(8) Anemia at Pregnancy(New)

8/10/2019 (8) Anemia at Pregnancy(New)

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ANEMIA AT PREGNANCY

Tutik HarjiantiDiv. of Hematology & Medical Oncology

Dept. of Internal Medicine, Medical FacultyHasanuddin University


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Division of Hematology & Medical Oncology Dept. of Internal Medicine

Anemia

The Limit of Anemia at Pregnancy

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 %


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The limit of Anemia based on Trimester

Trimester II Trimester III

12 gr% 11 gr% 10 gr%Hb

Trimester I


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The caused of

Low Hb at a pregnant woman

The increase of body volume at apregnant 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)


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The Influence of Anemia at Pregnancy

1.Abortus

2.Premature

3.Old Partus because of inertia uteri4.Bleeding of post partum ( atoni uteri )

5.Shock

6.Decompentation kordis


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Kind of Anemia at Pregnancy

Deficiency iron Anemia1

Megaloblastyc Anemia2

Hipoplastyc Anemia3

3

Hemolytic Anemia4

4


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Deficiency Iron Anemia

The most happen

Caused: less of nutrition, re-absorption

disturbing, function disturbing, increaseat excretion.

Increase of need at Trmstr III

Every day necessity to a pregnant womanin Indonesia: 17 mg/hr


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Exam to decide the diagnose

EXAMINATION

B

E

C

D

ABlood smearmorphology

MCV, MCH, MCHC

Reticulocyte

intensity

History taking based

on the result of the

previews lab test

other lab based on

the result of the

previews lab test


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Management

Non medicamentosa

* Eat much & protein, mineral & vitamin

* Avoid drugs that influence hematopoisis

Medicamentosa

* Vitamin Fe, B12, folic acid, transfusion


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Contents

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(8) Anemia at Pregnancy(New)

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