Frequently Asked Questions (FAQs) on severe-anaemia-in-pregnancy | HospitalKhoj

SEVERE ANAEMIA IN PREGNANCY

SEVERE ANAEMIA IN PREGNANCY

Ques. 1 How can Anaemia affect pregnancy?

Ans.       Anaemia – means qualitative or quantitative reduction of circulating R.B.C. and / or of percentage of haemoglobin concentration in relation to standard age and sex.

 “Anaemia in Pregnancy” refers to all forms of anaemia encountered during pregnancy. This term includes anaemia occurring independently of pregnancy & also includes precipitated or caused by pregnancy.

Types :

  1. Dimorphic anaemia.
  2. Protein deficiency anaemia.
  • Anaemia due to infections, i.e., Malaria, Worms, Dysenteries, Kala-Azar, Tuberculosis, Pyelitis, Streptococcal infection etc.
  • Anaemia due to Haemorrhages, i.e., bleeding piles, antepartum haemorrhage, purpura etc.
  • Haemolytic anaemia.
  • Hypersplenism, viz. chronic malaria, cirrhosis of liver etc.
  • Hypoplastic and aplastic anaemia.
  • Physiological haemdilution of pregnancy.
  • Nutritional macrocytic Anaemia.
  • Iron deficiency Anaemia.
  • Ques. 2 What are the causes of Anaemia in pregnancy?

    Ans.      CAUSES OF ANAEMIA IN PREGNANCY

  • Repeated childbirth in quick succession.
  • Bleeding factors – Ante-partum haemorrhage, bleeding gums and piles.
  • Ancylostomiasis or hookworm infestation.
  • Menorrhagia before pregnancy.
  • Defective iron absorption, and defective storage of iron.
  • Defective intake of iron due to nausea and vomiting.
  • Increased demand of the foetus but poor intake.
  • Inadequate antenatal care.
  • Dietetic deficiency – poor nutrition.
  • Ques. 3 What are the clinical features of anaemia in pregnancy?

    Ans.

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         CLINICAL FEATURES – In mild and moderate variety the mother does not give any symptoms.

    Severe Variety :

  • C.V.S. – palpitation, dyspnoea, angina attack.
  • G.I. Tract – anorexia, indigestion, diarrhoea.
  • Neurological – Giddiness or vertigo, insomnia, dimness of vision, tingling and numbness of extremities in pernicious anaemia, lack of concentration.
  • General – fatigue and lassitude.
  • On Examination :

  • C.V.S. – systolic ejection murmur over the base of the heart or over the left second & third intercostals spaces.
  • Kidney – mild proteinuria.
  • G.I. Tract – enlarged liver & spleen.
  • Neurological – features of polyneuritis.
  • General – pallor, oedema of face, lower extremities, ectopic beats, water-hammer pulse, koilonychias in iron deficiency anaemia.
  • INVESTIGATION – Principle – To note degree of anaemia and the type of anemia and its cause.

  • Clinical examination.
  • Thorough clinical and routine laboratory test should be done –
  • Blood – Hb%, T.C., D.C., R.B.C. count, malaria parasite, P.C.V., M.C.V., M.C.H.C., examination of peripheral blood smear to note the size, shape and central colour of R.B.C., serum albumin, globulin.
  • Urine – R/E, culture and sensitivity of a mid-stream specimen.
  • Stool – ova, parasite, cyst, occult blood.
  • X-ray chest – P.A. view – to detect tuberculosis.
  • Bone-marrow biopsy – done in some selected cases only.
  • Gastric analysis.
  • Serum iron level, folic acid estimation etc.
  • Ques. 4 What are the complications of Anaemia in pregnancy?

    Ans.      Complications or danger of Anaemia in Pregnancy –

    To Mother:

  • During pregnancy –
  • Toxaemia – is often precipitated.
  • Abortion – often due to folic acid deficiency.
  • Acute cardiac failure.
  • Premature labour.
  • Accidental haemorrh age- due to folic acid deficiency.
  • Infection.
  • During labour –
  • Collapse occus – following P.P.H.
  • Shock, whatever may be the cause, is more severe.
  • Cardiac failure.
  • Uterine inertia.
  • During Puerperium –
  • Infection – puerperal sepsis.
  • Sub-involution.
  • Chronic backache and ill-health.
  • Venous thrombosis.
  • Heart failure.
  • To Foetus – 17 What are the preventive measures of Anaemia in pregnancy?

    Ans.          Preventive Measures –

  • Adequate diet.
  • Family planning.
  • Improvement of standard of living.
  • Mass education publicity and propaganda.
  • Early and proper treatment of mild cases.
  • To treat the cause of anemia.
  • Adequate antenatal care.
  • Routine administration of iron and folic acid.
  • Ques. 8 Which Homoeopathic medicines are useful?

