ANEMIA IN PREGNANCY

Question 1

Definition of anemia in pregnancy

Answer 1

Hb <11g/dl

Question 2

Severe anemia Hb value

Answer 2

<7g/dl

Question 3

Maternal complications of anemia

Answer 3

Increased miscarriage
Preterm delivery
Increased complications from APH and PPH
Increased maternal mortality
Perinatal loss

Question 3

Foetal complications of anemia

Answer 3

Foetal growth restriction
Prematurity
Foetal death

Question 4

Symptoms of anemia

Answer 4

General weakness
Easy fatiguability
Dizziness
Swelling of feet

Question 5

Signs of anemia

Answer 5

Mucosal pallor
Hepatosplenomegaly
Jaundice
Heart failure in severe cases

Question 6

Treatment objectives for anema in pregnancy

Answer 6

To relieve symptoms
To correct haemoglobin level
To identify and treat underlying cause
To recognize and manage the associated complication

Question 6

Investigations in anemia

Answer 6

FBC
Peripheral blood film comment
Blood film for malaria parasites
Sickling and Hb electrophoresis
G6PD activity
Iron studies
Stool analysis
Urinalysis

Question 7

Purpose of stool analysis in anemia

Answer 7

hookworm ova

Question 8

Purpose of urine analysis in anemia

Answer 8

schistosoma ova and urobilinogen

Question 9

Nonpharmacological management for anemia in pregnancy

Answer 9

Intake of foods rich in iron, folate, vitamins B and
Protein rich foods must also be included in the diet
Avoid tea, coffee, bran, cola and eating clay

Question 9

Interactions of clay and iron

Answer 9

inhibits iron absorption

Question 10

Treatment of anemia in pregnancy

Answer 10

Ferrous sulphate, oral, 325 mg 8 hourly
Or
Ferrous gluconate, oral, 300 mg 8-12 hourly
And
Folic Acid, oral, 5 mg daily
Blood transfusion

Question 11

What drug is given before transfusing blood

Answer 11

Furosemide IV, 20-40 mg

Question 12

When is evaluation of Hb level done for patients on oral iron therapy

Answer 12

Evaluate after 4-6 weeks

Question 13

Zidovudine and anemia

Answer 13

Zidovudine aggravates anemia