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Book of Medical Disorders in Pregnancy - Tintash

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performance. Tiredness, listlessness,<br />

lethargy and fatigue.<br />

Moderate or severe Anaemia: Pallor <strong>of</strong><br />

nails eyes and tongue Breathlessness or<br />

fa<strong>in</strong>t<strong>in</strong>g <strong>in</strong>creased susceptibility to<br />

<strong>in</strong>fection and recurrent illnesses.<br />

Iron deficiency Anaemia:<br />

This type <strong>of</strong> anaemia is most common <strong>in</strong><br />

Pakistan. The reason for this is the eat<strong>in</strong>g<br />

habits and deficiency <strong>of</strong> Iron <strong>in</strong>take by<br />

our child bear<strong>in</strong>g women.<br />

Iron metabolism: Iron deficiency 85%<br />

<strong>of</strong> all cases. Un common causes folic<br />

acid deficiency, sickle cell disease,<br />

haemoglob<strong>in</strong> SC, beta thalassanemia<br />

(more common <strong>in</strong> patients from South<br />

East Asia, Southern Europe and Africa).<br />

ß- Thalassemia major, α-thalassemia,<br />

vitam<strong>in</strong> B12 deficiency, chronic<br />

hemolysis (hereditary spherocytosis),<br />

paroxysmal nocturnal hemoglob<strong>in</strong>uria,<br />

leukanemia, GI bleed<strong>in</strong>g. HB

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