Editor SS Trivedi
Director Professor, Head of Department Obstetrics and Gynecology Lady Hardinge Medical College
New Delhi, India
Co-Editor Manju Puri
Professor, Department of Obstetrics and Gynecology Lady Hardinge Medical College and SSK Hospital
New Delhi, India
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
B-3 EMCA House, 23/23B Ansari Road, Daryaganj,
New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021,
+91-11-23245672, Rel: +91-11-32558559, Fax: +91-11-23276490,
+91-11-23245683 e-mail: jaypee@jaypeebrothers.com
Visit our website: www.jaypeebrothers.com
Branches
- 2/B, Akruti Society, Jodhpur Gam Road Satellite, Ahmedabad 380 015Phones: +91-79-26926233, Rel: +91-79-32988717, Fax: +91-079-26927094e-mail: ahmedabad@jaypeebrothers.com
- 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park EastBengaluru 560 001, Phones: +91-80-22285971, +91-80-22382956Rel: +91-80-32714073, Fax: +91-80-22281761e-mail: bengaluru@jaypeebrothers.com
- 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon RoadChennai 600 008, Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089,Fax: +91-44-28193231 e-mail: chennai@jaypeebrothers.com
- 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross RoadHyderabad 500 095, Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929,Fax:+91-40-24758499 e-mail: hyderabad@jaypeebrothers.com
- No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road, Kochi 682 018,Kerala, Phones: 0484-4036109, +91-0484-2395739, +91-0484-2395740e-mail: kochi@jaypeebrothers.com
- 1-A Indian Mirror Street, Wellington Square, Kolkata 700 013Phones: +91-33-22651926, +91-33-22276404, +91-33-22276415, Rel: +91-33-32901926,Fax: +91-33-22656075 e-mail: kolkata@jaypeebrothers.com
- Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira NagarLucknow 226 016 Phones: +91-522-3040553, +91-522-3040554e-mail: lucknow@jaypeebrothers.com
- 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel,Mumbai 400 012, Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896,Fax: +91-22-24160828 e-mail: mumbai@jaypeebrothers.com
- “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road,Nagpur 440 009 (MS), Phones: Rel: 3245220, Fax: 0712-2704275e-mail: nagpur@jaypeebrothers.com
Anemia in Pregnancy
© 2008, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2008
9788184482997
Typeset at JPBMP typesetting unit
Printed at Rajkamal Press
4CONTRIBUTORS
- Abha Singh
- Professor
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Anjali Taneja
- Senior Resident
- Department of Obstetrics and Gynecology,
- Lady Hardinge Medical College and SSK Hospital, New Delhi.
- Chitra Raghunandan
- Professor
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Kiran Aggarwal
- Associate Professor
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Manju Puri
- Professor
- Department of Obstetrics and Gynecology,
- Lady Hardinge Medical College and SSK Hospital, New Delhi.
- Nayantara Sharma
- Professor
- Obstetrics and Gynecology
- Ratna Biswas
- Associate Professor
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Sharda Patra
- Assistant Professor
- Department of Obstetrics and Gynecology
- Shashi Narayanan
- Professor
- Department of Pathology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- SS Trivedi
- Director, Professor and HOD
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Usha Gupta
- Professor
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
- Varsha Parakh
- Senior Resident
- Department of Obstetrics and Gynecology
- Lady Hardinge Medical College and SSK Hospital, New Delhi
Anemia is recognized as a major public health problem especially among economically weaker section of the population in developing countries like India. It is widely prevalent in pregnant women and magnitude of the problem is enormous. About half of the pregnant women in the world are anemic. Anemia adversely affects obstetric outcome. It is responsible for over 20 percent of maternal deaths and significant perinatal loss in India. The faculty of the Department of Obstetrics and Gynecology of Lady Hardinge Medical College and Hospital must be complimented for the significant publication of this book on the very important subject of Anemia in Pregnancy. It contains ten relevant chapters on different aspects of anemia in pregnancy mainly based on its leading causes. The chapter on Iron deficiency, Megaloblastic, Haemolytic, Sickle Cell, Aplastic anemias, etc. have been written with meticulous care providing latest information in their etiopathogenesis, diagnosis, clinical manifestation and management. The first chapter deals with the magnitude of the problem, challenges in eradicating anemia and preventive strategies to eliminate severe anemia during pregnancy.
The chapters are educative, comprehensive and up-to-date. The learned editors have done an admirable job and deserve our high appreciation for their devoted efforts. The scientific contents of the book are of great calibre and this 7edition is most welcome in the field of Obstetrics and Gynecology. The unique project of putting in the thought on all types of anemias encountered in pregnancy collectively in a book is praiseworthy. The volume is superb and skillfully edited to become user-friendly. It is ardently hoped that this excellent publication will be profitably used by students and specialists practicing Obstetrics and Gynecology.
SN Mukherjee
Formerly
Professor and Head, Dept. of Obstetrics and Gynecology,
JIPMER Pondicherry, HP Medical College, Shimla
UCMS and SJ Hospital, MAMC and LN Hospital, New Delhi
Dy. Commissioner (Technical) Family Planning
Director CGHS, DGHS Government of India
8PREFACE
Anemia is the commonest medical disorder in pregnancy, with a prevalence rate of up to 80 percent in some populations. It is a major contributor to maternal morbidity and mortality in our country. The effects of anemia in pregnancy on the newborn's future health are also a cause for concern. Nutritional anemia, the commonest anemia in pregnancy, is easy to diagnose and simple to treat, but its eradication still eludes us. In-depth knowledge of all types of anemia is essential for practitioners providing health care to pregnant woman. Hence, a need was felt for a complete and comprehensive book on anemia that provides a deep insight into all aspects of anemia in pregnancy. This book aims at sensitizing the readers to the magnitude of the problem and takes them through a detailed description of all different types of anemia encountered in pregnancy, the differential diagnosis and specific therapy for each one of them. This book will be an interesting and useful reading material for not only the undergraduate and postgraduate medical students but also for the practicing obstetricians and practitioners involved in ensuring maternal well-being.
We are thankful to all the contributors and are grateful to our patients who prompted us to bring out this manual and hope it will benefit them the most.
SS Trivedi
Manju Puri