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    Irham Khairi
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    The document discusses anemia in pregnancy. It defines the limits of anemia for non-pregnant women as hemoglobin (Hb) <12 gr% and for pregnant women as Hb <10 gr%. The limit varies by trimester, with Hb <12 gr% in the first trimester, Hb <11 gr% in the second trimester, and Hb <10 gr% in the third trimester. Anemia in pregnancy can cause complications including abortion, premature birth, prolonged labor, postpartum bleeding, shock, and heart decompensation. The most common cause is iron deficiency anemia due to increased needs, though other causes include megaloblastic, hypoplastic, and hemolytic anemias.

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    Hematology

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    (8) Anemia at Pregnancy(New)

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    The document discusses anemia in pregnancy. It defines the limits of anemia for non-pregnant women as hemoglobin (Hb) <12 gr% and for pregnant women as Hb <10 gr%. The limit varies by trimester, with Hb <12 gr% in the first trimester, Hb <11 gr% in the second trimester, and Hb <10 gr% in the third trimester. Anemia in pregnancy can cause complications including abortion, premature birth, prolonged labor, postpartum bleeding, shock, and heart decompensation. The most common cause is iron deficiency anemia due to increased needs, though other causes include megaloblastic, hypoplastic, and hemolytic anemias.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views27 pages

    Anemia at Pregnancy (New)

    Uploaded by

    Irham Khairi
    The document discusses anemia in pregnancy. It defines the limits of anemia for non-pregnant women as hemoglobin (Hb) <12 gr% and for pregnant women as Hb <10 gr%. The limit varies by trimester, with Hb <12 gr% in the first trimester, Hb <11 gr% in the second trimester, and Hb <10 gr% in the third trimester. Anemia in pregnancy can cause complications including abortion, premature birth, prolonged labor, postpartum bleeding, shock, and heart decompensation. The most common cause is iron deficiency anemia due to increased needs, though other causes include megaloblastic, hypoplastic, and hemolytic anemias.

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    © All Rights Reserved
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    of 27

    ANEMIA AT PREGNANCY

    Tutik Harjianti

    Div. of Hematology & Medical Oncology


    Dept. of Internal Medicine, Medical Faculty
    Hasanuddin University

    The Limit of Anemia at Pregnancy


    Anemia
    is a condition where the Hb < 10% under normal

    The limit of anemia at a woman : Hb < 12 gr%

    The limit of anemia at a pregnant woman : Hb < 10 gr %

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    The limit of Anemia based on Trimester

    Hb

    12 gr%

    11 gr%

    10 gr%

    Trimester I

    Trimester II

    Trimester III

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    The caused of

    Low Hb at a pregnant woman


    The increase of body volume at a
    pregnant woman (The adding of blood cell
    is not equal to the adding of plasma)
    Plasma 30%, Blood Cell 18%, & Hb 19%.
    This matter gain profit:
    - decrease the resistance of perifer
    - less the lost of iron at delivery
    (at the bleeding process)
    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    The Influence of Anemia at Pregnancy

    1.Abortus
    2.Premature
    3.Old Partus because of inertia uteri
    4.Bleeding of post partum ( atoni uteri )
    5.Shock
    6.Decompentation kordis

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    Kind of Anemia at Pregnancy

    Deficiency iron Anemia

    Megaloblastyc Anemia

    Hipoplastyc Anemia

    Hemolytic Anemia

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    Deficiency Iron Anemia


    The most happen
    Caused: less of nutrition, re-absorption
    disturbing, function disturbing, increase
    at excretion.
    Increase of need at Trmstr III
    Every day necessity to a pregnant woman
    in Indonesia: 17 mg/hr
    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    Exam to decide the diagnose


    MCV, MCH, MCHC

    Blood smear
    morphology

    Reticulocyte
    intensity

    EXAMINATION

    History taking based


    on the result of the
    previews lab test

    other lab based on


    the result of the
    previews lab test

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

    Management
    Non medicamentosa
    * Eat much & protein, mineral & vitamin
    * Avoid drugs that influence hematopoisis
    Medicamentosa
    * Vitamin Fe, B12, folic acid, transfusion

    Division of Hematology & Medical Oncology Dept. of Internal Medicine

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