ANEMIA AT PREGNANCY

Rahmawati Minhajat
Tutik Harjianti
A.Fachruddin

Div. of Hematology & Medical Oncology

Dept. of Internal Medicine, Medical Faculty
Hasanuddin University
 The Limit of Anemia at Pregnancy

Anemia
is a condition where the Hb < 10% under normal

The limit of anemia at a woman : Hb < 12 gr%

The limit of anemia at a pregnant woman : Hb < 10 gr %

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 The limit of Anemia based on Trimester

Hb 12 gr% 11 gr% 10 gr%

Trimester I Trimester II Trimester III

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 The caused of
Low Hb at a pregnant woman
The increase of body volume at a
pregnant woman (The adding of blood cell
is not equal to the adding of plasma)
Plasma 30%, Blood Cell 18%, & Hb 19%.

Division of Hematology & Medical Oncology Dept. of Internal Medicine

The Influence of Anemia at Pregnancy

1.Abortus
2.Premature
3.Old Partus because of inertia uteri
4.Bleeding of post partum ( atoni uteri )
5.Shock
6.Decompensated Cordis

Division of Hematology & Medical Oncology Dept. of Internal Medicine

Kind of Anemia at Pregnancy

1 Deficiency iron Anemia

2 Megaloblastyc Anemia

3 Hipoplastyc Anemia

4 Hemolytic Anemia

Division of Hematology & Medical Oncology Dept. of Internal Medicine

Deficiency Iron Anemia

The most happen

Caused: less of nutrition, re-absorption
disturbing, function disturbing, increase
at excretion.
Increase of need at Trmstr III
Every day necessity to a pregnant woman
in Indonesia: 17 mg/hr

Division of Hematology & Medical Oncology Dept. of Internal Medicine

 Exam to decide the diagnose
MCV, MCH, MCHC

Blood smear Reticulocyte

morphology
A C intensity

EXAMINATION

History taking based other lab based on

on the result of the E D the result of the
previews lab test previews lab test

Division of Hematology & Medical Oncology Dept. of Internal Medicine

Management

Non medicamentosa
* Eat much & protein, mineral & vitamin

* Avoid drugs that influence hematopoisis

Medicamentosa
* Vitamin Fe, B12, folic acid, transfusion

Division of Hematology & Medical Oncology Dept. of Internal Medicine

Thank You !