Anemia In Pregnancy:Evidence Based Guidelines

Anemia during pregnancy is one of the most common medical conditions worldwide, yet it is often underestimated.

According to World Health Organization guidelines:

🔹 Anemia in pregnancy is defined as:

Hemoglobin < 11 g/dL in the 1st & 3rd trimester

Hemoglobin < 10.5 g/dL in the 2nd trimester

Why does anemia matter?

🔴 Effects on the mother:

Fatigue and reduced physical capacity

Palpitations, dizziness

Increased risk of postpartum hemorrhage

Poor tolerance to blood loss during delivery

Delayed postnatal recovery

🔴 Effects on the fetus:

Low birth weight

Preterm delivery

Reduced neonatal iron stores

In severe cases: intrauterine growth restriction (IUGR)

🔴 Effects on labor & delivery:

Higher risk of blood transfusion

Increased maternal morbidity

Slower post-delivery recovery

Key Guideline Messages

✔️ Not all anemia is dangerous — severity matters

✔️ Iron deficiency is the most common cause

✔️ Early screening and treatment significantly improve outcomes

✔️ Management should be individualized (oral iron, IV iron, or further evaluation if no response)

📌 Routine hemoglobin testing is recommended during pregnancy, and treatment should never be delayed if anemia is detected.

Clinical Reminder

Anemia is not just a lab value.

It is a modifiable risk factor that directly affects pregnancy safety.

💬 When was your last hemoglobin check?

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Anemia In Pregnancy:Evidence Based Guidelines

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Dr.Rabab Mustafa As a Consultant Obstetrician & Gynecologist with over 15 years of experience,

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