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AHN 548 Exam 5 Hematological Disorders In Pregnancy Questions And Answers
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AHN 548 Exam 5 Hematological Disorders In Pregnancy Questions And Answers
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AHN 548 Exam 5 Hematological Disorders In PregnancyQuestions And Answers
What is Physiological anemia of pregnancy? ANS Plasma volume increases 40-50%
RBC mass 30%
As a result HB concentration decreases by 2g/dl- Decreased Hb concn. is due to hemodilution.
Criteria of physiological anemia ANS 1) Hb 10gms %
2) RBC 3.2 million cells/ cu mm
3) PCV 32%
4) Peripheral smear- normal morphology
Iron requirements during pregnancy ANS 1000mg= 500 mg for Hb. mass expansion, 300 mg
for Fetus & Placenta and 200mg Shed through gut, urine, skin
Definition of IDA ANS Reduction in circulating Hb mass
<12g/dl in non pregnant women
<10g/dl in pregnant women
CDC: Anemia in iron supplemented pregnant women. Hct 33% and Hb 11g/dl - 1st & 3rd
trimester and Hct 32% & Hb 10.5g/dl - 2nd trimester
Anemia During pregnancy ANS Hemoglobin(g/dl) WHO <11
CDC <11 (1st tri), <10.5( 2nd trimester), < 11(3rd trimester). Postpartum Hb(g/dl) <10
WHO grading of IDA ANS Mild 10g/dl
Moderate 7-10g/dl
Severe <7g/dl
Prepartum anemia ANS Ferritin < 30 .....low iron status
, Ferritin <15....iron deficeincy
predisposes to postpartum iron def. anemia.
IDA in pregnancy causes ANS Fatigue intra, post partum and during lactation
Increased risk of infection
Poor tolerance to blood loss during delivery
Cardiovascular stress
IDA symptoms ANS Fatigue
Weakness
Headache
Loss of appetite
Dysphagia
Palpitations
Dyspnoea on exertion
Ankle swelling
Paresthesia
Leukoplakia
PEx for IDA ANS Pallor of varying degrees (Mucous membranes, ,nail beds - Koilonychia
or Platynychia
Glossitis
Stomatitis
Heart murmurs
Increased JVP
Tachycardia
Tachypnea
Postural hypotension
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