6 - Obs - Other Medical Disorders in Pregnancy - Anaemia in pregnancy

Question 1

4 main types?

Answer 1

iron def
folic acid
sickle cell disease
thalassaemias

Question 2

Iron def - >?% of women.

• mean cell ?, mean cell ? ? and ? reduced/normal.
• Prophylaxis: disputed - trt if ? <11g/dL
• ? poorly tolerated - ? for rapid response if ? anaemia

Answer 2

10
volume
Hb conc
ferritin
Hb
iron
IV
severe

Question 3

During preg - ? and ? acid req increase - and iron ? is x3

High Hb is assw incr risk of preg ?, ????, and ? delivery

Answer 3

iron
folic
absorption
complx, IUGR, preterm

Question 4

Dietary advice to avoid anaemia

• food rich in iron = ?, esp ? and liver, eggs, ? vegetables
• food rich in folic acid = ? cooked or ? green ?, fish
• ? is not recommended in pregnancy

Answer 4

meat
kidney
green

lightly
raw
vegetables

guiness

Question 5

Folic acid def - rarer
MCV ? or ? - red cell ? reduced
-prophylaxis - ? acid - routine in ? preg and ?
-High dose if ? or previous ???

Answer 5

raised or normal
folate
folic
early
preconceptually
epileptic
NTDs

Question 6

Sickle cell disease -

• incr ? mortality, thrombosis,
• MGMT - ? transfusions, ? acid, avoid precipitation factors for crises, avoid ? if homozygous
• test ? and offer ? diagnosis if ?

Answer 6

perinatal
exchange
iron
partner
prenatal
carrier