account of 335 cases of megaloblastic anaemia of pregnancy and the puerperium. J. Clin. Path. 19: 1, 1966. CrossrefMedlineGoogle Scholar4. IZAKRACHMILEWITZSADOVSKYBERCOVICIARNOVITCHGROSSOWICZ GMABJN: Folic acid metabolites in whole blood and serum in anemia of pregnancy. Amer. J. Clin. Nutr. 9: 473, 1961. CrossrefMedlineGoogle Scholar5. LOWENSTEINBRUNTONHSIEH LLY: Nutritional anemia and megaloblastosis in pregnancy. Canad. Med. Ass. J. 94: 636, 1966. MedlineGoogle Scholar6. SCOTT JM: Therapy in the megaloblastic anaemias of pregnancy. J. Obstet. Gynaec. Brit. Comm. 61: 646, 1954. CrossrefGoogle Scholar7. PRITCHARD JA: Megaloblastic anemia during pregnancy and the puerperium. Amer, J. Obstet. Gynec. 83: 1004, 1962. CrossrefMedlineGoogle Scholar8. LOWENSTEINPICKPHILPOTT LCNW: Megaloblastic anemia of pregnancy and the puerperium. Amer. J. Obstet. Gynec. 70: 1309, 1955. MedlineGoogle Scholar9. GILESBURTON CH: Observations on prevention and diagnosis of anaemia in pregnancy. Brit. Med. J. 2: 636, 1960. CrossrefMedlineGoogle Scholar10. MARTINHARPERKELSO RHTAW: Serum-folic-acid in recurrent abortions. Lancet 1: 670, 1965. CrossrefMedlineGoogle Scholar11. MARTINDAVIS JDRE: Serum folic acid activity and vaginal bleeding in early pregnancy. J. Obstet. Gynaec. Brit. Comm. 71: 400, 1964. CrossrefMedlineGoogle Scholar12. STREIFFLITTLE RRB: Folic acid deficiency as a cause of uterine hemorrhage in pregnancy. J. Clin. Invest. 44: 1102, 1965. Google Scholar13. HIBBARDSMITHELL EDRW: Folic acid metabolism and human embryopathy. Lancet 1: 1254, 1965. CrossrefGoogle Scholar14. HERBERTBAKERFRANKPASHERSOBOTKAWASSERMAN VHOIHLR: The measurement of folic acid activity in serum, a diagnostic aid in the differentiation of the megaloblastic anemias. Blood 15: 228, 1960. CrossrefMedlineGoogle Scholar15. SPRAY GH: An improved method for the rapid estimation of vitamin B12 in serum. Clin. Sci. 14: 661, 1955. MedlineGoogle Scholar16. LAUGOTTLIEBWASSERMANHERBERT KCLRV: Measurement of serum vitamin B12 level using radioisotope dilution and coated charcoal. Blood 26: 202, 1965. CrossrefMedlineGoogle Scholar17. KLIPSTEIN FA: The urinary excretion of orally administered tritium-labeled folic acid as a test of folic acid absorption. Blood 21: 626, 1963. CrossrefMedlineGoogle Scholar18. MILLER ON: Determination of bound B12. Arch. Biochem. 68: 255, 1957. CrossrefMedlineGoogle Scholar19. GOTTLIEBLAUWASSERMANHERBERT CKLRV: Rapid charcoal assay for intrinsic factor (IF), gastric juice unsaturated B12 binding capacity, antibody to IF, and serum unsaturated B12 binding capacity. Blood 25: 875, 1965. CrossrefMedlineGoogle Scholar20. LAWRENCE C: B12 binding protein deficiency in pernicious anemia. Blood 27: 389, 1966. CrossrefMedlineGoogle Scholar21. KLIPSTEIN FA: Tropical sprue in New York City. Gastroenterology 47: 457, 1964. CrossrefMedlineGoogle Scholar22. STEVENSMETZ KJ: The absorption of folic acid in megaloblastic anaemia associated with pregnancy. Trans. Roy. Soc. Trop. Med. Hyg. 58: 510, 1964. CrossrefMedlineGoogle Scholar23. OKUDAHELLIGERCHOW KAEBF: Vitamin B12 serum level and pregnancy. Amer. J. Clin. Nutr. 4: 440, 1956. CrossrefMedlineGoogle Scholar24. BAKERERDBERGPASHERSOBOTKA HRIH: Study of folic acid and vitamin B12 in blood and urine during normal pregnancy. Proc. Soc. Exp. Biol. Med. 94: 513, 1957. CrossrefMedlineGoogle Scholar25. YOUNGBARROWSOKUDACHOW JECKBF: Vitamin B12 serum level in pregnancy. Obstet. Gynec. 14: 149, 1959. Google Scholar26. ANDERSON BB: Investigations into the Euglena method for the assay of the vitamin B12 in serum. J. Clin. Path. 17: 14, 1964. CrossrefMedlineGoogle Scholar27. LOWENSTEINLALONDEDESCHENESSHAPIRO LMEBL: Vitamin B12 in pregnancy and the puerperium. Amer. J. Clin. Nutr. 8: 265, 1960. CrossrefMedlineGoogle Scholar28. METZFESTENSTEINWELCH JHP: Effect of folic acid and vitamin B12 supplementation on tests of folate and vitamin B12 nutrition in pregnancy. Amer. J. Clin. Nutr. 16: 472, 1965. CrossrefMedlineGoogle Scholar29. THOMPSONUNGLEY RBCC: Megaloblastic anemia of pregnancy and the puerperium. Quart. J. Med. 20: 187, 1951. MedlineGoogle Scholar30. PITNEYBEARDVAN LOON WRMFEJ: Observations on the bound form of vitamin B12 in human serum. J. Biol. Chem. 207: 143, 1954. CrossrefMedlineGoogle Scholar31. MILLER AJ: The in vitro binding of cobalt60 labeled vitamin B12 by normal and leukemic sera. J. Clin. Invest. 