Anemia Defisiensi Pada Kehamilan

8/18/2019 Anemia Defisiensi Pada Kehamilan

1/23

ANEMIADEFISIENSIBESI PADAKEHAMILANAmri Ashshiddieq1310211145


2/23

INTROD!TIONA"emi# is # red$%&i'" (e)'* "'rm#) i" &he '+,-e".%#rr,i"- %#/#%i&, ' &he ()'

ree%&ed (, the hemoglobin or hematocrit values

'me" #re #& hi-her ris (e%#$se ' me"s&r$#) ()''d )'ss

The !e"&ers 'r Dise#se !'"&r') #"d Pree"&i'" 6!D!7 618897 de:"ed #"emi# s$//)eme"&ed /re-"#"& *'me" $si"- # %$&'; ' &he 5&h /er%e"&i)e<

11 -=dL i" &he :rs& #"d &hird &rimes&ers> #"d105 -=dL i" &he se%'"d &rimes&er

A//r'+im#&e), 15% to 25% ' #)) /re-"#"%ies e+/erie"de:%ie"%,


3/23


4/23

ETIOLO@ lack of iron in the diet as

6# res$)& ' "'& e#&i"- e"'$-h ir'".ri%h ''ds 'r

&he ('d,s i"#(i)i&, &' #(s'r( &he ir'" (ei"- %'"s$med7

Pregnancy itself

(e%#$se &he ir'" (ei"- /r'd$%ed is "eeded 'r &he *'m#"s ('d, &her '*" ()''d ')$me


5/23


6/23


7/23

RISK FA!TOR A-e

P#ri&,

Ed$%#&i'"

S'%i'e%'"'mi% s&$s

His&'r, ' ()eedi"-

'rm i"es&i'"

Peri'd ' -es&i'"

K"'*)ed-e re-#rdi"- #"emi# i" /re-"#"%,

F''d se)e%&i'" #(i)i&,

!'m/)i#"%e &' ir'" s$/)eme"&i'"


8/23

!LINI!AL FEATRES OF ANAEMIA IN PRE@NAN!

Symptoms Signs

e#"ess P#))'r

L#ssi&$de > &ired"ess > e+h#$s&i'" @)'ssi&is I"di-es&i'" S&'m#&i&is

L'ss ' #//e&i&e Oedem#

P#)/i&i'" H,/'/r'&ei"#emi#

Bre#&h)ess"ess S'& s,s&')i% m$rm$r i" mi&r#)#re# d$e &' h,/erd,"#mi%%ir%$)#&i'"

@iddi"ess = diCCi"ess Fi"e %re/i&i'"s #& )$"- (#ses

S*e))i"- ee& e,e )ids 6 /eri/her#)7

P#)e "#i)s P)#&,"#e%h'e# K'i)'"#e%hi#

@e"er#)iCed #"#s#r%# Te"der"ess i" s&er"$m

B)#%'$&s i" r'"& ' e,es '"s$dde" s"di"-

He/#&i% s/)e"i% e")#r-eme"&

S,m/&'ms ' %'"-es&ie %#rdi#%#i)$re


9/23

EFFE!TS OF ANAEMIA ON PRE@NAN! Maternal Foetal

e#"ess Pre&erm (#(,

L#% ' e"er-, Sm#)) 'r -es&i'"

F#&i-$ePET

I"%re#sed /eri"#) m'r(idi&,m'r)i&,

P''r *'r /er'rm#"%e Ir'" de:%ie"%,

P#)/i&i'"%h,%#rdi#

!'-"i&ie #"d #;e%&ied,s$"%&i'" i" &he i"#"&

Ee" mi)d ()eedi"- i" APH 'r PPH%#" e"d#"-er &he )ie

I"%re#sed i"%ide"%e ' di#(e#"d %#rdi#% dise#se i" )#&er )ie

Bre#&h)ess"ess

I"%re#se %#rdi#% '$&/$&

!#rdi#% de%'m/'si&i'"

!#rdi#% #i)$re

I"%re#sed i"%ide"%e ' /re&erm

)#('$rSe sis


10/23

DIA@NOSA


11/23

KRITERIA ANEMIA


12/23


13/23

d#i), 'r#) s$//)eme"&i'" *i&h

3 to ! mg of elemental iron #"d " #g of folic acid isre%'mme"ded

i" /re-"#"%, 6Pe"#.R's#s> 2012 'r)d He#)&h Or-#"iC#&i'"> 20127

A"emi# res')$&i'" #"d res&i&$&i'" ' ir'" s&'res %#" (e #%%'m/)ish

sim/)e ir'" %'m/'$"ds< err'$s s$)#&e> $m#r#&e> 'r -)$%'"#&e<

&h#& /r'ide #('$& 2 mg daily ' elemental iron


14/23


15/23


16/23

PROPHLAIS.... E+&r# ir'" req$ireme"& i" /re-"#"%, %#" (e me& *i&h (#)#"%ed d

ri%h i" ir'" %'"i"i"- ''d A'id ''d %'"i"i"- Ph,&es > "

6&e# %';ee7"'*" i"hi(i&'rs ' ir'" #(s'r/&i'" 4.Gm- e)eme") ir'" i #(s'r(ed = d#, d$ri"- 2"d #"d 3rd &rimes&

6 'er /eri'd ' 1'' d#,s 7 Aer#-e d#i), req$ireme"& ' #(s'r(eir'" is 4m> (e"-25 m-=d#, i" e#r), 1=2 > 55m-=d#, d$ri"- 20. 3*ees #"d G.9m- = d#, 1&er 32 *ees '"*#rds ' -es&i'"#) /e

Indian Government has recommended to prescribe Tab Ferrou

sulfate 100mg + 500ug Folic acid / day for 100 days .

