Anemia in Pregnancy

Question 1

total amount of iron needed in pregnancy

Answer 1

1000 mg

Question 2

amount of iron needed by fetus

Answer 2

300 mg

Question 3

Amount of iron lost by delivery

Answer 3

250 mg

Question 4

Daily req of iron in pregnancy

Answer 4

4-6 mg / day

Question 5

When is anemia mukt bharat programme started during pregnancy

Answer 5

4th month - continued 180 days after delivery to replenish stores.

Question 6

Hb is never < ____ in physiological anemia

Answer 6

11 g / dl

Question 7

Severe anemia in pregnancy Hb ___

Answer 7

Hb < 7g%

Question 8

Very Severe anemia in pregnancy Hb _____

Answer 8

Hb < 4g%

Question 9

MCC of anemia in preg.

Answer 9

Physiological > IDA

Question 10

MCC of pathological anemia in pregnancy

Answer 10

IDA

Question 11

First / More sensitive marker for FDA

Answer 11

S. Ferritin < 30 mg / dl

Question 12

MCC of megaloblastic anemia in preg.

Answer 12

Folic Acid Deficiency

Question 13

Dose of folic acid in Megaloblastic anemia in preg.

Answer 13

4 mg / day

Question 14

MCC of Anemia after bariatric Sx

Answer 14

Vit B12 deficiency

Question 15

MC indirect cause of Maternal mortality

Answer 15

Anemia

Question 16

MC type of anemia in pregnancy in developing countries

Answer 16

Dimorphic anemia

Question 17

Therapeutic dose of oral iron tablets in IDA

Answer 17

2-3 tabs per day given till blood parameters become normal

Question 18

Hb increases after ____ of oral Fe therapy

Answer 18

3 weeks

Rate of inc is 0.7 - 1 g % / week

Question 19

Problems of oral Iron therapy

Answer 19

Poor compliance
GI side effects
contra indicated in inflammatory bowel disease
cannot be used in Patients after bariatric surgery

Question 20

Examples of parenteral Iron

Answer 20

LMW dextran
Irin sucrose
Ferric carboxymaltase

Question 21

Formula to calculate dose of iron according to Hb deficit

Answer 21

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

Question 22

Indications for blood transfusion in pregnancy

Answer 22

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