ANTE NATAL - ANAEMIA IN PREGNANCY

• WHO defines anaemia as presence of haemoglobin of less than 11 gm/dL and haemocrit of less than 0.33gm/dL
• Centre of disease control (CDC) have defined anaemia as Hb levels below 11 gm/dL in the pregnant women in first and third trimester and less than 10.5 gm/dL in second trimester

• Nutritional causes like Iron deficiency, folic acid deficiency, vitamin B12 deficiency and protein deficiency
• Anaemia due to blood loss
• Hook worm infestation
• Bleeding piles
• Malarial infestation
• TB
• Aplastic anaemia

• Fatigue
• Anorexia
• Dyspnoea
• Lassitude
• Breathlessness
• Generalised oedema
• Heart failure
• Angina
• Picca

• RBC
• PCV
• MCV
• Urine examination to rule out haematuria, CKD
• Stool examination to rule out parasitic infestation
• Blood urea nitrogen/serum creatine to rule out renal diseases

• Supplementation through diet
• Oral iron therapy
• Parentral therapy if Hb less than 5-8 g/dL
• Folic acid therapy
• Vitamin B12 therapy
• Blood transfusion

Ayurvedic management

• Punarnava mandoora –with buttermilk
• Dhatri louha –with buttermilk/honey
• Dadimadi Gritha –with luke warm water
• Navayasa louha–with honey
• Draksha Avaleha
• Tapyadi louha
• In Iron deficiency anaemia, maximum three tablets of IFA per day