My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great.
Welcome to icliniq.com.
Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child.
Was this answer helpful?|
.. taken for a fetus to develop inside a woman’s womb. Sometimes, if more than one embryo develops inside the uterus at the same time, it is known as a multiple pregnancy .. ... Read fullHemoglobin, RBC, and WBC are going down rapidly. What can be the reason?
These reports will rule out hemolytic anemia, which causes hemolysis, leading to a rapid decrease in hemoglobin ... A blood DCT (direct Coombs test) has to be done, to look for autoimmune hemolytic Read fullPregnancy test had two mildly visible lines, but it is now negative. Please suggest.
.. positive pregnancy test that later becomes negative can happen with very early miscarriages. Such miscarriages can occur with little or no initial blood loss. These are termed chemical pregnancies, as they are lost before they attach to the womb a... Read full
Article Overview: High hemoglobin levels or polycythemia can be due to smoking, dehydration, or heart problems. This article describes the types and treatment options for polycythemia. Read Article
When Is the Hemoglobin Level Considered to Be High? According to the conventional definition, it is considered as high hemoglobin when levels are more than 18.5 g/dL for men and 16.5 g/dL for women. High hemoglobin levels are associated with high hematocrit (also called as PCV) levels which are def... Read Article
Query: Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus thalassemia (ST... Read Full »
Query: Hello doctor, Is beta thalassemia trait a serious case? Read Full »
Ask your health query to a doctor online?Ask a Hematologist Now