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AbstractMalignant middle cerebral artery (MCA) infarction warranting decompressive craniectomy (DC) is unusual in the population younger than 40 years. Specifically, only a few cases affecting pregnant women have been described in the literature. We present the case of a 39-year-old woman in the 24th week of pregnancy who suffered a right malignant MCA infarction that eventually required DC. The patient delivered a healthy baby and underwent a second surgery for cranioplasty 7 months later. We present both this case and a review of the literature, including all cases of DC in pregnant women published to date.

Iron deficiency anemia (IDA) is a condition in which there is low hemoglobin level due to insufficient iron. And it is the most common cause of anemia in overall world. Anemia has divided into three categories on the basis of its severity: HB concentration less than 7.0 g/dl fall into severe anemia, in moderate anemia there is HB level between 7.0-9.9 g/dl whereas in mild anemia HB level range from 10.0-11.0 g/dl. Iron deficiency anemia arising in pregnancy depends on two reasons: the amount of iron stored at the time of conception and the amount of iron absorbed during gestation. Due to increased demand of iron during pregnancy, most of the women are suffering from IDA. The most prevalent micro nutrient is iron deficiency combined with anemia in pregnant women with serious health issues. Intravenous iron has a role in the treatment and avoidance of ID and IDA, particularly in women who present late, and/or display severe deficiency or anemia, or who are intolerant of oral iron. A detailed health data could be acquired such as parity, menstrual characteristics, infections, previous iron or blood transfusions, etc. The Government needs to take solid steps to improve the quality of education and socioeconomic status of females, increase the number of health care providers and intensify public education. Health behavior's need to be changed and adherence to the prescribed programs by the government is needed. Providing long term iron supplementation and dietary modification starting from adolescence may improve the hemoglobin levels and later on prevent anemia in pregnancy.