Anaemia_Flashcards

Question 1

What is the antenatal treatment for iron deficiency anaemia (IDA)?

Answer 1

The antenatal treatment for IDA is 100-200mg oral iron (ferrous sulphate) for IDA, defined by Hb <110g/l in the 1st trimester, <105g/l in the 2nd/3rd trimester, and <100g/l postpartum.

Question 2

When should Hb be re-checked after starting oral iron for IDA?

Answer 2

Hb should be re-checked in 2-3 weeks after starting oral iron.

Question 3

How long should oral iron be continued once Hb is in the normal range?

Answer 3

Once Hb is in the normal range, continue oral iron for 3 months and until 6 weeks postpartum to replenish iron stores.

Question 4

What dietary advice should be given for increasing iron, B12, and folate?

Answer 4

Increase animal food in diet and advice: Iron - green leafy vegetables, nuts, beans, seeds; B12 - meat and dairy; Folate - green leafy vegetables, nuts, yeast, liver.

Question 5

What is the intrapartum management for women with anaemia?

Answer 5

Advise to deliver in the labour ward, ensure IV access and group and screen on admission, and actively manage the 3rd stage of labour.

Question 6

What considerations should be taken for the management of postpartum haemorrhage (PPH) in women with anaemia?

Answer 6

Consider active management of PPH and prophylactic syntocinon infusion.