Hematology and Oncology Book

Anemia

  • Anemia in Pregnancy

Cardiovascular Medicine

Coagulopathy

Hemolytic Disorders

Pharmacology

http://www.fpnotebook.com/

Anemia in PregnancyAka: Postpartum Anemia

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  1. See Also
    1. Anemia
  2. Pathophysiology
    1. Hemoglobin levels change during pregnancy
      1. Wanes in second trimester due to hemodilution
      2. Increases in third trimester
      3. Falls with delivery with placental separation
    2. Anemia in pregnancy most often nutritional deficiency
      1. Folic Acid deficiency (Megaloblastic Anemia)
      2. Protein Deficiency (Malnutrition)
      3. Iron Deficiency Anemia
  3. Management
    1. Hemoglobin 10 to 12 mg/dl
      1. Ferrous Sulfate 325 mg qd for 2 months
    2. Hemoglobin 9 to 10 mg/dl
      1. Ferrous Sulfate 325 mg bid for 2 months
    3. Hemoglobin 7 to 9 mg/dl
      1. Ferrous Sulfate 325 mg tid for 2 months
    4. Hemoglobin <7 mg/dl
      1. Consider transfusion
  4. Prevention
    1. Prenatal Vitamins daily

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