Q. I am pregnant and my Hb is 8. 7. Should I receive blood to improve it?

Answered by
Dr. Sonal Prasad
and medically reviewed by iCliniq medical review team.
Published on Jul 19, 2017 and last reviewed on: Oct 09, 2018

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?

Dr. Sonal Prasad

Childbirth Educator Lactation Counselor Obstetrics And Gynaecology
#

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.


The Probable causes:

1. Iron deficiency anemia.
2. Macrocytic anemia.
3. Worm infestation.

Investigations to be done:

Hb levels every two weeks, serum B12 levels and stool examination for ova cyst and iron studies.

Probable diagnosis:

Gestational anemia.

Treatment plan:

Oral Iron and vitamin C supplementation. Mebendazole and vitamin B12 supplementation if required. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Regarding follow up:

Revert back with reports after 15 days to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

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