ANEMIA IN PREGNANCY Flashcards
Definition of anemia in pregnancy
Hb <11g/dl
Severe anemia Hb value
<7g/dl
Maternal complications of anemia
Increased miscarriage
Preterm delivery
Increased complications from APH and PPH
Increased maternal mortality
Perinatal loss
Foetal complications of anemia
Foetal growth restriction
Prematurity
Foetal death
Symptoms of anemia
General weakness
Easy fatiguability
Dizziness
Swelling of feet
Signs of anemia
Mucosal pallor
Hepatosplenomegaly
Jaundice
Heart failure in severe cases
Treatment objectives for anema in pregnancy
To relieve symptoms
To correct haemoglobin level
To identify and treat underlying cause
To recognize and manage the associated complication
Investigations in anemia
FBC
Peripheral blood film comment
Blood film for malaria parasites
Sickling and Hb electrophoresis
G6PD activity
Iron studies
Stool analysis
Urinalysis
Purpose of stool analysis in anemia
hookworm ova
Purpose of urine analysis in anemia
schistosoma ova and urobilinogen
Nonpharmacological management for anemia in pregnancy
Intake of foods rich in iron, folate, vitamins B and
Protein rich foods must also be included in the diet
Avoid tea, coffee, bran, cola and eating clay
Interactions of clay and iron
inhibits iron absorption
Treatment of anemia in pregnancy
Ferrous sulphate, oral, 325 mg 8 hourly
Or
Ferrous gluconate, oral, 300 mg 8-12 hourly
And
Folic Acid, oral, 5 mg daily
Blood transfusion
What drug is given before transfusing blood
Furosemide IV, 20-40 mg
When is evaluation of Hb level done for patients on oral iron therapy
Evaluate after 4-6 weeks
