Anaemia in pregnancy Flashcards
1
Q
Physiological changes
A
Increase in demand for iron and folate
Increased plasma volume with less increase in rbc mass leading to relative haemodilution
2
Q
Diagnosis
A
Consider <10.5
Symptoms not useful as many are the usual pregnancy symptoms
3
Q
Iron deficiency anaemia findings
A
Decreased MCV, MCH and MCHC
Serum ferratin <80micrograms/l
4
Q
Iron deficiency anaemia risk factors
A
Poor diet Previous menorrhagia Recent previous pregnancies Multiple pregnancy Excessive blood loss at delivery
5
Q
Folate deficiency
A
MCV >100fl
MCV may rise in normal pregnancy
Confirm diagnosis by serum and red cell folate levels
