I appreciate your query
WHO has accepted up to 11gm percent as the normal haemoglobin
. Therefore any haemoglobin level below 11gm in pregnancy should be
considered as anaemia
. However in India and most of the other developing countries the
lower limit is often accepted as 10 gms percent.
Degree of Anaemia: Anaemia is often classified as mild degree (9-11 gm %), moderate
(7-9 gms %), severe (4-7 gm %) and very severe (
to Haematocrit (PCV) %.
Hence, going by the reports of your patient, ( Hb - 11.3 ), she is just on the verge of being classified as anaemic going by the definition.
Moreover, she has been planned for an elective CS
An average Caesarean section
can entail a blood loss ranging from 500 ml - 1000 ml of blood, and the fall in Hb can range from 1 - 2 Gm %, which will definitely exacerbate the anemia
Hence, you should have a skilled surgeon and anesthetist ready, plus have her Blood Grouping and Cross Matching ready in case you need to transfuse blood products.
Hope this helped you.