Nutritional or Pathological Anaemia In Pregnancy
During pregnancy, approximately 1500mg of iron is needed for the increase in maternal hemoglobin (400-500mg) the fetus and placenta (300-400gm) replacement of daily loss through stools, urine and skin (250mg) replacement of blood loss at delivery (200mg). About 95% of pregnant women with anaemia have the iron deficiency type.
· Reduced intake or absorption of iron as a result of iron deficiency in diet and gastro – intestinal disturba nces (as in morning sickness).
· Withdrawal of iron by fetus
· Folic acid deficiency resulting from haemolysis, malaria , hemoglobinpathy, inadequate intake ,malabsorption of folic acid
· Excess demand due to multiple pregnancy, multiparty, chronic inflammation especially urinary tract infection.
· Hemorrhage, antepartum or post partum hemorrhage, hookworm.
Pallor of mucus membranes
Lassitude (always tired) Fainting, Dyspnoea, Tachycardia and palpitations
Reduced resistance to infection – Puerperal sepsis Potential threat to life.
Increase risk of abortion
Increased risk of intrauterine hypoxia and growth retardation Preterm birth, Low birth weight
Increased risk of perinatal morbidity and mortality
· Good ante-natal care
· Intake of diet rich in iron, diet rich in protein, minerals and vitamins
· Reduce workload and stress. Encourage rest
· Early recognition and treatment for anaemia .
Ferrous sulphate – 200mg tab b.d or t.d.s
Ferrous gluconate - 300mg tab 1.e 2 tab b.d
· Blood transfusion might be given to treat severe anaemia.
· Treatment for worm if present.