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Anaemia FREE INDIA-Public AwarenessLifecare Centre_Dr.Jyoti Bhaskar

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Lifecare Centre
Public Awareness
Dr.Jyoti Bhaskar
Anaemia
Anaemia in Pregnancy
Anaemia Treatment
Iron Liberation
Injectable IRON Therapy
Facts about Anaemia
Anaemia Management
Anaemia Investigation
Parental IRON Therapy

Published in: Health & Medicine
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Anaemia FREE INDIA-Public AwarenessLifecare Centre_Dr.Jyoti Bhaskar

  1. 1. ANAEMIA FREE INIDIA
  2. 2. • Group photo Our Team PRESENTED At GYNAECON 10/10/2015 Our MISSION: SAY No TO ANAEMIA
  3. 3. DR. JYOTI BHASKAR DR. SHARDA JAIN Dr.Jyoti Aggarwal SOARING HIGH !! THROUGH IRON LIBERATION
  4. 4. Embarrassing !!
  5. 5. Indian Scenario
  6. 6. MAGNITUDE • 49.7% of Indian pregnant women suffer from anemia (WHO Global database, 2006) 20 % maternal deaths contributed by anemia • Iron deficiency anemia (IDA) commonest cause of anemia in pregnancy Most Common deficiency state in the world Preventable and correctable cause of anemia. Dr. Sharda Jain – An activist and protagonist of Anaemia Free India – 80% pregnant women are Anaemic
  7. 7. Every Parent Aspires That There Child will Become another APJ ABDUL KALAM
  8. 8. HARD FACT HAEMOGLOBIN LEVELS AFFECTS • INTELLIGENCE • PERFORMACE • Diminished concentration • Disturbance in perception • Poor learning ability
  9. 9. Reduced Performance and Productivity Decreased Work Output Decreased Work Capacity
  10. 10. Anaemic Mother gives birth to an Anaemic Baby • Irregular Heavy menstruation • Low pre-pregnancy iron stores • LBW babies and preterm delivery
  11. 11. Hemorrhage 30% Anemia 19% Sepsis 16% Abortion 9% Obst. Lab 10% Toxemia 8% Others 8% CAUSES OF MATERNAL MORTALITY SRS-1998 - Direct cause of 20%of maternal deaths Indirect cause for another 20% of maternal deaths Nothing is more expensive than a missed opportunity! UNCHANGED FOR 5 DECADES
  12. 12. Anaemia Death In India, over 300 maternal deaths EVERYDAY, about 200 due to anemia: FOGSI Beyond numbers! For every maternal death, there are 30 more who ‘almost died’.
  13. 13. Definition WHO defines Anemia as •Hb< 12 gm/dl in women •Hb< 13gm/dl in Men •Anemia in pregnancy refer Hb < 11gm/dl.
  14. 14. MANAGEMENT
  15. 15. DIET --- IRON AND PROTEINS
  16. 16. WHO • Anthelminthic medication in pregnant women with anaemia after 12 weeks of pregnancy • Drug of choice is Mebendazole 100mg BD for 3 days OR Albendazole 400mg
  17. 17. FERROUS SULPHATE FERROUS GLUCOMATE FERROUS FUMARATE Ferrous Succinate
  18. 18. PARENTERAL IRON THERAPY INDICATIONS • Non compliance with, or intolerance to, oral iron therapy • Proven malabsorption • No Hemoglobinopathy • Advanced gestation/post partum with moderate to severe anemia
  19. 19. FORMULATIONS • Low molecular weight Iron Dextran • Iron Sucrose • Ferric Carboxymaltose
  20. 20. Problems With Existing Parenteral Iron Preparations • The main disadvantage of Iron sucrose is the need for multiple infusions as the maximum weekly dose should not exceed 600 mg (200 mg IV, 1-3 times/week) • Risk of anaphylaxis and allergic reactions • Requirement of test dose administration Cancado RD et al. Rev Bras Hematol Hemoter. 2011; 33(6): 461–469.
  21. 21. NEWER PREPARATIONS Iron III carboxymaltose (ferric hydroxide carbohydrate complex) • Controlled delivery of iron within cells of reticuloendothelial system (primarily bone marrow) • Subsequent delivery to iron binding proteins ferritin and transferrin. • Rapid incorporation into RBCS
  22. 22. Dosage • Single intravenous dose of 1000 mg over 15 minutes (maximum 15 mg/kg by injection or 20 mg/kg by infusion) • Dilution: • 500mg ferric carboxymaltose in 100mL sodium chloride 0.9%. • 1000mg ferric carboxymaltose in 250mL sodium chloride 0.9%
  23. 23. • Flush with 50mL sodium chloride 0.9% before and after iron infusion to minimise risk of extravasation. • Maximum of 1000mg that can be given in one sitting. • No test dose required
  24. 24. Indications Were Parenteral iron is Indicated: • Adolescents and All Women • Pregnant women in 2nd – 3rd trimester • Post-Partum Women • Before Surgeries
  25. 25. Take Home Message • We Need to Build an Anaemia free India • Be Obsessed – Detection and Treatment • Switch Over Early – to Parenteral Iron • FCM – is Safe, Patient Friendly and Effective
  26. 26. Iron strengthens! Gold glittersSilver shines But…
  27. 27. ISO 14001:2004 (EMS) ISO 9001:2008 PLINE-9650588339/22414049 HELPLINE-9599044257 HELPLINE-9910081484 ISO 9001:2008 HELPLINE 9599044357 …..Caring hearts, healing hands

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