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Pregnancy (iron deficiency) anemia

Pale skin, fatigue, dizziness: the traditional symptoms of anemia are widely understood. But anemia can be more problematic in pregnancy, and while easily treated, it will need close and constant attention.

Anemia occurs when there is insufficient hemoglobinA complex protein-iron compound which forms part of the red blood cells. Hemoglobin carry oxygen to the cells and return carbon dioxide to the lungs.
Concentration of hemoglobin is different for men and women, with levels of 14 - 18 g/dl and 12 - 16 g/dl respectively. It has a structure which consists of 2 chains one with 141 amino acids and the other with 146. Any alteration in the the chains of just one amino acid alters the hemoglobin properties and is associated with sickle cell anemia.
Visit our comprehensive glossary for more pregnancy terms and definitions.
in the blood to carry oxygen to cells throughout the body. There are several types of anemia, but the most common during pregnancy is iron deficiency anemia.

Blood consists of red and white cells, platelets, and a fluid called plasmaThe colorless, watery fluid of the blood in which the leukocytes, erythrocytes and platelets are suspended. Plasma contains no cells, instead consisting of water, electrolytes, proteins, glucose, fats, bilirubin and gases.
Plasma is important because it enables the cellular elements of the blood to flow through the circulatory system carrying nutrients and wastes from the tissues and maintaining the body's acid-base balance.
Plasma is similar to interstitial fluid in content and protein concentration. Because of this, it helps maintain osmotic pressure and the exchange of fluids and electrolytes between the capillaries and the body tissues.
Visit our comprehensive glossary for more pregnancy terms and definitions.
in which the cells and platelets are transported. During pregnancy the volume of blood increases by about forty percent, but the plasma increases more quickly than the cells, the biggest rise occurring during trimester two. As the red blood cellsA concave disk containing hemoglobin surrounded by a lipoid membrane. It is the major cellular element of the circulating blood and it serves primarily to transport oxygen. The number of red blood cells is about 4 and 4.5 million per cubic millimeter in women (4.5 and 5 million per cubic millimeter in men).
The average lifespan of a red blood cell is between 110 and 115 days after which it is removed from the bloodstream. New red blood cells are produced at about the rate of 1% daily to keep levels constant. Red blood cells originate in the marrow of long bones. Also called erythrocytes.
Visit our comprehensive glossary for more pregnancy terms and definitions.
slowly catch up during trimester three your body's demand for iron is increased.

The ratio of red blood cellsA concave disk containing hemoglobin surrounded by a lipoid membrane. It is the major cellular element of the circulating blood and it serves primarily to transport oxygen. The number of red blood cells is about 4 and 4.5 million per cubic millimeter in women (4.5 and 5 million per cubic millimeter in men).
The average lifespan of a red blood cell is between 110 and 115 days after which it is removed from the bloodstream. New red blood cells are produced at about the rate of 1% daily to keep levels constant. Red blood cells originate in the marrow of long bones. Also called erythrocytes.
Visit our comprehensive glossary for more pregnancy terms and definitions.
to plasmaThe colorless, watery fluid of the blood in which the leukocytes, erythrocytes and platelets are suspended. Plasma contains no cells, instead consisting of water, electrolytes, proteins, glucose, fats, bilirubin and gases.
Plasma is important because it enables the cellular elements of the blood to flow through the circulatory system carrying nutrients and wastes from the tissues and maintaining the body's acid-base balance.
Plasma is similar to interstitial fluid in content and protein concentration. Because of this, it helps maintain osmotic pressure and the exchange of fluids and electrolytes between the capillaries and the body tissues.
Visit our comprehensive glossary for more pregnancy terms and definitions.
can be measured, and the result is a reading called the hematocritThe ratio of red blood cells to total blood volume, mormally about 38% - 46% in women and 42% - 54% in men. The measurement is often used to diagnose and determine the onset of anemia.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. If the percentage of red blood cells is too low you have anemia. Because the biggest rise in plasma occurs during trimester two, most women who develop iron deficiency anemia during pregnancy become anemic during the second trimester.

