Q:

A 28 year old woman at 34 weeks GA (gestational age) for her first pregnancy attends antenatal clinic. Her blood results: Hgb 10.6, MCV 95, MCHC 350. What do you do for her?

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A 28 year old woman at 34 weeks GA (gestational age) for her first pregnancy attends antenatal clinic. Her blood results: Hgb 10.6, MCV 95, MCHC 350. What do you do for her?


  1. Folate
  2. Dextran
  3. Ferrous sulphate
  4. None
  5. IV FeSO4
  6. Explain this physiologic hemodynamic anemia
  7. Blood transfusion

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The key is F. Explain this physiologic hemodynamic anemia. [According to NICE, cut offs for iron supplements:

The key is F. Explain this physiologic hemodynamic anemia. [According to NICE, cut offs for iron supplements:

at booking (8-10 weeks)- if less than 11

at 28 weeks and further- if less than 10.5

if less than these values=> give iron].

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