Additionally, dimorphic anemia refers to a condition characterized by two deficiencies—iron-deficiency and nutritional macrocytic anemia.
The key signs and symptoms associated with iron deficiency anemia in pregnancy can be succinctly described as follows:
Newer RBC parameters for IDA
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Anemia of Pregnancy
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WHO recommends routine deworming using single dose Albendazole (400 mg) or mebendazole (500 mg) in all pregnant patients after first trimester in areas where both
The mode of repletion of iron stores in IDA of pregnancy is guided by the severity of anemia, the stage of pregnancy, obstetric risks of hemorrhage (e.g. premature labor, placenta praevia) and non-obstetric maternal comorbidities (hemoglobinopathy, chronic disease etc.).
These guidelines emphasize the importance of folic acid supplementation for women planning to conceive or during the early stages of pregnancy, along with addressing vitamin B12 deficiency causes during pregnancy.
Q1: Describe the causes of anemia in pregnancy. How would you manage a case of dimorphic anemia in Pregnancy? (2006)
Q2: (i) What is physiological anemia of pregnancy?
(ii) Do all pregnant women need additional iron? Explain in brief
(iii) What is the diagnostic test of iron deficiency anemia in pregnancy and why?
(iv) How much total additional iron is required during pregnancy and what is the distribution in the mother's body? (2019) (4+4+6+6 = 20)
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