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Pregnant with low hemoglobin count. How to increase Hb? Is there an infection?

I am 7 months pregnant and my hb is 9.7. i am talking orfer xt twice a day. Please help me how could i increase my hb. My PCV 28.7, ESR - 14, RBC - 3.65, Platelet count - 2.75, Total WBC - 14700, Neutrophils - 74, Lymphocytes - 21, Eosinophils - 03, Monocytes- 02, Basophils - 00. Please let me know this is a sign of any infection or my hb reduced due to my pregnancy. Please let me know.
Asked On : Sat, 1 Dec 2012
Answers:  1 Views:  217
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OBGYN 's  Response
Mar 2013
I appreciate your query.
You are suffering from a condition known as anaemia. ( deficiency of haemoglobin )
Also, the most common cause of anaemia in India and other developing countries is iron deficiency anemia ( prevalence is more than 50 % in pregnant women )
Anaemia of pregnancy is generally defined as Hb
At this level of 9.7 you should initiate investigations and treatment because of potentially serious consequences for you and the baby.
One reason for this is that in pregnancy, your total body fluid amount increases, so haemoglobin is diluted. But the main reason for iron deficiency anemia is a dietary deficiency of iron, folic acid and protein.
A pregnant woman requires about 2 to 4.8 mg iron every day. To have it from the dietary
sources she must consume 20-48 mg of dietary iron. This is practically impossible because average vegetarian diet does not contain more than 10-15 mg of iron , hence you need to take iron supplements, which you are already taking.
You must regularly take the iron tablets as advised.
Also include Vitamin C in your diet, as it enhances iron absorption.
Do not take iron and calcium tablets together. Also treat yourself for folic acid and vitamin B 6 and B 12 deficiency.
You should fortify your diet and include Pulses, cereals, jaggery, Beet root, Green leafy vegetables, meat, liver, egg, fish, legumes, dry beans, and iron enriched cereals and breads.
You should report to your doctor if you have any kind of bleeding disorder, or if your Hemoglobin levels do not improve inspite of therapy. Parenteral ( non oral ) iron may then be considered.
Also, test yourself for thalassemia or other blood disorders that cause anemia.
You have probably mistyped your WBC count ( it cannot be 0000 ), however in absence of fever or other symptoms, infection is unlikely.
Please mention your WBC counts clearly.
Also, rule out worm infestations, and take deworming tablets as prophylaxis.
Maintain food hygiene and avoid uncooked, raw foods.
All the best.
Answered: Wed, 5 Dec 2012
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