ida sa notes ko

• Microcytic


  Small red blood cells
• Hypochromic

  large red blood cells
• Vaginal Birth alter Cesarian

  1. Ruptured uterus

  2. Hemorrhage

  3. Maternal death
• if maramdaman in pain ha tiyan while bleeding

  Leads to anemia
• Signs and symptoms of anemia

  • Ringing of the ears - tinnitus
  • Koilonychia - spoon nails (severe cases)
  • Cheilosis - pale mouth
  • Pica - abnormal cravings for non-food items
• Serum ferritin levels

  Measure the amount of ferritin in the blood, if high then iron levels are high (normal ≥30 μg/L)
• Serum iron levels


  Measure the iron in the blood plasma, not the blood cells
• Total iron-binding capacity (TIBC)


  Measure the blood's capacity to bind iron with transferrin
• Transferrin saturation


  Measure of how much iron is bound to transferrin (normal 20-50%)
• Diagnostic tests

  • Serum ferritin levels
  • Serum iron levels
  • Total iron-binding capacity (TIBC)
  • Transferrin saturation
  • Complete blood count (CBC)
  • Red blood cell indices
• Iron absorption and transport

  1. Duodenum

  2. Bloodstream

  3. Bound to transferrin

  4. Transport to liver, spleen

  5. Stored as ferritin in bone marrow
• Maternal effects of iron deficiency anemia

  • Postpartum hemorrhage
  • Infection (e.g. E. coli)
  • Poor wound healing (episiotomy, cervicovaginal, pudendal artery)
  • Pre-eclampsia
  • Maternal death
• Fetal effects of iron deficiency anemia

  • Prematurity
  • Fetal growth restriction
  • Neurological impairment
  • Stillbirth
  • Fetal death
• Iron supplementation


  • Oral - ferrous sulfate
  • IV infusion - Iron Dextran, IV Iron Saccherates
  • IM - Iron Sorbitex
• • Oral medication - ferrous sulfate (an iron supplement)IV infusion (very fast) Iron Dextran (Inferon) 120-180mgIV Iron SaccheratesIM - Iron - Sorbitex (Jectofer)
• iron dextran is given via iv infusion because it has high molecular weight which makes it difficult to be absorbed through oral route.
• predisposing factors:

  • poor diet
  • alcoholism
  • certain meds
  • pregnancy
  • malabsorption
• clinical manifestations:

  • fatigue
  • paleness
  • shortness of breath
  • gastrointestinal symptom