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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Levels Of Hemoglobin During Pregnancy?

My wife is six months pregnant. Her Haemglobin level 5 months ago was 9.6 after which she was put on Orofer XT twice a day. Haemoglobin has only reduced since then to current of 8.6 ( 2 days ago). Today she was put on Orofer S intravenous injection. Should more tests be conducted to test root cause of low haemoglobin now or to wait and check if Orofer S helps. Also, Will low haemoglobin cause any issues during pregnancy/ to baby?
Thu, 12 Nov 2015
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OBGYN,  's  Response
Hello dear,I understand your concern.In my opinion there will be hemodilution in pregnancy which makes the HB lower.Low HB might cause growth restriction of baby,low liquor etc.The persistence of low HB till the last months of pregnancy causes the complications.As she is in 6th month there is enough time for increasing the HB level.If the HB doesn't increase even after iron injections it might need work up.So dont worry low HB is routinely found.It gets corrected with iron treatment mostly.Take iron rich diet.
Best regards....Dr.Srilatha
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What Causes Lower Levels Of Hemoglobin During Pregnancy?

Hello dear,I understand your concern.In my opinion there will be hemodilution in pregnancy which makes the HB lower.Low HB might cause growth restriction of baby,low liquor etc.The persistence of low HB till the last months of pregnancy causes the complications.As she is in 6th month there is enough time for increasing the HB level.If the HB doesn t increase even after iron injections it might need work up.So dont worry low HB is routinely found.It gets corrected with iron treatment mostly.Take iron rich diet. Best regards....Dr.Srilatha