Display options
Share it on

Hemasphere. 2020 Aug 12;4(4):e446. doi: 10.1097/HS9.0000000000000446. eCollection 2020 Aug.

Recommendations for Pregnancy in Rare Inherited Anemias.

HemaSphere

Ali T Taher, Achille Iolascon, Charbel F Matar, Rayan Bou-Fakhredin, Lucia de Franceschi, Maria Domenica Cappellini, Wilma Barcellini, Roberta Russo, Immacolata Andolfo, Paul Tyan, Beatrice Gulbis, Yesim Aydinok, Nicholas P Anagnou, Gabriela Amstad Bencaiova, Hannah Tamary, Patricia Aguilar Martinez, Gianluca Forni, Raffaele Vindigni

Affiliations

  1. Division of Hematology and Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
  2. Department of Molecular Medicine and Medical Biotechnologies, University Federico II of Naples, Italy.
  3. CEINGE Advanced Biotechnologies, Naples, Italy.
  4. Department of Medicine, Section of Internal Medicine, University of Verona, Policlinico GB Rossi, AOUI, Verona, Italy.
  5. Department of Clinical Sciences and Community, University of Milan, IRCCS Ca' Granda Foundation Maggiore Policlinico Hospital, Milan, Italy.
  6. Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  7. Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
  8. Departments of Clinical Chemistry and Molecular Genetics, Academic Hospital Erasme, Free University of Brussels, Brussels, Belgium.
  9. Department of Pediatric Hematology and Oncology, Ege University Hospital, Izmir, Turkey.
  10. Cell and Gene Therapy Laboratory, Centre of Basic Research II, Biomedical Research Foundation of The Academy of Athens (BRFAA), Athens, Greece.
  11. Department of Obstetrics and Antenatal Care, University Hospital Basel, Basel, Switzerland.
  12. Department of Pediatric Hematology-Oncology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.
  13. Department of biological hematology, CHU de Montpellier, and Montpellier University, Montpellier, France.
  14. Centro della Microcitemia e delle Anemie Congenite, Ospedale Galliera, Genova, Italy.
  15. United Onlus - Federazione Italiana delle Thalassemie, Emoglobinopatie Rare e Drepanocitosi, Ferrara, Italy.

PMID: 32885142 PMCID: PMC7437563 DOI: 10.1097/HS9.0000000000000446

Abstract

Rare inherited anemias are a subset of anemias caused by a genetic defect along one of the several stages of erythropoiesis or in different cellular components that affect red blood cell integrity, and thus its lifespan. Due to their low prevalence, several complications on growth and development, and multi-organ system damage are not yet well defined. Moreover, during the last decade there has been a lack of proper understanding of the impact of rare anemias on maternal and fetal outcomes. In addition, there are no clear-cut guidelines outlining the pathophysiological trends and management options unique to this special population. Here, we present on behalf of the European Hematology Association, evidence- and consensus-based guidelines, established by an international group of experts in different fields, including hematologists, gynecologists, general practitioners, medical geneticists, and experts in rare inherited anemias from various European countries for standardized and appropriate choice of therapeutic interventions for the management of pregnancy in rare inherited anemias, including Diamond-Blackfan Anemia, Congenital Dyserythropoietic Anemias, Thalassemia, Sickle Cell Disease, Enzyme deficiency and Red cell membrane disorders.

Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Hematology Association.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

