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Iron indicators in the umbilical blood of premature children born using IVF technology

https://doi.org/10.51793/OS.2022.25.8.011

Abstract

It is vital to maintain iron metabolism within strict limits. Both the deficiency and excess of this metal in the body is manifested by numerous pathologies. Of interest is the comparison of iron metabolism in premature infants born using in vitro fertilization technology and premature infants born after conventional conception, because. such studies are being conducted for the first time and may contribute to improving the quality of care for such children. The purpose of the study is to conduct a comparative study of iron metabolism indicators, in particular, serum transferrin receptor (sTfR), ferritin, ferritin index (sTfR/logFer) and others in children born using IVF technology and children born after traditional conception. The main indicators of the hemogram and the main indicators of ferrokinetics have been studied. There were no significant differences in iron metabolism in full-term after traditional conception and as a result of the in vitro fertilization procedure. In premature infants born as a result of the IVF procedure, the hemoglobin level was 13.35 ± 0.55 g/dl, and the serum iron level was 16.16 ± 0.97 μmmol/l. ferritin level 128.64 ± 11.22 μg/l, level of soluble transferrin receptor 10.34 ± 0.57 mg/l, transferrin iron saturation 52.14 ± 3.27%, ferritin index 4.98 ± 0.1. According to the data obtained, premature babies born through the in vitro fertilization procedure had significant differences with premature babies born as a result of traditional conception in four indicators. 1. The level of ferritin in these children is significantly lower. 2. The ferritin index is significantly higher than in premature babies born as a result of traditional conception of the same gestational age. 3. the level of soluble transferrin receptor is significantly higher than in preterm infants born as a result of traditional conception of the same gestational age. 4. The percentage of transferrin saturation with iron in preterm infants born under the in vitro fertilization procedure does not differ from the percentage of transferrin saturation with iron in full-term healthy children, in contrast to premature children born as a result of traditional conception, in which this percentage is significantly lower.

About the Authors

N. P. Provatar
Federal State Budgetary Educational Institution of Higher Education Astrakhan State Medical University of the Ministry of Health
Россия

Natalia P. Provatar, PhD student of the Department of Neonatology

121 Bakinskaya str., Astrakhan, 414000



E. I. Kashirskaya
Federal State Budgetary Educational Institution of Higher Education Astrakhan State Medical University of the Ministry of Health
Россия

Elena I. Kashirskaya, Dr. of Sci. (Med.), Head of the Department
of Neonatology

121 Bakinskaya str., Astrakhan, 414000



V. N. Kuz'min
Federal State Budgetary Educational Institution of Higher Education A. I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health
Россия

Vladimir N. Kuzmin, Dr. of Sci. (Med.), Professor, Head of the Center for Perinatal Infections, Department of Reproductive Medicine and Surgery

20/1 Delegatskaya str., Moscow, 127473



A. A. Nikolaev
Federal State Budgetary Educational Institution of Higher Education Astrakhan State Medical University of the Ministry of Health
Россия

Aleksandr A. Nikolaev, Dr. of Sci. (Med.), Professor, Head of the
Department of Chemistry

121 Bakinskaya str., Astrakhan, 414000



I. I. Erachin
State Budgetary Healthcare Institution of the Astrakhan Region Alexander-Mariinsky Regional Clinical Hospital
Россия

Ivan I. Erachin, chief specialist in neonatological care, anesthesiologistresuscitator

2 Tatishcheva str., Astrakhan, 414056



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Review

For citations:


Provatar N.P., Kashirskaya E.I., Kuz'min V.N., Nikolaev A.A., Erachin I.I. Iron indicators in the umbilical blood of premature children born using IVF technology. Lechaschi Vrach. 2022;(7-8):71-75. (In Russ.) https://doi.org/10.51793/OS.2022.25.8.011

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ISSN 1560-5175 (Print)
ISSN 2687-1181 (Online)