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I am pregnant and my Hb is 8.7. Should I receive blood to improve it?

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Patient's Query

Hi doctor,

I am 32 weeks pregnant. This is my second pregnancy and I delivered my first child through C-section. I have low Hb content. As per my blood report done before a month, my Hb was 5.2 g/dL. After a couple of days, I was given two bottles of blood through an IV and started to have iron enriched foods and vitamin C added fruits. A week later, I had my blood test done. My Hb was 7.4 g/dL and electrophoresis was normal. Now, after a month, my Hb level is increased to 8.7 g/dL. Should I receive another bottle of blood to increase my hemoglobin further?

Answered by Dr. Sonal Prasad

Hi,

Welcome to icliniq.com.

Hemoglobin (Hb) less than 10 g/dL during pregnancy is unfavorable. Blood transfusion should be done when Hb levels are less than 7 g/dL, so you do not need a blood transfusion now. You have to check your Hb till it reaches at least 10. The rate of increase in Hb is same either iron orally taken or through blood transfusion if provided iron gets absorbed from gut properly. Your rate of increase in Hb level is also good. I suggest you investigate the cause of anemia. You must get a serum vitamin B12 level done along with the stool examination for ova cyst as these may also be causing anemia along with iron deficiency. I advise you to have a high protein diet, iron enriched food and oral Iron supplements. Mebendazole and vitamin B12 supplementation if required. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Investigations to be done

Hb levels every two weeks, serum B12 levels and stool examination for ova cyst and iron studies.
Answered byDr. Sonal Prasad
Medically reviewed byiCliniq medical review team
Published At July 19, 2017
Reviewed AtMarch 28, 2025

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Decision Helper
Pregnancy Anemia Management Decision Helper

Managing low hemoglobin during pregnancy?

Answer a few questions to understand your options for managing anemia and when to consult your doctor.

  • Low hemoglobin during pregnancy requires medical attention and management.
  • Blood transfusions may be considered in severe cases of anemia.
  • Investigating underlying causes like vitamin B12 deficiency or parasitic infection is important.
  • Dietary changes and iron supplements are key for improvement.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.
Dr. Sonal Prasad
Dr. Sonal Prasad

Obstetrics and Gynecology

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