Identification Of Anaemia In Pregnancy At Phc

IDENTIFICATION OF ANAEMIA IN PREGNANCY AT PHC.

Amirtha Varshini .P

INTRODUCTION Anaemia Anaemia in pregnancy. Hb: <11 gms % - 1& 3 trimester. Hb : <10.5 gms% 2 trimester. India: hb <10.5 gm %.

PREVALENCE According to WHO nutritional anaemia most common. Developing countries –40- 80 %. SE Asian countries 75 %. Develped counties – 10- 20 %. Increased prevalence – high risk pregnancy – Increaed maternal mortality rate- 27-37 %- india.

STEPS INVOLVED IN IDENTIFICATION Interpersonal relationship History Clinical examin ation

Investigation: Sahli ‘s haemoglobinometer Haemoglobin scale method Antenatal counselling

PROGRAMES NATIONAL NUTRITIONAL ANAEMIA PROPHYLAXIS PROGRAME. MCH division of ministry of family and welfare- part of RCH programe. 1. 1-5 yrs 60 mg of elemental iron + .5 mg of folic acid. 2. Established cases 120 mg given. 3. Hookworm infestaion prophylaxis: alb 400 mg after first trimester. ICMR EVALUATION REPORTS:

1. Prevalence of anaemia is similar among those who consumed and not consumed. 2. Those who consumed >50 tablets had higher hb levels than those who consumed <25 tablets. 3. Supply of dugs erratic,irregular. 4. Educational component of programe is weaker. 5. Consumption of tablets poor.

MANAGEMENT OF ANAEMIA AT PHC LEVEL: 1. Hb > 9 gms – iron and folic acid. 2. Hb = 6- 9 gms parenteral theraphy 3. Hb < 6 gms refer to cmc for blood transfusion 4. Siddha medicine – additive effect. Prophylaxis: iron and folic acid supplementation in 6, 7, 8th months. .

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