AMALINA NOTES

Hb low (P 12 L 13 ~ less than this) And MCH < 27 Tro IDA : give iron supplement 3 months, make sure compliance If > 27 : Unlikely thallasemia. If HB increase, MCH not increase, Send HB Analysis tro thallasemia

Possibility every pregnancy 25% normal 50% carrier 25 % major Bukan total anak, but possibility every pregnancy 75% affected…25% normal.

Father carrier + Mother Carrier

Thallasemia : Defect in globin chain : reduce production