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Flashcards in Anemia In Pregnancy Deck (9)
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0

Anemia in pregnancy defined as? Severe if? Most common cause?

Hemoglobin <10.5; under 7

Iron deficiency

1

Pregnant patients with mild anemia and no risk factors for hemoglobinopathies – treatment? Reassess when? Risk factors for hemoglobinopathies? If anemia persists?

Trial of iron supplements; 3-4 weeks;

African-American, Southeast Asian, Mediterranean

Ferritin, hemoglobin electrophoresis

2

Life expectancy for beta thalassemia major?

20s

3

Sickle cell disease in pregnancy (Regarding mother)? Crises can mimic?

1. More intense anemia
2. more frequent crises (Avoid dehydration)
3. more frequent infections
4. pulmonary complications
5. Preterm labor

Crises may mimic ectopic pregnancy, placental abruption, pyelonephritis, appendicitis etc.

4

Pregnant patients with sickle cell – increased fetal risk for? Management?

IUGR, perinatal mortality; serial ultrasonography

5

Macrocytic anemia – cause in pregnancy?

Folate deficiency >B12 deficiency

6

Drug causes of G6PD deficiency?

Nitrofurantoin, sulfonamides, antimalarials

7

Signs of G6PD deficiency?

Jaundice, dark colored urine, fatigue

8

Signs of acute leukemia? Effects on pregnancy?

Treatment? Effect on the pregnancy?

Fever, pancytopenia; preterm labor, spontaneous abortion, stillbirth

Chemotherapy; IUGR