Your doctor will also measure the level of hemoglobinA complex protein-iron compound which forms part of the red blood cells. Hemoglobin carry oxygen to the cells and return carbon dioxide to the lungs.
Concentration of hemoglobin is different for men and women, with levels of 14 - 18 g/dl and 12 - 16 g/dl respectively. It has a structure which consists of 2 chains one with 141 amino acids and the other with 146. Any alteration in the the chains of just one amino acid alters the hemoglobin properties and is associated with sickle cell anemia.
Visit our comprehensive glossary for more pregnancy terms and definitions.
in the blood. This protein component of the red blood cellsA concave disk containing hemoglobin surrounded by a lipoid membrane. It is the major cellular element of the circulating blood and it serves primarily to transport oxygen. The number of red blood cells is about 4 and 4.5 million per cubic millimeter in women (4.5 and 5 million per cubic millimeter in men).
The average lifespan of a red blood cell is between 110 and 115 days after which it is removed from the bloodstream. New red blood cells are produced at about the rate of 1% daily to keep levels constant. Red blood cells originate in the marrow of long bones. Also called erythrocytes.
Visit our comprehensive glossary for more pregnancy terms and definitions.
is responsible for carrying oxygen around the body and low hemoglobin levels are what make people with anemia pale. Anemia is diagnosed when your hematocrit is under 37, and hemoglobin is under twelve.

In order to maintain hemoglobinA complex protein-iron compound which forms part of the red blood cells. Hemoglobin carry oxygen to the cells and return carbon dioxide to the lungs.
Concentration of hemoglobin is different for men and women, with levels of 14 - 18 g/dl and 12 - 16 g/dl respectively. It has a structure which consists of 2 chains one with 141 amino acids and the other with 146. Any alteration in the the chains of just one amino acid alters the hemoglobin properties and is associated with sickle cell anemia.
Visit our comprehensive glossary for more pregnancy terms and definitions.
levels during pregnancy, doctors used to prescribe iron supplementation, but research has since revealed that women whose hemoglobin levels are allowed to drop during pregnancy are more likely to reach term and have babies with normal birthweight. When hemoglobin levels were kept artificially high, there was an increase in premature labor and low birthweight babies.

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Symptoms of anemia

If you are concerned that you are at risk of developing anemia, you should look out for signs of fatigue, physical weakness, shortness of breath (dyspnea) and pale skin. Your doctor will also check your blood during your routine prenatal visits for signs of anemia.

Risk factors for anemia

During pregnancy your baby will deplete your reserves of iron to make its own red blood cellsA concave disk containing hemoglobin surrounded by a lipoid membrane. It is the major cellular element of the circulating blood and it serves primarily to transport oxygen. The number of red blood cells is about 4 and 4.5 million per cubic millimeter in women (4.5 and 5 million per cubic millimeter in men).
The average lifespan of a red blood cell is between 110 and 115 days after which it is removed from the bloodstream. New red blood cells are produced at about the rate of 1% daily to keep levels constant. Red blood cells originate in the marrow of long bones. Also called erythrocytes.
Visit our comprehensive glossary for more pregnancy terms and definitions.
. If your iron intake was low before you became pregnant you have a good chance of developing anemia during pregnancy. A
complete blood count before you plan to conceive or at your first prenatal visit is recommended.

Risk factors for anemia
  • Failure to take supplemental iron or a prenatal vitamin containing iron
  • Bleeding during pregnancy
  • Multiple pregnancy
  • Recent stomach or small bowel surgery (which hinders the body's ability to absorb sufficient iron before pregnancy)
  • Excessive use of antacids, which can reduce the body's ability to absorb iron.
  • Poor diet and nutrition

Anemia and high risk pregnancy

If there is a chance that you may develop anemia your doctor will want to monitor your pregnancy closely. Anemia during pregnancy will make you tired more easily, and you will find it harder to cope with the demands placed on your body during pregnancy.

Women who are anemic during pregnancy are more likely to have intrauterine growth retardation, enter premature labor and deliver low birth weight babies. When the baby is born there is an increased risk that you may need a blood transfusion after delivery.

Managing anemia during pregnancy

If you become anemic during your pregnancy your doctor will advise you to eat a diet rich in iron, protein, B vitamins (especially B12), vitamin C. Folic acid supplementation will also be subscribed.

Your doctor may also recommend additional iron supplementation. These supplements are usually 300 - 350 mg of ferrous sulphate or ferrous gluconate prescribed two or three times daily. Iron supplements are not easily absorbed through the gastro-intestinal tract and may cause side-effects including constipation, nausea and vomiting. If you are adversely affected you may want to ask your doctor for a different kind or request iron injections, but they are painful and may stain your skin.


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