References

  1. Haematologica. 2019 Aug;104(8):1554-1564 - PubMed
  2. Blood. 2017 Oct 5;130(14):1671-1674 - PubMed
  3. Int J Gynaecol Obstet. 2007 Jan;96(1):8-11 - PubMed
  4. Haematologica. 2012 Dec;97(12):1786-94 - PubMed
  5. Am J Hematol. 2018 Dec;93(12):1509-1517 - PubMed
  6. Bone Marrow Transplant. 2002 Apr;29(8):681-2 - PubMed
  7. Haematologica. 2000 Jul;85(7):753-7 - PubMed
  8. Am J Hematol. 2017 Jun;92(6):E96-E99 - PubMed
  9. Blood. 2010 Nov 11;116(19):3715-23 - PubMed
  10. Br J Haematol. 1999 Oct;107(1):49-54 - PubMed
  11. Am J Hematol. 2011 Oct;86(10):827-34 - PubMed
  12. Blood. 1996 Mar 1;87(5):1763-70 - PubMed
  13. Arch Gynecol Obstet. 1993;253(1):37-42 - PubMed
  14. Hematol Oncol Clin North Am. 2018 Apr;32(2):297-315 - PubMed
  15. Nat Genet. 1999 Feb;21(2):169-75 - PubMed
  16. Int J Womens Health. 2016 Sep 08;8:441-51 - PubMed
  17. Eur J Haematol. 2010 Jul;85(1):20-5 - PubMed
  18. Blood Rev. 2013 Jul;27(4):167-78 - PubMed
  19. Eur J Haematol. 2008 Oct;81(4):317-21 - PubMed
  20. Case Rep Womens Health. 2017 Oct 02;16:4-7 - PubMed
  21. Obstet Gynecol. 2009 Dec;114(6):1326-31 - PubMed
  22. MMWR Recomm Rep. 1998 Apr 3;47(RR-3):1-29 - PubMed
  23. Obstet Gynecol. 1997 May;89(5 Pt 2):805-7 - PubMed
  24. Bull World Health Organ. 2001;79(8):704-12 - PubMed
  25. Lancet. 2018 Jan 13;391(10116):155-167 - PubMed
  26. Best Pract Res Clin Obstet Gynaecol. 2012 Feb;26(1):37-51 - PubMed
  27. Hemoglobin. 2010 Jun;34(3):240-50 - PubMed
  28. Eur J Obstet Gynecol Reprod Biol. 2010 Oct;152(2):138-42 - PubMed
  29. Am J Hematol. 2014 Oct;89(10):E169-75 - PubMed
  30. Blood. 2017 Oct 5;130(14):1674-1676 - PubMed
  31. Haematologica. 2016 Nov;101(11):1284-1294 - PubMed
  32. Br J Haematol. 2004 Apr;125(2):243-52 - PubMed
  33. Acta Haematol. 1984;72(1):29-33 - PubMed
  34. BMJ Open. 2019 Sep 9;9(9):e026497 - PubMed
  35. Q J Med. 1973 Apr;42(166):257-78 - PubMed
  36. Am J Med Genet. 2001 Jul 1;101(3):268-74 - PubMed
  37. Br J Haematol. 2011 Nov;155(3):308-17 - PubMed
  38. J Pediatr Endocrinol Metab. 1998;11 Suppl 3:935-43 - PubMed
  39. PLoS One. 2016 Oct 24;11(10):e0165238 - PubMed
  40. Br J Haematol. 1989 Sep;73(1):112-20 - PubMed
  41. Eur J Obstet Gynecol Reprod Biol. 2015 Nov;194:183-8 - PubMed
  42. Pediatr Blood Cancer. 2014 Aug;61(8):1460-2 - PubMed
  43. Cardiovasc Hematol Disord Drug Targets. 2009 Dec;9(4):271-92 - PubMed
  44. N Engl J Med. 1988 Dec 1;319(22):1447-52 - PubMed
  45. Indian J Hematol Blood Transfus. 2016 Jun;32(Suppl 1):272-7 - PubMed
  46. Blood. 2006 Jan 1;107(1):334-40 - PubMed
  47. Int J Hematol. 2016 May;103(5):537-44 - PubMed
  48. Am J Hematol. 2019 Dec;94(12):E328-E331 - PubMed
  49. Postgrad Med. 2019 May;131(4):261-267 - PubMed
  50. Bull World Health Organ. 2008 Jun;86(6):480-7 - PubMed
  51. Obstet Gynecol. 1980 Mar;55(3 Suppl):42S-44S - PubMed
  52. Curr Opin Hematol. 2011 May;18(3):146-51 - PubMed
  53. Blood. 2013 May 9;121(19):3925-35, S1-12 - PubMed
  54. Pediatr Endocrinol Rev. 2011 Mar;8 Suppl 2:345-7 - PubMed
  55. Am J Perinatol. 2014 Oct;31(9):805-9 - PubMed
  56. Br J Haematol. 2015 Apr;169(1):129-37 - PubMed
  57. Blut. 1990 Aug-Sep;61(2-3):47-51 - PubMed
  58. Hematol J. 2000;1(3):146-52 - PubMed
  59. Acta Haematol. 2009;122(2-3):155-64 - PubMed
  60. Masui. 2010 Jun;59(6):776-9 - PubMed
  61. Acta Obstet Gynecol Scand. 2006;85(1):49-55 - PubMed
  62. Best Pract Res Clin Obstet Gynaecol. 2017 Feb;39:89-100 - PubMed