$s hook orm infestation is common &"mg single dose $lbenda'ole orMebenda'ole 1mg ()*) for 3days thera

is also recommended)


17/23

FOLATE DEFI!IEN! ANAEMIA ...

F')i% #%id is "eeded i" hi-her d'ses d$ri"- /re-"#"%, (e%#

' &he i"%re#sed %e)) re/)i%#&i'" > i"- /)#%e i" e&$s > $&e#"d ('"e m#rr'*

900 $- is req$ired = d#, > ($& /re e+is&i"- de:%ie"%, is %'mes/e%i#)), i" dee)'/i"- %'$"&ries I& is m#i"), d$e &'i"#deq$#&e die& = i"&es&i"#) m#)#(s'r/&i'"6 s/r$e 7 s,"dr'm

M're %'mm'" i" &*i" /re-"#"%, > m$)&i-r#id# > h'' *'ri"es&i'" > @IT dise#ses > ()eedi"- /i)es > H#em'),&i%%'"di&i'"s > m#)#ri# #"d '&her i"e%&i'"s

A"&i ')#&e medi%#&i'"s )ie #"&i e/i)e/&i%s > #"&i %#"%er

!'m(i"ed ir'" #"d ')i% #%id de:%ie"%, #"emi# is %'mm'"dee)'/i"- %'$"&ries


18/23

FOLI! A!ID DEFI!IEN! ANAEMIA ..

S,m/&'ms

As,m/&'m#&i% > )'ss ' #//e&i&e> 'mi&i"- >

di#rrh'e#> $"*e)) *i&h $"e+/)#i"ed eer

Si-"s

P#))'r B)eedi"- /'i"&s '" si" > E")#r-ed s/)ee" #"d )ier #"e$r'/#&h,

M#&er"#) %'m/)i%#&i'"s PIH> A(r$/&i' /)#%e"

e) %'m/)i%#&i'"s F')#&e de:%ie"%, i" m'&her %#" %#$se

"e$r#) &$(e dee%&s > #('r&i'" > I@R> /rem#&$re = sm#)) 'r d#e&$s #"d /''r ')#&e )ee) i" "e*('r"

DIA@NOSIS OF FOLI! A!ID DEFI!IEN! ANAEMIA


19/23

DIA@NOSIS OF FOLI! A!ID DEFI!IEN! ANAEMIA

+haracteristics ,ormal range Folic acid de-ciency

H( 11.15-m 11 -m

M!J 5.8G 8G

Me#" %'r/$s%$)#r HB 2 . 33

33

Me#" %'r/$s%$)#r HB!'"%

32.35 N'rm#)

PBF N'rm'%,&i%N'rm'%hr'mi%

Me-#)'(#s&i% > "e$&r'/&hr'm('%,&'/e"i#>h,/erse-me"&i'" '"e$&r'/hi))s

Ser$m F')#&e 3 3

Red %e)) F')#&e 150 "- = m) 150

Ser$m Ir'" G0.120 $-=d) N'rm#)

Ser$m )#%&edeh,d'-e"#seH'm'!,s&ei"e

I"%re#sed

I"%re#sed


20/23

TREATMENT

./0 recommends ug day in pregnancy and !ugduring lactation period )

T' mee& &his "eed /re-"#"& #"d )#%&i"- *'me" sh'$)d (e e"%&' e#& m're -ree" )e#, e-e()es 6 /#)# > m#i&hi > (#i&h#)i > (r#"d ';#) 6 )ier #"d id"e,s

Tre#&me"& 'r /#&ie"& *i&h F')i% #%id de:%ie"%, #"#emi# sh'$)d 5m- ')i% #%id = d#, 'r 4 *ees

esponse is observed by fall in 4*/ level in 3" days increase in reticulocyte count in 5 days)


21/23

!ANO!OBALAMIN 6JIT B127 DEFI!IEN!

A r#re %#$se ' #"#emi# i" /re-"#"%, > #s d#i), req$ireme"&3$- is e#si), me& *i&h # "'rm#) die&

Per"i%i'$s #"#emi# d$e &' #(se"%e ' i"&ri"si% #%&'r > res$)&de%re#se #(s'r/&i'" ' Ji& B12 is r#re i" /re-"#"%, > #s i& $s%#$ses i"er&i)i&,

!)i"i%#) :"di"-s #re s#me #s i" ')i% de:%ie"%,

Ji& B12 )ee) is )'*er i" &he ()''d 6 80$- = L7 De'+,$ridi"e &%#" di;ere"&i#&e i" &*'

P#re"&er#) Ji& B126%,"'%'(#)#mi" 7 250$- = m'"&h is &he &re#

@#s&ri% m$%'s#) #&r'/h, '))'*i"- )'"- &erm $se ' H2 i"hi(i&Pr'&'" /$m/ i"hi(i&i"- #" #%id *i)) res$)& i" de:%ie"%, ' i"#%&'r #"d de%re#sed #(s'r/&i'" ' Ji& B12

M67$40(4$S89+ $,$6M9$ P(F


22/23

M67$40(4$S89+ $,$6M9$ P(F$,* (0,6 M$0.


23/23

REFEREN!E

A"emi# i" Pre-"#"%,> Pr' M!B#"s#)

Hi"d#*i P$()ishi"- !'r/'r#&i'" '$r"#) ' Pre-"#"%, J')$me 2012ID G30518> 10 /#-es d'i101155=2012=G30518

h&&/==#meri%#"/re-"#"%,'r-=

Ne&&ers O(s&e&ri%s #"d @,"e%')'-,

i))i#ms O(s&e&ri%s 24&h Ed
http://americanpregnancy.org/http://americanpregnancy.org/

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Anemia Defisiensi Pada Kehamilan