ADVERTISEMENT

Q. Hb is reducing in beta thalassemia minor patient who is pregnant. Why?

Answered by
Dr. Parth R Goswami
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 13, 2018

Hi doctor,

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.

#

Hi,

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?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Pregnancy and Birth

.. 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 full

Hemoglobin, 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 anem...   Read full

Pregnancy 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

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Sexual Problems and Depression
Depression is one of the commonest psychiatric problems in the general population. About 10 % of men and more than doubl...  Read more»
Holiday Season During the Pandemic
Most of us wonder if there is a way to celebrate the holiday season during the COVID-19 pandemic safely. Here are some i...  Read more»
Skin Care Tips To Win Over Winter
This article discusses a few tips to manage and protect your skin during winter.  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.