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Anemia in Pregnancy
Anemia is one of the most frequent complications related to pregnancy. Normal physiologic changes in pregnancy affect the hemoglobin (Hb), and there is a relative or absolute reduction in Hb concentration. The most common true anemias during pregnancy are iron deficiency anemia (approximately 75%) and folate deficiency megaloblastic anemia, which are more common in women who have inadequate diets and who are not receiving prenatal iron and folate supplements. Severe anemia may have adverse effects on the mother and the fetus. Anemia with hemoglobin levels less than 6 gr/dl is associated with poor pregnancy outcome. Prematurity, spontaneous abortions, low birth weight, and fetal deaths are complications of severe maternal anemia. Nevertheless, a mild to moderate iron deficiency does not appear to cause a significant effect on fetal hemoglobin concentration.
About the Speaker
Dr Aruna Reddy
Senior Gynecologist and Head OBG department Giggles Omni kukatpally Hyderabad at OMNI Hospitals
Upcoming Case Discussions
Unexplained Infertility: Diagnostic Techniques
Unexplained infertility refers to the inability to conceive despite thorough evaluation showing no identifiable cause in both partners. Diagnostic techniques focus on ruling out common issues through tests like semen analysis, ovulation assessment, and imaging studies such as hysterosalpingography (HSG) or transvaginal ultrasound to evaluate the reproductive anatomy. Advanced tests, including laparoscopy, can identify subtle conditions like endometriosis or pelvic adhesions. Hormonal evaluations, genetic testing, and endometrial receptivity analysis are also employed to uncover less apparent factors. Despite these methods, unexplained infertility often remains challenging to diagnose, highlighting the need for personalized care and ongoing research.
Nutrition in Pregnancy
Nutrition in pregnancy is crucial for the health of both the mother and the developing baby. A well-balanced diet rich in essential nutrients like folic acid, iron, calcium, and protein supports fetal growth, reduces the risk of birth defects, and strengthens maternal health. Adequate intake of fruits, vegetables, whole grains, and healthy fats ensures a steady supply of vitamins and minerals. Staying hydrated and managing portion sizes helps avoid complications like gestational diabetes and excessive weight gain. Prenatal supplements may be recommended to meet specific nutritional needs. Proper nutrition fosters a healthy pregnancy and sets the foundation for the baby’s long-term well-being.
Approach to TTP
The approach to Thrombotic Thrombocytopenic Purpura (TTP) involves the prompt initiation of plasma exchange therapy to remove the circulating autoantibodies and replenish ADAMTS13 enzyme activity. Additionally, corticosteroids and immunosuppressive drugs are often administered to control the underlying autoimmune response and prevent relapse.
Management of Pulmonary Embolism
Management of pulmonary embolism (PE) involves rapid diagnosis through imaging techniques like CT pulmonary angiography and the administration of anticoagulant therapy to prevent further clot formation. In severe cases, thrombolytic therapy or surgical intervention may be necessary to remove the embolus and restore normal blood flow.
Approach to Severe Respiratory Distress in ED
In the emergency department, the approach to severe respiratory distress begins with a rapid assessment to determine the underlying cause, including airway obstruction, pulmonary pathology, or cardiovascular issues. Immediate interventions, such as oxygen supplementation, nebulized bronchodilators, intubation, or non-invasive ventilation, are implemented based on the severity and etiology, with close monitoring for signs of deterioration.