37: 556, 1958. CrossrefMedlineGoogle Scholar32. LAWRENCE C: The binding of vitamin B12 by serum proteins in normal and B12-deficient subjects. Brit. J. Haemat. 12: 569, 1966. CrossrefMedlineGoogle Scholar33. CALLENDER ST: A critical review of pernicious anemia of pregnancy. Quart. J. Med. 13: 75, 1944. Google Scholar34. DAVIDSONDAVISINNES LSLJJ: Megaloblastic anaemia of pregnancy and the puerperium. Brit. Med. J. 2: 31, 1942. CrossrefMedlineGoogle Scholar35. BADENOCHCALLENDEREVANSTURNBULLWITTS DMSTJRNLJ: Megaloblastic anaemia of pregnancy and the puerperium. Brit. Med. J. 1: 1245, 1955. CrossrefMedlineGoogle Scholar36. WILLMUELLERBRODINEKIELYFRIEDMANHAWKINSDUTRAVILTER JJJFCCEBVRJRW: Folic acid and vitamin B12 in pernicious anemia. J. Lab. Clin. Med. 53: 22, 1959. MedlineGoogle Scholar37. ROBB P: Folic acid deficiency in pregnancy. Lancet 1: 168, 1965. CrossrefMedlineGoogle Scholar38. BALLGILES EWC: Folic acid and vitamin B12 levels in pregnancy and their relation to megaloblastic anaemia. J. Clin. Path. 17: 165, 1964. CrossrefMedlineGoogle Scholar39. HERBERT V: Megaloblastic anemias—mechanisms and management. DM, p. 1, August 1965. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, New YorkFrom the Departments of Medicine of the Albert Einstein College of Medicine, of the Columbia University College of Physicians and Surgeons, and of the Bronx Municipal, Presbyterian, and Francis Delafield Hospitals, New York, N. Y.This study was supported by grant U-1438 from the Health Research Council of the City of New York and by grants 5M 01 00050 and CA-02332 from the National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Christine Lawrence, M.D., Department of Medicine, Jacobi Hospital, Pelham Parkway, Bronx, N. Y. 10461. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFolic Acid and Vitamin B 12 Deficiency in Pregnancy and in the Neonatal PeriodErythropoeseNutrition and PregnancyThe Serum Vitamin B12 Level: Its Assay and SignificanceFolic acid deficiency in the United States: Folate assays in a prenatal clinicExtraction of serum vitamin B12 for radio-isotopic and Lactobacillus leichmannii assay.Comparison of results of microbiologic and radioisotopic assays for serum vitamin B12 during pregnancyCyanocobalamin und FolsäureErIence with-a commercial radioassay for vitamin B1 2The Use of Chicken Serum for Measurement of Serum Vitamin B 12 Concentration by Radioisotope Dilution: Description of Method and Comparison with Microbiological Assay ResultsApplication of competitive ligand binding for the radioassay of vitamin B12 and folic acidFolate in Tropical SprueComparison of Three Methods for Measuring Vitamin B 12 in Serum: Radioisotopic, Euglena gracilis and Lactobacillus leichmanniiCorrelation of folate metabolism and socioeconomic status in pregnancy and in patients taking oral contraceptivesFolic acid in pregnancyLOW SERUM B12 LEVELS AND LATENT ADDISONIAN ANAEMIA IN PREGNANCYMegaloblastic Anemia of Pregnancy Simulating Acute LeukemiaPAUL H. LEVINE, M.D., ROGER D. HAMSTRA, M.D.Folic acid deficiency in pregnancyReferencesCORRELATION BETWEEN VITAMIN B12 CONCENTRATION IN SERUM AND MUSCLE IN LATE PREGNANCYFolic Acid Deficiency in ManRemission of folic acid deficiency in pregnancyINTRINSIC-FACTOR ANTIBODY, PARIETAL-CELL ANTIBODY, AND LATENT PERNICIOUS ANÆMIA IN DIABETES MELLITUSSERUM VITAMIN B12 LEVELS IN PREGNANT WOMENTropical SprueFOLIC ACID AND VITAMIN B12 SUPPLEMENTATION DURING PREGNANCY IN A POPULATION SUBSISTING ON A SUBOPTIMAL DIET*THE TYPES AND INCIDENCE OF ANAEMIA OF PREGNANCY IN SOUTH AUSTRALIA 1 January 1967Volume 66, Issue 1Page: 25-34KeywordsAnemiaAttentionBirthFolate deficiencyFolic acidHospital medicineMegaloblastic anemiaPathogensPregnancySurgeons Issue Published: 1 January 1967 PDF downloadLoading ..." @default.
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