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Anemia in Pregnancy

Definition of anemia:

Hb< 11  g/dL in the first and third trimester

Hb< 10.5 g/dL in the second trimester

ClassificationHb level (g/dL)
Mild9-11
Moderate7.1-8.9
Severe≤7

Prophylaxis dose of iron:  elemental iron 30-60mg daily

Treatment: 100-200mg daily

BrandIronDose per tabletElemental Iron
ObiminFerrous Fumrate90mg30mg
ZincoferFerrous fumarate350mg115mg
IberetFerrous sulphate525mg105mg
SangobionFerrous Gluconate250mg30mg
MaltoferIron Polymaltose370mg100mg

Treatment: Access Hb after 2 weeks, supposed should increase 2g/dL over 3-4weeks

Upper limit for iron: 300mg/day

Improve iron absorptionReduce Iron absorption
-Take iron with empty stomach (1hr before meal)
-Take with vitamin C (orange juice)
-Take with other meds at the same time
-antacids
-calcium supplement
-Dairy products

Iron deficiency:

Ferritin (iron stores) <15mg/L which is not affected by recent iron ingestion, but it might taise in infection and inflammation

Serum Fe and TIBC will be flutuate with recent iron ingestion

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