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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant with MVC levels raised. Vitamin and Folate investigated. Suggestions?

Hi I m 28 weeks pregnant and have just had my second bloods taken by the midwife. I got a call from doctors saying I need a further blood test . The paperwork said it was raiseed mvc levels and investigations required vitamin b12 and folate . Could you tell me what this means. I think I have a fairly good diet do don t feel I am lacking these vitamins .
Mon, 3 Sep 2012
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OBGYN 's  Response
Hi,
Raised mean corpuscular volume (MCV) means macrocytic anemia, most likely due to vitamin deficiencies and also sometimes due to certain diseases like hypothyroidism, liver disease, myelofibrosis and so on. Your doctor may be wanting to exclude all other reasons by testing further. Though you may be having a good diet, in pregnancy the need for vitamins increases and as a result you may get deficiencies. Foods like green leafy vegetables, red meat, mushrooms, liver and eggs should be taken along with vitamin B12 and folate supplements. Alcohol consumption can also lead to deficiency. Take care.
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OBGYN Dr. Sree Gouri SR's  Response
hi,
mvc is mean corpuscular volume which is one of the parameters of blood cells,
common cause of increased mvc is megaloblastic anemia which occurs due to deficiency of vitamin B12 and folic acid,
these are used in formation of cells, so though your previous levels were normal and you are taking good diet, in pregnancy the need will increase as these are utilized by baby, so that might have led to deficiency in you, by taking supplements mvc levels can come to normal.
take care.
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OBGYN, Maternal and Fetal Medicine Dr. Srividhya's  Response
Hi, its MCV( mean corpuscular volume). It indicates that probably you may have vitamin B12 or folate deficiency. There is no harm in getting the investigations done and taking the appropriate medications.
In spite of having fairly good diet, you can have vitamin deficiency as the demand will be more due to pregnancy. If you had borderline vitamin levels at the beginning of your pregnancy, now because of excess demand its level may be deficient to show changes in blood.
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