College of Nursing,

Sher-E-Bangla Nagar, Dhaka-1212

Subject: Fundamentals of Midwifery
Topic: Anemia

Nishita Khanam Nisu

Student Teacher
Bachelor of Science in Nursing (Post Basic)
College of Nursing, Mohakhali, Dhaka-1212
Email: nishitakhanamnisu@gmail.com
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Mobile no: 01728526232
 TOPIC
ANEMIA

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 Lesson Plan
1 Title of the course : Diploma in Midwifery
: Fundamentals of Midwifery
2 Name of the subject

3 Name of the topic : Anemia

4 Level of the students : 1st year

5 Number of the students : 25

: Handout, multimedia, PowerPoint, white board, marker pen, duster
6 Teaching resources

7 Place of class : Classroom (6th floor)

8 Duration of class : 1 hour

9 Date of class : 20.01.2024

10 Time of class : 10.00 am

11 Method of teaching : Lecture method

12 Classroom layout : Well organized

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 Teaching Learning Activities
Time Content Teacher activities Student’s activities Assessment/ evaluation

10.00-10.10am Greeting and introduce the Teacher will greet self-introduce with Response to greet the teacher Observe students’ interest and
topic students in smiling face and response to roll call participation
Students roll call

10.11- 10.15am define anemia Teacher will define anemia Students will listen teacher’s Asking question, offering answer
lecture

10.16-10.24am State the types of anemia The teacher will state the types of Students will listen teacher’s Asking question, offering answer
anemia lecture

10.25-10.29am Identify the causes of Teacher will identify the causes of Students will listen and watch Asking question, offering answer,
anemia anemia identify the right answer

10.30- 10.33am Break

10.34-10.45am enlist the clinical Teacher will enlist the clinical Students will listen, watch and ask Asking question
manifestation of anemia manifestation of anemia question to the teacher for make
clear

10.46-10.55am describe the management Teacher will describe the management Students will listen, watch and ask Asking question
of anemia of anemia question to the teacher for make
clear
10.56-11.00am Summarization Teacher will ask to the students to sum Students will listen and agree Asking question
up the significant area of the lesson with teacher

Evaluation Upon students’ feedback on this lesson

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 Learning Objectives
General Objective
Upon completion of this class students will be able to acquire knowledge, develop skills and attitudes
regarding Anemia.

Specific Objectives
At the end of the class student's will be able to;
- define anemia.
- state the types of anemia.
- identify the causes of anemia.
- enlist the clinical manifestation of anemia.
- describe the management of anemia
- list the complications of anemia.

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 Concept of anemia
Anemia is the most common hematological disorder and is prevalent in most
parts of the world. Anemia is a very common medical problem that affects
different age groups especially pregnant women and adolescents.

Anemia is responsible for 20% of maternal deaths in the third world countries as
like as Bangladesh. Anemia is prevalent in most parts of the world. Iron-
deficiency anemia (IDA) is one of the more common causes of anemia. Anemia
is a condition in which the lack enough healthy red blood cells to carry adequate
oxygen to the body’s tissues.
Mild anemia- low up to 11gm/dl
Moderate anemia- 9-11gm/dl
Severe anemia- below 9gm/dl
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 Definition of anemia
According to standard laid down by WHO, “anemia in pregnancy is present when
the hemoglobin concentration in the peripheral blood is 11g/100ml or less
(hematocrit <32%).”
Anemia is a condition in which the number of red blood cells or the hemoglobin
concentration within them is lower than normal. Hemoglobin is needed to carry
oxygen and if have too few or abnormal red blood cells, or not enough hemoglobin,
there will be a decreased capacity of the blood to carry oxygen to the body’s
issues.

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 Types of anemia
 Physiological anemia
 Pathological anemia
 Iron deficiency anemia
 Folic acid deficiency anemia
 Vitamin B12 deficiency anemia
 Protein deficiency anemia
 Hemorrhagic - Acute (antepartum hemorrhage)
- Chronic (hookworm infestation).

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 Causes of anemia
Common causes of anemia in Bangladesh:
• Lack of Iron and folate in diet.
• Frequent pregnancy.
• Hook worm infestation.
• Peptic ulcer disease.
• Excessive menstrual bleeding.

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 Clinical Manifestations
• Fatigue.
• Headache.
• Dizziness.
• Yellow skin.
• coldness.
• Rapid heartbeat.
• Shortness of breath.
• Leg cramps.
• Pallor.
• Temperature.

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 Management of anemia
• Diet changes.
• Nutritional supplements: (Example- Iron, B12, Folic acid).
• Treatment of infection.
• Blood transfusion.
• Bone Marrow transplant.
• Medication
• Surgery
• Antibiotic Therapy.

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 Complications of anemia
• Tiredness: Iron deficiency anemia can make fell tired and leaking
in energy(lethargic).
• Increased risk of infections.
• Heart and lungs problems.
• Pregnancy complications: Premature birth (severe in deficiency).
• Delirium
• Hypoxia
• Severe fatigue.

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 References
Brown, D., Edwards, H., Buckley, T., & Aitken, R. L. (2019). Lewis’s
Medical-Surgical Nursing: Assessment and Management of
Clinical Problems.
Burns, S. (2014). AACN Essentials of Critical Care Nursing, Second
edition. McGraw Hill Professional.

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