Anemia in Pregnancy PDF

## Anemia in Pregneney ### Definition It is a condition in which Haemoglobin concentration is reduced in blood below the lower limit of the normal range for the age and sex of the individual, termed as anemice. * **Anemia in Pregneney** * Hb < 119%. * **Severe anemia in Pregnency** * Hb...

## Anemia in Pregneney ### Definition It is a condition in which Haemoglobin concentration is reduced in blood below the lower limit of the normal range for the age and sex of the individual, termed as anemice. * **Anemia in Pregneney** * Hb < 119%. * **Severe anemia in Pregnency** * Hb < 79%. * **Very severe unemia in Pregnancy** * Hb < 49%. ### Physiological amemice * Give to Haemodiction * Hb is never <119% ### Huemornheric * **Acute** - APH, Coma, chronic piles, worms * **Munow** - congenitue - Thevelssemia, sickle cell borouva * **Trimester** - Aruined - wise - defination as per | Trimester | Hb | |---|---| | 1st | <11% | | 2nd | <20.5 g% | | 3rd | 210.59-219% | | Post puutum | 2 20% - | ### Culuses of Anemia during pregnenery * **Increased demand of iron** * The demand of iron during pregnency is increased * Fetus also required iron which obtain from mother * So increase demand of iron may cause decrease of iron lead to anemice (Muutiple pregnener) * **Diminished intake of iron** * Socioeconomic funtor * feurity diet heubbit * loss of upperite * Vomiting * Diminished absorption * Acid environment favounible for iron absorption but any disturbed occur in this lead to disturebed absorption of iron * H₂ Blocker, Antacid, Biminished absoruption * Disturbed Metabolism * Presence of infeverion, Ofor asimptomutic Baururice may distured Metabolism. * Pre-Pregnent heuth Status * There is inusque inon neserve in prepragnent women * Other cuise * Muutiple pregnenet with encupidly accurring * women Poirme * Teenye pregnenuy * This cind of condition may not fulfill the demand of inon during pregneney condition lead to anemice ### Clinical feultures #### Symptoms * Feurique * Werckness * Anarexica und indigestion * Hendene * pupitution * Dyspreu * giddiness. #### Signs on examination * Puwar * grossitis and stomatitis * Edema of leg * Soft Systolic Murmur * Erepitution heund at the buse of lung due to congestion ### Screening of Anemice in prepnemey * Should be done in ll femules * Done ut yst antenitul visit * Gepented between 24-28 Weeks * Screening is done by coudoing complete blood count ### Genereel treutment * Diutery management by Providing diet vich protein and inon and vitumins. * To Improve the upperite and fucillanc digestion. * Anal inon * Therapeutic dose - 2-3 tablets of fe (day. * It is given till blood Parameter become normal * $ + $ blood perimeter to improve = Reticulocyte count * It Stents incresing within 7 days and muximum Geured 10 days * Hb ingeses after 3 Weeks * Rute of increse of Hbz 0.7-299-/ Week * Maintenance dose - 1 tab (day * it is given throughout pregnaney # 180 deris after deliever * Problems Of anal fe * Poor GI side effrents * Compliance - ZBD * can not be used in inflammatory bowel disease coliseuse like wcerative colitis and crotith `s disuse * cun not be used in patilit after bariatric surgery * Parenteral Pron * Exumpres * L000 Moчесиии Weight Dextuun * Pron sucrose * Ferric curboxy mutose * Rave of incnese of Hb ufter Parenteral iron is sume as thelt of Orel iron * Advantages * Not Patient dependent * Junge amout cun be given in 4 single Infusion * NO GI side effrents * cun be used Patients of IBD , Mulcibsorption following buriutoric Surgery * Blood Trunfusion #### Indication * Pregneney L 34 Weeks + Hb <5990 * Pregneney ≥ 34 weeks + HbL7g1. * At time of labor + Hb <79% * Acute Huemorrhoenge causing Hb <69%. * Any time in patient with heut Fuinre with 100 Hb. * <30 weeks -> Anal Inon * 32-36 weeks -> purenturen 25on * > 36 week -> BT * PCV * whole blood #### Thence * Ferrum met * ferrum phos * Nutrum mur * China * kull carb * lecithin } Predo prathara } school going girl } veneving for salt } loss of vital fiuid } Phosphate cind brin wimes } Murrive deticierly diabetes