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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Anemia A High Risk When I Am Pregnant?

I just delivered twins on 06/26/10. They were 5 weeks and 1 day premature. I had an emergency c-section because I was having liver complications that were making me itch horribly and my blood pressure was high. I was also on blood thinner injections to prevent clots. My doctors office just called me and told me that they forgot to review lab work with me from April saying I was Anemic. Is it possible that being Anemic in such a high risk pregnancy with out treatment could have caused me to have liver problems which forced me to deliver so early?
Tue, 1 Dec 2015
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OBGYN,  's  Response
Hi,

The liver problem that you have described seems to be due to increase in bile acids, which is a condition unique to pregnancy. It causes itching without rash and is relieved once delivery occurs.
Anemia can cause increased risk of post delivery bleeding, need of blood transfusion during delivery or later, but would not be a reason for liver problems.
Twins pregnancies are known to have an increased risk of complications, and also early delivery due to a variety of reasons both maternal and fetal.
The high blood pressure, and the itching(obstetric cholestasis) could be the cause.
For the anemia, I would advise you to take iron supplements and get your haemoglobin checked again after 1 months time.

Hope this helps.
Regards.
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Is Anemia A High Risk When I Am Pregnant?

Hi, The liver problem that you have described seems to be due to increase in bile acids, which is a condition unique to pregnancy. It causes itching without rash and is relieved once delivery occurs. Anemia can cause increased risk of post delivery bleeding, need of blood transfusion during delivery or later, but would not be a reason for liver problems. Twins pregnancies are known to have an increased risk of complications, and also early delivery due to a variety of reasons both maternal and fetal. The high blood pressure, and the itching(obstetric cholestasis) could be the cause. For the anemia, I would advise you to take iron supplements and get your haemoglobin checked again after 1 months time. Hope this helps. Regards.