Anaemia In Pregnancy

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Anaemia In Pregnancy

See also Anaemia

• more common in developing countries
  • increased phytates reduce iron absorption
  • hookworm increases GI tract iron losses
• increasing demands on iron during pregnancy
  • about 750mg - 1g over 40weeks , greater towards end

Diagnosis

• iron deficiency
• thalassaemia
• sickle-cell disease

Investigations

• FBC
  • MCV normal if dilutional anaemia
  • megaloblastic (folate deficiency) may be masked in severe anaemia
• Serum Ferritin

Treatment

• Hb >6.5 g/dl
  • oral iron 200mg / day
• Hb <6.5g/dl, unable to take orally, or time to delivery short
  • parenteral iron
  • folate 5mg/day

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