gynecology and obstetrics
Anemia in Pregnancy
Folate Deficiency Anemia in Pregnancy
 Folate Deficiency increases risk of Rarely, severe anemia and glossitis occur. Measurement of serum folate Folate deficiency is suspected if CBC shows anemia with macrocytic indices or high RBC distribution width (RDW). Low serum folate levels confirm the diagnosis. Folic acid1 mg orally twice a day Treatment isfolic acid1 mg orally twice a day. Severe megaloblastic anemia may warrant bone marrow examination and further treatment in a hospital. For prevention, all pregnant women and women who are trying to conceive are givenfolic acid0.4 to 0.8 mg orally once a day. Women who have had a fetus with spina bifida should take 4 mg once a day, starting before conception. 