    Ans.      Homoeopathic Remedies –

  • PETROLEUM – With much sickness, inability to retain any food.
  • ARSENIC ALB – Anaemia; gastroataxia; extreme restlessness and fear of death. Excessive prostration, with sinking of the vital forces; oedema; wants to be in a warm room.
  • CHINA – Complaints from loss of animal fluids, be it blood, diarrhoea, leucorrhoea etc.
  • NUX VOM – Anaemia from gastro-intestinal derangement, esp. in persons of sedentary habits or given to high living.
  • FERRUM MET – Face ashy pale or greenish, becomes bright red in flushes; great paleness of mucous membranes. Anaemia of chlorotic girls and women.
  • ARGENTUM NIT – Anaemia with vomiting, acute epigastric pain and tenderness, palpitation and fainting.
  • PICRIC ACID – Anaemia; with marked indisposition to bodily or mental exertion and great increase of urate and phosphates in the urine.
  • Ques. 9 Which Biochemic remedies are useful?

    Ans.      Biochemic Remedies :

  • FERRUM PHOS – Great debility, trembling, aversion to exercise; palpitation, heaviness of head, with loss of sight, fainting and ringing in ears; sleeplessness; anaemia from prolonged haemorrhage. Morning sickness of pregnancy, with vomiting of food as taken. After pains and as a preventive of fever of lactation.
  • NATRUM PHOS – Anaemia, accompanied with indigestion acid rising etc. to aid in the proper assimilation with indigestion acid rising etc. to aid in the proper assimilation of food. Intercurrently with Calc. Phos.
  • CALC PHOS – This remedy supplies new blood-cells. Face pale of chlorotic, greenish-white. Anaemia where nutrition is defective. Excess of white corpuscles in the blood, after wasting or exhausting diseases.
  • NATRUM MUR – In chlorotic conditions, where the blood is thin and watery, not coagulating, Skin has a dead, dirty look; indicating this salt; constipation.
  • .
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    Comments

    0 # Vivaan 2018-05-11
    Hii, I am from Rajsamand, I want to know can cigerrete sharing can lead to syphilis ?
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    0 # Dr. Naresh 2018-05-12
    yes,sharing cigerette,drinking cups,common spoons etc can also lead to syphilis, Generally whenever the fluid of a person who has syphilis is shared,the infection can occur, you should also consult with good Gynecologist in Rajsamand
    Reply | Reply with quote | Quote
    0 # Aarav 2018-04-20
    Hello I am from Surendranagar, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
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    0 # Dr. Naresh 2018-04-21
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in Surendranagar
    Reply | Reply with quote | Quote
    0 # Aarav 2018-04-20
    My friend has been diagnosed with gonorrhoea, Please tell which tests will be advisable, also suggest gynec in Hoshiarpur ?
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    0 # Dr. Naresh 2018-04-21
    VDRL tests should be done every month for 3 consecutive months for detecting syphilis as well as other sexually transmitted diseases,These tests should be conducted at proper times, find good Gynecologist in Hoshiarpur
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    0 # Nishith Older than three months
    Hello, plz let me know What is menarche, I want to consult with gynec in Papum Pare, plz suggest ?
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    0 # Dr. Naresh Older than three months
    the process of starting of the menstrual cycle in females is called menarche, plz find good Gynecologist in Papum Pare.
    Reply | Reply with quote | Quote
    0 # Aayush Older than three months
    Hii, I am from Dhaulpur, can you plz tell me What is the mode of infection in syphilis ?
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    0 # Dr. Pooja Older than three months
    90 percent cases in syphilis are transmitted through unsafe sexual contacts, Mothers can also pass infection through breast milk, you can also consult with good Gynecologist in Dhaulpur .
    Reply | Reply with quote | Quote
    0 # Priyansh Older than three months
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Latur
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    0 # Dr. Naresh Older than three months
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Latur
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    0 # Priyansh Older than three months
    Hii, can you plz tell me,What changes can occur in skin in syphilis patient, also suggest good obstertrician in Dhanbad ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    Rashes can occur on the skin in the near areas,rashes can be discrete and also symmetrical in nature, Rashes can also be pustular, you can consult with Obstetrician in Dhanbad.
    Reply | Reply with quote | Quote
    0 # Lakshay Older than three months
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Puri ?
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    0 # Dr. Pooja Older than three months
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-Sarojini Clinic ; Sri Krishna Health Care and Reproductive Research Centre.
    Reply | Reply with quote | Quote
    0 # Tushar Older than three months
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Gurgaon ?
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    0 # Dr. Pooja Older than three months
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Gurgaon.
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