Iron requirements increase during pregnancy, and a failure to maintain sufficient levels of iron may result in adverse maternalfetal consequences. Centers for disease control and prevention to prepare national guidelines and recommendations for the prevention and control of iron deficiency anemia. Anemia is a decrease in number of red blood cells rbcs or less than the normal quantity of hemoglobin in the blood. What medication is used to treat irondeficiency anemia during pregnancy. This volume is intended both to provide a common frame of reference for health professionals in preventing and treating iron deficiency anemia and to enable the u. Prevalence of anemia in pregnant women in district karak. In trinidad as well as in some other caribbean territories, a value of 10. At 1416 weeks first hb estimation has to be done at 1416th week for all the antenatal mothers if the hb is more than 11 gms, give prophylactic dose of ifa tablets. Medication for irondeficiency anemia during pregnancy. Iron deficiency anemia is responsible for 95% of the anemias during pregnancy.
Normal pregnancy is characterized by profound changes in almost every organ system to accommodate the growing and developing fetoplacental unit. Anemia is considered to be a direct cause of 37% of maternal deaths. The patient also said that she had fatigue and was short of breath, these symptoms also indicate anemia. Classification of anemia in pregnancy 3, 5 grossly classified into two types. Anemia is common during pregnancy, but it can lead to serious problems for your unborn child. The major hematologic changes during pregnancy include expanded plasma volume, physiologic anemia, mild neutrophilia in some individuals, and a mildly prothrombotic state. Iron deficiency is seen frequently because of prior menstrual losses, prior pregnancy related losses, and nutritional factors. It will include preconceptual screening and antenatal, intrapartum and postnatal management. The world health organization 1972 defines anaemia in pregnancy as a haemoglobin concentration of less than 11. Scribd is the worlds largest social reading and publishing site. The who reported that a combined treatment with iron and vitamin a. India contributes to about 80 per cent of the maternal deaths due to anemia in south asia. Who estimates that more than half of pregnant women in the world have a haemoglobin level indicative of anaemia pdf file. If the hb is less than 7 gms%, she has to be referred to cemonc centres for blood transfusion and further.
Anemia epidemiology, pathophysiology, and etiology in low. Anemia is the commonest hematological disorder that may occur in pregnancy. Anemia is one of the most frequent complications related to pregnancy. Iron deficiency anemia prevalence of pregnant sierra leone women currently is reported to be 59. Most guidelines recommend an increase in iron consumption by about 15. Continuing education contact hour opportunity assessment. Research article s january, 2016 prevalence of anemia and.
Ida is the most common, particularly in more developed. No consensus, however, has been reached as to the in. This is sometimes called anemia of pregnancy, do not think this is not normal, unless the level is low 4. Pathological anemia of pregnancy is mainly due to iron deficiency beard, 2000. Anemia in pregnancy management guidelines background anemia is very common in pregnant women, and 99% of such women in the united states are iron deficient. A woman who is pregnant often has insufficient iron stores to meet the demands of pregnancy. International journal of gynecology and obstetrics 115s1 2011 s11s15 2. The some other nutritional anemia causes by folic acid, vitamin c, vitamin b 2 and b 12 and copper ahmed, 2000. Anemia is the commonest hematological disorder that occurs in pregnancy.
In uganda, the prevalence of anemia among pregnant women who attended antenatal care was estimated at. Improving management of anemia among pregnant women. During pregnancy, the blood volume of a woman has increased by 50%. Keywords anaemia in pregnancy, iron deficiency anaemia, haemoglobin, ferritin. While some degree of dilutional anemia is part of normal pregnancy physiology, iron deficiency anemia can have serious adverse health consequences for the mother and child. Anemia is a condition in which the body does not have enough healthy red blood cells. Normal physiologic changes in pregnancy affect the hemoglobin hb, and there is a relative or absolute reduction in hb. In cases of severe anemia or ongoing blood loss, a blood transfusion may be necessary especially when delivery is imminent. Prevention good pre pregnancy nutrition helps prevent anaemia as well as build other nutritional stores in the mothers body. However, vitamin b 12 or folic acid deficiency results in blood cells that are larger than normal macrocytic anemia whereas, iron deficiency leads to the production of.
