Anaemia in pregnancy Flashcards

1
Q

What complications does anaemia predispose to in pregnancy?

A
Small PPHs becoming life threatening 
PPH
Infection
Worsens HF
perinatal problems s malaria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is anaemia during pregnancy defined as?

A

Definition: Hb <105g/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the physiological changes in Hb in pregnancy?

A

steep fall around 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are RF for anaemia in pregnancy?

A
  • Those who start pregnancy anaemic e.g. menorrhagia, hookworm, malaria, w haemoglobinopathies
  • Frequent pregnancies
  • Twin pregnancy
  • Poor diet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When can anaemia be identified in pregnancy?

A

Hb estimation at booking and 28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What group of patients should be identified for sickle cell anaemia?

A

black pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are investigations, what would u expect to see?

A
  1. FBC - reduced MCV
  2. In iron deficiency - serum iron, TIBC and serum ferritin reduced
  3. in folate deficiency - raised MCV, serum and red cell folate decreased
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are causes of anaemia in pregnancy?

A
  1. Iron deficiency
  2. Folate deficiency
  3. Coeliac, CKD and autoimmune disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How much does pregnancy increase iron needs?

A

by 700-1400mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Rx

A
  1. Iron and folate supplements
  2. Oral iron e.g. ferrous sulphate
  3. Parenteral iron in those who would refuse blood transfusion as iron dextran or iron sucrose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When is iron contraindicated as a treatment for anaemia

A

thalassaemia

iron levels already high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should be given for pregnant women w sickle cell disease?

A

penicillin pneumococcal prophylaxis can be started

How well did you know this?
1
Not at all
2
3
4
5
Perfectly