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Anemia in pregnancy is very common and is present in almost 8o% of pregnant women. Because volume of blood increases during pregnancy (hemodilution), a moderate decrease in the concentration of red blood cells and hemoglobin is normal.
The hematocrit value (the percentage of red blood cells relative to plasma volume) in non-pregnant women ranges from 38 to 45%. However, in pregnant women because of hemodilution normal values can be much lower, e.g. 34%in single and 30% in twin or multiple pregnancy even with normal stores of iron, folic acid and vitamin B12. This lower range simply reflects "the physiologic hemodilution of pregnancy" and does not indicate a decrease in oxygen carrying capacity or true anemia. Iron deficiency is responsible for 95% of anemia of pregnancy.
A low level of hemoglobin (less than 10 gm/dl) during pregnancy is termed Anemia.Hematocrit levels less than 33% is considered iron deficient and should be treated.Category: MAHE 2000 MCQs
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