annammia of pprregnannct of infant ija.pptx

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1. ANEMIA IN PREGNANCY

2. 30% of the female in reproductive age (15-49y.o) are anemic. 38-50% are anaemia in pregnancy. 75-80% were caused by iron deficiency. Iron Deficiency and Anaemia in Pregnant Women in Malaysia. Nils Milman , Journal of Pregnancy and Child Health 2015, 2:3

3. DEFINITION MILD 10 – 10.9 g/dL MODERATE 7 – 9.9 g/dL SEVERE <7g/dL classification WHO defines anaemia in pregnancy as Hb < 11 g/dL 1 st TM 2 nd TM 3 rd TM Postpartum <11g/dL <10.5g/dL <11g/dL <10g/dL

4. Causes of anemia Common types: Nutritional deficiency Iron deficiency anaemia (IDA) Folate deficiency Vit B12 deficicency Chronic blood loss repeated abortions, poor spacing, bleeding tendency, APH, worm infestation Hemoglobinopathies Thalassaemia , Sickle Cell Disease Rare types: Myeloproliferative d/o: Leukemia, lymphoma Aplastic anaemia : drug induced or idiopathic Hemolysis: Autoimmune hemolytic, malaria, drug induced

5. Other causes of increased serum ferritin level: Recent blood transfusion Chronic alcohol consumption Hemosiderosis, hemochromatosis Chronic hepatitis Metabolic syndrome, obesity, diabetes Infection and inflammatory Malignancy Collagen diseases Uraemia Iron poisoning Hemolytic anaemia Megaloblastic anaemia References: D.A. Newhall, R. Oliver and S. Lugthart (2020) Anaemia: A disease or symptom , NJM . Available at: https:// njmonline.nl / article_ft.php?a =2206&d=1453&i=234 (Accessed: 27 August 2023). The Royal Australian College of general Practitioners, K.G. et, al. (2012) Elevated serum ferritin , Australian Family Physician .

6. Effects of ida to pregnancy Reference: Benson, A.E. et al. (2022) ‘The incidence, complications, and treatment of iron deficiency in pregnancy’, European Journal of Haematology, 109(6), pp. 633–642. doi:10.1111/ejh.13870.

7. Signs and symptoms of anemia

8. Management of Anaemia in Pregnancy at Perak Government Clinic