Gebelikte Anemi

Abstract

Iron deficiency anemia is the most common form of anemia in pregnant women. Folic acid, vitamin B12 deficiency, and hemoglobinopathies are other causes of anemia in pregnancy. Finding the underlying cause are crucial to the management of the anemia. Anemia is defined as hemoglobin (Hb) level of <11 g/dl in the first and third trimester and <10.5 g/dl in second trimester. Anemia, particularly severe anemia (Hb<7g/dl) is associated with increased risk of maternal and perinatal mortality and morbidity, and long term adverse effects in the newborn. The association of hemoglobin levels to perinatal outcome has been shown to be U shaped with both high and low hemoglobin levels being associated adverse perinatal outcome such as low birth weight, increased stillbirths. Anemia in pregnancy is a major public health problem. Ideally a woman should have adequate iron stores when she conceives, in order meet to additional requirements of pregnancy. This review focuses on the occurence, types, maternal and perinatal outcomes, prevention and treatment of anemia during pregnancy.