Page 200 - Critical Maternity & Newborn Health Nursing

Unit 6

Anemia During Pregnancy

Normal Blood Standards

(A) Red blood corpuscles (RBCs):

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1. Number: In females : 4.5-5 millions/mm .
2. Hemoglobin {Hb%):

In females: 12-14 gm/100 cc (dl) blood. During pregnancy: 10-12 gm/dl

i.e. physiological anemia due to the increase in plasma volume more than

RBCs volume.

3. Haematocrit value:

It is the volume of packed RBCs in 100 cc of blood.

In females: 42%.

4. Reticulocytes:

0-2%. They are cells with remnants of the nucleus. Reticulocytosis

indicates over active bone marrow as in hemolytic anemia.

(B) Leucocytes

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1. Total leucocytic count: 4.000-10.000/mm It increases during
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pregnancy to 9.500-10.500/mm and up to 16.000/mm during labor and
the first week of puerperium.

2. Differential leucocytic count:

- Basophils 0-1%. -Eosinophils 3-5%.

- Monocytes 3-8%. -Lymphocytes 20-30%.

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