In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include:

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Women with sickle cell anemia have recurrent attacks (crises)of fever and pain,most often in the abdomen,joints,and extremities.These attacks are attributed to vascular occlusion when red blood cells (RBCs)assume the characteristic sickled shape.Crises are usually triggered by dehydration,hypoxia,or acidosis.Women with sickle cell anemia are not iron deficient.Therefore,routine iron supplementation,even that found in prenatal vitamins,should be avoided in order to prevent iron overload.Women with sickle cell trait usually are at greater risk for postpartum endometritis (uterine wall infection);however,this is not likely to occur in pregnancy and is not a sign
These women are at an increased risk for urinary tract infections (UTIs);however,this is not an indication of sickle cell crisis.

In Caring for a Pregnant Woman with Sickle Cell Anemia