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This document discusses iron deficiency anemia during pregnancy. It defines anemia during pregnancy based on hemoglobin levels and lists risk factors such as geography, ethnicity, nutrition status, and socioeconomic status. Iron deficiency anemia can cause complications for both mother and baby like low birth weight, preterm birth, and impaired mental development. The document also provides statistics on the prevalence of iron deficiency anemia during pregnancy and discusses diagnosis and treatment recommendations.
This document discusses iron deficiency anemia during pregnancy. It defines anemia during pregnancy based on hemoglobin levels and lists risk factors such as geography, ethnicity, nutrition status, and socioeconomic status. Iron deficiency anemia can cause complications for both mother and baby like low birth weight, preterm birth, and impaired mental development. The document also provides statistics on the prevalence of iron deficiency anemia during pregnancy and discusses diagnosis and treatment recommendations.
This document discusses iron deficiency anemia during pregnancy. It defines anemia during pregnancy based on hemoglobin levels and lists risk factors such as geography, ethnicity, nutrition status, and socioeconomic status. Iron deficiency anemia can cause complications for both mother and baby like low birth weight, preterm birth, and impaired mental development. The document also provides statistics on the prevalence of iron deficiency anemia during pregnancy and discusses diagnosis and treatment recommendations.
Definisi (CDC) Hb <11 g/dL pada trisemester pertama dan ketiga Hb <10.5 g/dL pada trisemester kedua Faktor Risiko Geografi Etnik status nutrisi sosioekonomi Rata-Rata Hb Etiologi anemia Komplikasi Low birtweight Preterm birth Small-for gestational Lower mental development Insidensi CDC (1989) 8 juta wanita menyusui di Amerika Serikat mengalami defisiensi besi. Penelitian Vandevijvere (2013) 1300 wanita, 21 % anemia trisemester ke-3, 16%nya anemia def.besi 1000 mg iron 300 fetus & placenta 500 mg maternal Hb mass expansion 200 mg gut, urine, skin Diagnosis Eritrosit hipokromia mikrositer (less) Serum ferritin Expansion of plasma volume without normal expansion Hb mass
Hb, Ht, RBC, darah tepi, serum iron, ferritin
(<10-15mg/dL) Elevated reticulocyte count (response therapy) Tatalaksana WHO (2012) 30-60 mg besi elemental + 400 g asam folat 200 mg/hari esi elemental ( sulfas ferosus, fumarat, atau glukonat) IV ferrous sucrose to be safer than iron- dextran