Medicine an Surgery notes

Apr 24th, 2015
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Dr. N.K. NJOGULecturer Reproductive Health17th October 20121Outline Introduction Definition Epidemiology Risk factors Classification Aetiology Clinical presentation2 Investigations Sequelae of anaemia in pregnancy TreatmentGeneral measuresSpecific treatment Management of labour and Puerperium in severeanaemia. Prevention.3Introduction Anaemia is the most common medical disorder tooccur in pregnant women particularly in developingcountries. It is a major contributor to maternal morbidity andmortality. Indirect cause of maternal mortality.4DefinitionAnaemia in pregnancy is defined as a low haemoglobinconcentration of less than 10gm/dl.Haemoglobin: Has 4 Amino-acid chains with a heme group attached. Found in red blood cells. Transports oxygen from the lungs to body tissues5 Amount of red cell mass depend on-Effective erythropoiesis-Lifespan of RBC Average 90 days6 In pregnancy total blood volume increases by 50% Red cell mass increase by 33% This causes haemo-dilution resulting in fall of Hbduring pregnancy. This rarely causes anaemia7Epidemiology Prevalence varies from region to region andsocioeconomic status of the person. Anaemia nearly affects half of all pregnant women inthe world 52% in developing countries compared to 23 % indeveloped countries.8Risk factors for developinganaemia Low socio economic status Youn

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