Anemia in Pregnancy Flashcards
total amount of iron needed in pregnancy
1000 mg
amount of iron needed by fetus
300 mg
Amount of iron lost by delivery
250 mg
Daily req of iron in pregnancy
4-6 mg / day
When is anemia mukt bharat programme started during pregnancy
4th month - continued 180 days after delivery to replenish stores.
Hb is never < ____ in physiological anemia
11 g / dl
Severe anemia in pregnancy Hb ___
Hb < 7g%
Very Severe anemia in pregnancy Hb _____
Hb < 4g%
MCC of anemia in preg.
Physiological > IDA
MCC of pathological anemia in pregnancy
IDA
First / More sensitive marker for FDA
S. Ferritin < 30 mg / dl
MCC of megaloblastic anemia in preg.
Folic Acid Deficiency
Dose of folic acid in Megaloblastic anemia in preg.
4 mg / day
MCC of Anemia after bariatric Sx
Vit B12 deficiency
MC indirect cause of Maternal mortality
Anemia
MC type of anemia in pregnancy in developing countries
Dimorphic anemia
Therapeutic dose of oral iron tablets in IDA
2-3 tabs per day given till blood parameters become normal
Hb increases after ____ of oral Fe therapy
3 weeks
Rate of inc is 0.7 - 1 g % / week
Problems of oral Iron therapy
Poor compliance
GI side effects
contra indicated in inflammatory bowel disease
cannot be used in Patients after bariatric surgery
Examples of parenteral Iron
LMW dextran
Irin sucrose
Ferric carboxymaltase
Formula to calculate dose of iron according to Hb deficit
Value = Body wt X (14-Hb) X 2.145 + iron to replenish stores
Above value / c
C= conc of iron /ml in the product given
Indications for blood transfusion in pregnancy
Pregnancy < 34 weeks and Hb < 5g Pregnancy > 34 weeks and Hb < 7g At time of labour and Hb < 7g Acute hemorrhage causing Hb < 6g Anytime in pt with HF and low Hb
