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How to Treat Anaemia In Pregnancy?

  • July 26, 2023
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How to Treat Anaemia In Pregnancy?

Things to note:
  • A balanced diet to prevent nutritional deficiency.
Medical Treatment:

  • Ferrous sulphate compound BPC, oral, 170 mg daily with a meal.
  • Folic acid, oral, 5 mg daily.
    • Continue with iron and folic acid supplementation during lactation.
    • Treat other causes of anaemia according to the diagnosis.
Folic acid deficiency
  • Folic acid, oral, 5 mg daily.
Identify and treat associated vitamin deficiencies accordingly.
Iron deficiency
  • Ferrous sulphate compound BPC, oral, 170 mg 8 hourly with meals.
    • Continue for 3-6 months after the Hb reaches normal to replenish iron stores.
    • Hb is expected to rise by at least 1.5 g/dL in two weeks.
    • If Hb does not increase after two weeks, do a full blood count (FBC) to confirm hypochromic microcytic anaemia.
    • When using iron together with calcium supplementation, ensure that iron and calcium are taken at least 4 hours apart from one another.
Parenteral iron
  • If there is no response to oral iron, review adherence and do a FBC. If iron deficiency is confirmed on FBC and oral iron is not tolerated consider intravenous iron sucrose using the following formula:
Total dose = weight (kg) x [11 g/dL - actual Hb (g/dL)] x 2.4 + 200 mg.
Maximum daily dose: 200 mg.
Administer over 30 minutes in 200 mL sodium chloride 0.9%.
Repeat every second day until the total dose is given.
  • If delivery is anticipated within 3-5 days, consider blood transfusion in women with a Hb <7 g/dL.
When to refer:
  • No response to management.

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