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Hello Dr ...my wife is Pregnant and 8 months completed.

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Posted on Thu, 21 Mar 2019
Question: Hello Dr ...my wife is Pregnant and 8 months completed. Delivery Date is 18th March 2019. her current Hemoglobin is 10 mg/dl and taking Ferrotin twice a day for the Past 4 months. Pls advise if the Values are normal or will there be any complications during delivery? she need to take any other medicine? pls advise. thanks.
doctor
Answered by Dr. Purushottam Neurgaonkar (3 hours later)
Brief Answer:
Feedback. Some lifestyle changes.

Detailed Answer:
Hi there
Welcome to 'Ask A Doctor' service.
I have understood your concern and I will suggest you the best possible treatment.

First of all, do not panic.

She needs to keep her hemoglobin levels above ten.
Due to physiological changes during pregnancy, there is a fall in the mother's hemoglobin levels.

Iron requirements for the women are quite high during pregnancy as more portions are used up by the baby to build its own hemoglobin.
Hence, the mother needs to take iron supplements regularly and properly.

I would like to know about a few things in detail:
This will help me to suggest you the best possible treatment options.

1. What was the date of her last menstrual period?
2. What all supplements is she talking?
3. And what is the timing of the supplements in relation to food intake?
4. Any other medical issues in this pregnancy?

As such I would suggest her to opt for a healthy diet and regular exercise regime.
Include plenty of fruits and vegetables and salads in the daily diet.
Drink plenty of water in the day.
Avoid refined sugar and deep-fried foods and bakery products.

Please feel free to communicate with me again.

I hope this answer helps you.

Thanks.
Dr. Purushottam Neurgaonkar

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Purushottam Neurgaonkar (3 hours later)
hello Dr.last menstrual period is 22nd Jun 2018 and delivery date is 28th March 2019. she was taking pregnacare and Ferreton in the noon, calcumax forte in night till yesterday. we went for checkup today and Dr. has prescribed biostar gold in morning and calcimax forte at night. In addition she advised us to take anfoe injection with ns iv for 5 days starting today evening. m really scared. foodwise m taking all fruits and vegetables. m hypothyroid and taking eltroxin for the past 6 years...100 mcg. Pls advise.
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Follow up: Dr. Purushottam Neurgaonkar (3 hours later)
hello Dr.last menstrual period is 22nd Jun 2018 and delivery date is 28th March 2019. she was taking pregnacare and Ferreton in the noon, calcumax forte in night till yesterday. we went for checkup today and Dr. has prescribed biostar gold in morning and calcimax forte at night. In addition she advised us to take anfoe injection with ns iv for 5 days starting today evening. m really scared. foodwise my wife is taking all fruits and vegetables. she has hypothyroidism and taking eltroxin for the past 6 years...100 mcg. Pls advise.
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Follow up: Dr. Purushottam Neurgaonkar (1 hour later)
hello Dr.last menstrual period is 22nd Jun 2018 and delivery date is 28th March 2019. she was taking pregnacare and Ferreton in the noon, calcumax forte in night till yesterday. we went for checkup today and Dr. has prescribed biostar gold in morning and calcimax forte at night. In addition she advised us to take anfoe injection with ns iv for 5 days starting today evening. m really scared. foodwise my wife is taking all fruits and vegetables. she has hypothyroidism and taking eltroxin for the past 6 years...100 mcg. Pls advise.
doctor
Answered by Dr. Purushottam Neurgaonkar (27 minutes later)
Brief Answer:
Injection therapy helps fast rise in hemoglobin.

Detailed Answer:
Hi there
Thanks for appreciating the answer and reverting back.
I have gone through your reply.
Your feedback is very important for me to suggest you further treatment options.

As per her last menstrual period, she is 35 weeks pregnant now.
She can undergo the course of intravenous injection of iron.
This will ensure that iron dose goes in her body.
It takes 21 days for red blood cell production, irrespective of the route of iron administration.
But intravenous route will ensure fast rise in the hemoglobin levels.
It is safe and you need not worry.


Please do not take oral iron along with the injection therapy.
She can start oral iron after one week of completion of injection course.

Please ask her to take thyroid medication empty stomach early morning, with a glass of water and nothing by mouth for nest 45 minutes.

Rest of the treatment and lifestyle changes as suggested earlier will be of help.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Purushottam Neurgaonkar (1 hour later)
Thank You Dr. I'm Worried out on your Explanation. Just completed first Dose of Anfoe with NS through IV. Dr. has suggested to continue for another IV for 4 more days. Will follow your advise and will revert you if any concerns. Thanks Again.
doctor
Answered by Dr. Purushottam Neurgaonkar (22 hours later)
Brief Answer:
Please follow the instructions below.

Detailed Answer:
Hi there
Thanks for appreciating the answer and reverting back to me.
Please complete the injection doses as suggested by her treating doctor.
Stop taking oral iron tablets, untill after 7 days after completing the treatment.
Please continue with other supplements and lifestyle changes.

I hope this answer helps you.
Thanks.
Please write about usefulness of the answer, I will highly appreciate it.
Thanks.
Dr. Purushottam Neurgaonkar.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2203 Questions

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Hello Dr ...my wife is Pregnant and 8 months completed.

Brief Answer: Feedback. Some lifestyle changes. Detailed Answer: Hi there Welcome to 'Ask A Doctor' service. I have understood your concern and I will suggest you the best possible treatment. First of all, do not panic. She needs to keep her hemoglobin levels above ten. Due to physiological changes during pregnancy, there is a fall in the mother's hemoglobin levels. Iron requirements for the women are quite high during pregnancy as more portions are used up by the baby to build its own hemoglobin. Hence, the mother needs to take iron supplements regularly and properly. I would like to know about a few things in detail: This will help me to suggest you the best possible treatment options. 1. What was the date of her last menstrual period? 2. What all supplements is she talking? 3. And what is the timing of the supplements in relation to food intake? 4. Any other medical issues in this pregnancy? As such I would suggest her to opt for a healthy diet and regular exercise regime. Include plenty of fruits and vegetables and salads in the daily diet. Drink plenty of water in the day. Avoid refined sugar and deep-fried foods and bakery products. Please feel free to communicate with me again. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar