Definition : <6-18 months from delivery to next pregnancy
During pregnancy, maternal folate and iron are depleted for fetal development, and the resulting maternal anemia is exacerbated by normal blood loss during delivery (eg, up to 10%-20% of blood volume). In breastfeeding women, continued nutritional demands from the newborn prevent repletion of normal folate and iron stores, resulting in prolonged anemia!
Complications :
Preterm prelabor rupture of membranes (possibly due to persistent genital tract inflammation).
Mnemonic :
While protracted labor course is more likely with advanced maternal age (age >35), fetal macrosomia, and an increased interpregnancy interval (eg, >24 months).
Thank you!
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