The range of low hb among pregnant women in other developing countries is from 35% to 81% mclean, 2002. The time, when a woman carries a developing of the fetus in her womb. Testing between 24 and 32 weeks is not ideal as the body, at this point, has just had a large surge in blood volume, and it takes a while for all. Pale skin color and pale sclera are both signs that validate the diagnosis of anemia. This affects how well oxygen is delivered from the lungs to the bodys tissues. Iron deficiency anemia in pregnancy hirslanden private hospital. Iron deficiency anemia accounts for 7595% of the cases of anemia in pregnant women. Anemia in pregnancy causes prevention symptoms diagnosis.
Iron deficiency anaemia in pregnancy oxford university hospitals. The very low incidence of anemia in the 1979 study might have been due to the use of a hemoglobin concentration of 10 gdl as the definition of anemia in pregnancy. Anemia in pregnancy health encyclopedia university of. Uk guidelines on the management of iron deficiency in pregnancy. Iron deficiency anaemia may also impair temperature regulation and cause pregnant women to feel colder than normal. With this condition, red blood cells are broken down and absorbed faster than they can be created, which results in anemia. The defined values consistent with anemia in pregnancy are hemoglobin levels less than 11 g per dl 110 g per l in the first or third trimester, or less than. Go to anemia, emergent management of acute anemia, and chronic anemia for complete information on these topics iron deficiency anemia. This causes the concentration of red blood cells in the body to dilute. Anemia is alternately defined as a reduced absolute number of circulating rbcs 12 or a condition in which the number of rbcs and subsequently their oxygencarrying capacity is insufficient to meet physiologic needs. As anaemia is so common during pregnancy, all women in the. During pregnancy, one of the first bodily changes a woman experiences is the expansion of their blood volume by 20 to 30 percent, according to the american society of hematology. Guidelines for the use of iron supplement to prevent and treat iron.
The occurrence of low hemoglobin in our study is 70. The two most common causes of anemia in pregnancy and the puerperium are iron deficiency and acute blood loss. An overview of anemia in pregnancy poliklinika harni. The inci dence of anaemia varies from place to place even within the same country and depends on the socioeconomic status and level of. If you have irondeficiency anemia, it means your body has a low level of iron, which is necessary to build healthy red blood cells. There are over 400 types of anemia, but the vast majority of anemia during pregnancy is caused by low iron, with folate deficiency coming in second. In this rare condition, there is a lack of red blood cells because the bone marrow stops producing them. Whether you have these signs of anemia or not, you will usually be tested at least twice during pregnancy for anemia. Natural remedies for anemia during pregnancy mama natural. Here you can read posts from all over the web from people who wrote about anemia and multiple pregnancies, and check the relations between anemia and multiple pregnancies. Thus, it is critical to distinguish iron deficiency anemia from physiologic anemia, as well as to identify other less common. In india, incidence of anemia in pregnancy has been noted to be as high as 4080%. Of the pathologic causes of anemia in pregnancy, anemia due to iron deficiency.
According to the recent standard laid down by who, anemia is present when the hemoglobin hb concentration in the peripheral blood is 11 gmdl or less. Purpose and scope the purpose of this guideline is to describe the management of pregnant women with sickle cell disease scd. Anemia, the most common hematologic abnormality, is a reduction in the concentration of erythrocytes or hemoglobin in blood. Assessment of anemia knowledge, attitudes and behaviors among pregnant women in sierra leone fredanna a. The management of anemia in a pregnant woman depends on the duration of pregnancy, severity of the anemia and complications 10. Epidemiology of anaemia in pregnancy anaemia has been found to be associated with poverty and underdevelopment and is one of the most common disorders globally. Management of sickle cell disease in pregnancy this is the first edition of this guideline. Webmd explains the causes, symptoms, and treatment of anemia during pregnancy.
The timing is usually at the beginning of pregnancy and again around 28 weeks. Red blood cell distribution width rdw the rdw is usually elevated early in iron deficiency 10, but may also occur with vitamin b 12 or folic acid deficiency 11. Pdf nursemidwifery management of irondeficiency anemia. Red blood cells provide oxygen to body tissues1 anemia during pregnancy is defined as hb pdf file. As most women start their pregnancy with anemia or low iron stores, so. The dilution of blood in pregnancy is a natural process and starts at approximately at the eighth week of pregnancy and progresses until the 32nd to 34th week of pregnancy 3. The most effective treatment for anemia during pregnancy is to take an iron supplement in addition to your prenatal vitamin. Anemia is caused by a lack of healthy red blood cells. Prevalence of anemia among pregnant women in south eastern. Improving management of anemia among pregnant women i. Anaemia in pregnancy is an important public health problem worldwide. The most common cause of anemia in pregnancy is lack of iron.
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