1 / 13

ANAEMIA IN PREGNANCY

ANAEMIA IN PREGNANCY. AHMED ABDULWAHAB. It is the commonest medical disorder of pregnancy. Physiological changes. Plasma volume increase by 50%. Red cell mass increase by 25%. Fall in Hb concentration and haematocrit due to haemodilution. MCV increase secondary to erythropoiesis. Cont,

dolan-tran
Download Presentation

ANAEMIA IN PREGNANCY

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. ANAEMIA IN PREGNANCY AHMED ABDULWAHAB

  2. It is the commonest medical disorder of pregnancy. • Physiological changes. • Plasma volume increase by 50%. • Red cell mass increase by 25%. • Fall in Hb concentration and haematocrit due to haemodilution. • MCV increase secondary to erythropoiesis.

  3. Cont, • MCHC remain stable. • Serum iron and ferritin decrease because of utilization . • Total iron binding capacity increases TIBC • Iron requirement increases total of 1000mg in whole pregnancy. • Moderate increase in iron absorption . • Folate requirement increases

  4. DEFINTION.. • WHO recommended that Hb concentration should fall below 11gm/dl in pregnancy to diagnose anemia. • Incidence 30-50% pregnant women are having anemia at pregnancy. • 90% have iron deficiency anemia . • 5% folate deficiency .

  5. CLINICAL FEATURE. • Often asymptomatic. • Diagnosed in routine screening . • Other ,tiredness, dizziness ,fainting , pallor may be apparent

  6. SCREENING . • Routine screened by Hb concentration at the beginning of pregnancy . • It is cheep and simple.. • It does not reveal the cause .

  7. IRON DEFICENCY ANAEMIA . • It is microcytic hypochromic . Reduced MCV . MCHC. • Etiology . • Increase demand in pregnancy due to expanding red cell mass, fetal requirement .If iron stores are depleted because of menstruation , recurrent pregnancy ,poor intake , anemia develops rapidly

  8. CONSEQUENCES . • Preterm labor. • Infection • Medical intervention during labor . • Post partum blood loss. • ? IUGR.

  9. TREATMENT. • Oral iron is effective when there is time . • Hb increase 0.8 g/dl per week • Ferrous salt is better absorbed than the ferric form . • Side effect depends on the amount of the of the elemental iron . • Choice depends on cost and patient tolerance .

  10. Cont. • Vitamin –C helps absorption . • Main side effect are gastro intestinal , gastric upset and constipation . • Indication for parenteral thereby . • Lack of compliance , severe GIT side effect, mal absorption • Intera muscular iron sorbitol

  11. Cont. • Deep im it is painful cause discoloration of the skin . • High level may be excreted before utilization . • IV IRON . • Iron saccharate cause more rapid rise in Hb and has fewer side effect. Compared

  12. Cont • To oral iron but more invasive , need admission to hospital , it is true alternative to blood transfusion. • Blood transfusion , • Most rapid way to increase the Hb . • Used when there is no time to correct anemia . • Risks include allergy and transmission of infection

  13. Cont. • Prevention is possible with good balanced diet . • Identification and treatment of iron deficiency prior to pregnancy are optimal . • Routine iron supplementation in pregnancy improve in hematological indices.

More Related