GOVERNMENT COLLEGE OF NURSING
JODHPUR
SUBJECT – Obstetrics and
gynecology nursing
Presentation
On
Anemia and nutritional deficiency
SUBMITTED TO: SUBMITTED BY:
Jyoti bala
Nursing lecturer PRIYANKA GEHLOT
M.Sc NSG (PREV)
GCON, JODHPUR BATCH 2019
ANEMIA AND NUTRITIONAL DIFICENCY
INTRODUCTION:
Anemia is a major killer in India. Statistics reveal that every second Indian woman is
anemic One in every five maternal deaths is directly due to anemia. Anemia affects both
adults and children of both sexes, although pregnant women and adolescent girls are most
susceptible and most affected by this disease.
DEFINITION:
Anemia (An-without,emia-blood)is a decrease in the RBC count, hemoglobin and/or
Hematocrit values resulting in a lower ability for the blood to carry oxygen to body tissues.
PATHOPHYSIOLOGY:
NORMAL VALUES
Category Reference Values
Men >13 g/dl
Women >12 g/dl
Pregnant women >11g/dl
Infants from 2 to 6 months >9.5 g/dl
Children from 6 months to 24 months >10.5 g/dl
2yrs to 11 yrs >11.5 g/dl
Children from 12 years >12 g/dl Category Values Reference Men >13 g/dl Women >12 g/dl
Pregnant women >11g/dl Infants from 2 to 6 months >9.5 g/dl Children from 6 months to 24 months
>10.5 g/dl 2yrs to 11 yrs >11.5 g/dl Children from 12 years >12 g/d
TYPES OF ANEMIA Based on clinical picture- Iron deficiency anemia. Megaloblastic
anemia. Pernicious anemia. Hemorrhagic anemia. Hemolytic anemia. -Thalassemia
anemia -Sickle cell anemia Aplastic anemia
Iron deficiency anemia ♣ excessive loss of iron . ♣ Women are at risk. ---- For menstrual blood and
growing fetus. Megaloblastic anemia ♣ Less intake of vitamin B 12 and folic acid. ♣ Red bone
marrow produces abnormal RBC. e.g cancer drugs Pernicious anemia ♣ Inability of stomach to
absorb vitamin B 12 in small intestine. TYPES OF ANEMIA Hemorrhagic anemia ♣ Excessive loss of
RBC through bleeding,stomach ulcers,menstruation Hemolytic anemia ♣ RBC plasma membrane
ruptures. ♣ may be due to parasites,toxins,antibodies. Thalassemmia ♣ Less synthesis of
hemoglobin .Found in population of Mediterranean sea. Sickle cell anemia ♣ Hereditary blood
disorder, characterized by red blood cells that assume an abnormal, rigid, sickle shape. Aplastic
anemia ♣ destruction of red bone marrow . ♣ caused by toxins,gamma radiation. Normochromic,
normocytic anemia (normal MCHC, normal MCV).These include: anemias of chronic disease
hemolytic anemias (those characterized by accelerated destruction of rbc's) anemia of acute
hemorrhage aplastic anemias (those characterized by disappearance of rbc precursors from the
marrow) Hypochromic, microcytic anemia (low MCHC, low MCV).These include: iron deficiency
anemia thalassemias anemia of chronic diseases Normochromic, macrocytic anemia (normal
MCHC, high MCV).These include: vitamin B12 deficiency folate deficiency
RISK FACTORS Poor socio economic class Multiparity Teenage pregnancy Menstural problem