Williams Obstetrics 26e by 
Natural Labor and Birth: an Evidence-Based Guide to the Natural Birth Plan by 
Johns Hopkins Handbook of Obstetrics and Gynecology by 
Use Access ObGyn to Walk Through Case StudiesSample Case for Medical Complications of Pregnancy > Anemia in Pregnancy (Folate Deficiency):
A 29-year-old G2P1 woman at 15 weeks’ gestation is seen for her second prenatal visit. Her antenatal history is unremarkable except for some nausea and vomiting in the first trimester. The patient was noted to be anemic on her prenatal screen with a hemoglobin level of 9.5 g/dL and a mean corpuscular volume (MCV) of 105 fL. One year ago, her hemoglobin level was 11 g/dL with an MCV of 92 fL. On examination, her blood pressure is 100/60 mm Hg, her heart rate is 80 beats per minute, and she is afebrile. The thyroid gland appears normal on palpation. The heart and lung examinations are unremarkable. The fundus is at the umbilicus. The fetal heart tones are in the 140 to 150 beats per minute range. A fetal ultrasound shows a normal, single gestation.
What is the most likely diagnosis?
What is the underlying mechanism?
What is the significance of the anemia to the pregnancy?
Click here to explore the answers
AccessMedicine from McGraw-Hill Medical is a comprehensive online medical resource that provides a complete spectrum of knowledge from the best minds in medicine, with essential information accessible anywhere.
MEDLINE Ultimate offers medical professionals and researchers access to unmatched evidence-based and peer-reviewed full-text content from more of the top biomedical journals. It also offers more international journal coverage than any other MEDLINE database.
ClinicalKey offers the most current, evidence-based answers available for all medical and surgical specialties, including over 1,000 books, over 500 top journals, and over 13,000 procedural videos. Content supplied by Elsevier, the world's leading provider of science and health information. Faster, more relevant clinical answers, so you can spend less time searching and more time caring for patients.
Springer books and journals are a leading source of high-quality scientific content covering a broad range of subjects. Including highly-specialized and interdisciplinary research the collection is continually growing to support scientists, researchers and academics in their work.