  63. Lancet. 2012 Dec 15;380(9859):2197-223 - PubMed
  64. Blood Adv. 2020 Jan 28;4(2):327-355 - PubMed
  65. Blood. 2018 May 17;131(20):2183-2192 - PubMed
  66. Taiwan J Obstet Gynecol. 2018 Apr;57(2):323-324 - PubMed
  67. Ann Hematol. 2012 Jul;91(7):1107-14 - PubMed
  68. Br J Haematol. 2000 Nov;111(2):467-73 - PubMed
  69. Haematologica. 2006 Apr;91(4):530-3 - PubMed
  70. Obstet Gynecol. 2007 Feb;109(2 Pt2):553-5 - PubMed
  71. Matern Child Health J. 2013 Feb;17(2):200-7 - PubMed
  72. Eur J Obstet Gynecol Reprod Biol. 2005 Oct 1;122(2):182-6 - PubMed
  73. Obstet Gynecol. 1994 May;83(5 Pt 2):827-9 - PubMed
  74. Pediatr Clin North Am. 2013 Dec;60(6):1291-310 - PubMed
  75. Am J Hematol. 2020 Feb;95(2):188-197 - PubMed
  76. Transfusion. 2015 Jan;55(1):36-44 - PubMed
  77. J Pediatr. 2005 Nov;147(5):669-73 - PubMed
  78. Br J Haematol. 1969 Jul;17(1):11-26 - PubMed
  79. Lancet. 2013 Jan 12;381(9861):142-51 - PubMed
  80. Expert Rev Hematol. 2016 Mar;9(3):283-96 - PubMed
  81. Haematologica. 2017 Aug;102(8):1304-1313 - PubMed
  82. Haematologica. 2010 Aug;95(8):1236-40 - PubMed
  83. Am J Obstet Gynecol. 2001 Jul;185(1):238-9 - PubMed
  84. Blood. 2015 Nov 19;126(21):2424-35; quiz 2437 - PubMed
  85. Clin Genet. 2014 Mar;85(3):293-5 - PubMed
  86. Int J Mol Sci. 2018 Jan 08;19(1): - PubMed
  87. Mediterr J Hematol Infect Dis. 2019 Mar 01;11(1):e2019019 - PubMed
  88. Transfusion. 2002 Jan;42(1):37-43 - PubMed
  89. Haematologica. 2019 Aug;104(8):e335-e339 - PubMed
  90. Am J Obstet Gynecol. 2008 Aug;199(2):125.e1-5 - PubMed
  91. BJOG. 2020 Sep;127(10):1210-1215 - PubMed
  92. Transfusion. 2018 Sep;58(9):2192-2201 - PubMed
  93. Front Physiol. 2019 Jul 03;10:815 - PubMed
  94. Br J Haematol. 2019 Oct;187(1):13-24 - PubMed
  95. Haematologica. 2010 Mar;95(3):376-81 - PubMed
  96. Haematologica. 2004 Mar;89(3):348-56 - PubMed
  97. Br J Haematol. 2019 Mar;184(5):721-734 - PubMed
  98. Semin Thromb Hemost. 2011 Apr;37(3):226-36 - PubMed
  99. Blood. 2002 Oct 15;100(8):2687-91 - PubMed
  100. Lancet. 1993 Apr 24;341(8852):1088 - PubMed
  101. Circulation. 2013 Mar 26;127(12):1317-29 - PubMed
  102. Br J Haematol. 2018 Sep;182(5):620 - PubMed
  103. Am J Obstet Gynecol. 1985 Oct 1;153(3):313-4 - PubMed
  104. Eur J Intern Med. 2012 Sep;23(6):529-33 - PubMed
  105. Br J Haematol. 2008 Sep;142(6):859-76 - PubMed
  106. Am J Hematol. 2018 Jan;93(1):107-121 - PubMed
  107. Bone Marrow Transplant. 2001 Feb;27(4):381-6 - PubMed
  108. Expert Rev Hematol. 2014 Jun;7(3):359-72 - PubMed
  109. Semin Hematol. 2006 Jul;43(3):167-77 - PubMed
  110. Br J Haematol. 2012 Mar;156(5):588-600 - PubMed
  111. Ann Hematol. 2017 Jun;96(6):1015-1021 - PubMed
  112. Eur J Haematol. 2014 Dec;93(6):492-9 - PubMed
  113. Blood. 1992 Apr 15;79(8):2154-63 - PubMed
  114. Int J Gynaecol Obstet. 2002 Nov;79(2):93-100 - PubMed
  115. Mediterr J Hematol Infect Dis. 2019 Jan 01;11(1):e2019002 - PubMed
  116. J Obstet Gynaecol. 2013 Jul;33(5):527 - PubMed
  117. Blood Rev. 2007 Jan;21(1):1-20 - PubMed
  118. Obstet Gynecol. 2008 Jul;112(1):201-7 - PubMed
  119. Eur J Obstet Gynecol Reprod Biol. 2005 May 1;120(1):117-8 - PubMed
  120. Am J Prev Med. 2010 Apr;38(4 Suppl):S512-21 - PubMed
  121. Hematology Am Soc Hematol Educ Program. 2005;:58-65 - PubMed
  122. Am J Hematol. 2018 May;93(5):672-682 - PubMed
  123. Blood. 2015 May 21;125(21):3316-25 - PubMed
  124. Am J Hematol. 2006 Jul;81(7):499-502 - PubMed

Publication Types