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Anemia in pregnancy by dr umarish

Anemia in pregnancy:

Some women become anemic when they are pregnant, which means they have too few red blood cells in their bodies. Anemia can make you even more tired when you’re pregnant, but there are ways to manage it.



What are red blood cells?

Red blood cells are cells in your blood. Their main function is to carry oxygen from the heart to the rest of your body - the brain, muscles, skin, kidneys, and everywhere else. Red blood cells are made in the bone marrow. They contain a protein called hemoglobin, which is essential for carrying oxygen.

We need enough iron, vitamin B12, and folate to produce the much-needed hemoglobin.

What is anemia?

When you have anemia, your blood does not have enough healthy red blood cells, or hemoglobin, to carry oxygen around your body and your baby.

Anemia is common during pregnancy. If you have low blood pressure, you will feel a little tired.

If you have severe asthma, you may be constantly out of breath and feel weak, dizzy, irritable, and have trouble concentrating. Your heart will often race.

Why do pregnant women become anemic?

During pregnancy, your body changes to support your growing baby. Your body needs to make more blood during pregnancy. The average woman has 5 liters of blood when not pregnant, compared to 7 to 8 liters in late pregnancy.

Adequate amounts of iron, vitamin B12, and folate are needed to make extra red blood cells to make up the extra hemoglobin needed. An iron deficiency causes anemia during pregnancy. You need 3 times more iron when you are pregnant than when you are not, and your iron needs to increase during pregnancy.

Unfortunately, it is difficult to absorb iron, which makes it difficult to make hemoglobin. Many women become anemic during pregnancy if they do not take iron supplements.

Anemia during pregnancy can be caused by a lack of folate and vitamin B12, bleeding, or a condition such as pre-eclampsia or sickle cell disease.



What are the tests for anemia?

You will usually have a blood test when you see your doctor or midwife for the first time during your pregnancy and again at 28 weeks to check your complete blood count. Your hemoglobin level will be checked as part of this test. If the hemoglobin is low for your stage of pregnancy, you may have more tests.


What are the risks if I have anemia during pregnancy?

Severe anemia can affect your heart and make it sicker if you lose too much blood during childbirth.

How to avoid anemia during pregnancy?

Three  ways to avoid anemia during pregnancy:

.Start your pregnancy in good health.

.Eat well during pregnancy.

.Take iron supplements if needed.

.At the beginning of pregnancy is in good health

If you are thinking of becoming pregnant, you should see your doctor and get checked out. At this time, you will receive advice about anemia and other conditions, especially about taking iodine and folate supplements.


It is recommended that women take folic acid at least one month before becoming pregnant and continue for at least the first 3 months. This will reduce the risk of neural tube defects, such as spina bifida. The usual dose is 0.5mg of folic acid per day, but this dose may be higher for women who have diabetes, or disease, are overweight, or have had a baby with a neural tube defect. The doctor should be consulted.

It is also recommended to consume 150mcg of iodine through supplements in addition to getting iodine from healthy food. Iodine supplements are used to make thyroid hormones. It is essential for the development of the baby and pregnant women need more iodine than the general population.


Unfortunately, it is difficult to absorb iron, which makes it difficult to make hemoglobin. Many women become anemic during pregnancy if they do not take iron supplements.

Anemia during pregnancy can be caused by a lack of folate and vitamin B12, bleeding, or a condition such as pre-eclampsia or sickle cell disease.



What are the risks if I have anemia during pregnancy?

Severe anemia can affect your heart and make it sicker if you lose too much blood during childbirth.


How to avoid anemia during pregnancy?

There are three good ways to avoid anemia during pregnancy:

.Start your pregnancy in good health.

.Eat well during pregnancy.

.Take iron supplements if needed.

At the beginning of pregnancy is in good health

If you are thinking of becoming pregnant, you should see your doctor and get checked out. At this time, you will receive advice about anemia and other conditions, especially about taking iodine and folate supplements.

It is recommended that women take folic acid at least one month before becoming pregnant and continue for at least the first 3 months. This will reduce the risk of neural tube defects, such as spina bifida. The usual dose is 0.5mg of folic acid per day, but this dose may be higher for women who have diabetes, or disease, are overweight, or have had a baby with a neural tube defect. The doctor should be consulted.


It is also recommended to consume 150mcg of iodine through supplements in addition to getting iodine from healthy food.  It is essential for the development of the baby and pregnant women need more iodine than the general population.


.


Eat well during pregnancy

A healthy diet prevents anemia. Iron is found in iron-rich meats, bread, whole grains, eggs, spinach, and vegetables. Vitamin B12 is naturally found in animal-origin such as meat, fish, shellfish, eggs, and dairy products. High levels of folic acid are found in green leafy vegetables, beans, muesli, broccoli, beef, Brussels sprouts, and asparagus. A diet rich in these foods can help prevent anemia.

Eating plenty of citrus fruit, and avoiding tea and coffee with or soon after meals, may help you absorb the iron in your food, and may help prevent anemia.


Supplements

All women will be advised to take iodine and folate supplements when planning a pregnancy and for the first 3 months, as well as eating foods rich in iodine and folate. Many women will be advised to take iron supplements if they are iron deficient or are at risk of becoming iron deficient during pregnancy. 

anemia in pregnancy
supplement to control anemia 




tags:
anemia, anemia, low hemoglobin, the pathophysiology of anemia, the pathogenesis of anemia, microcytic anemia, normocytic anemia, macrocytic anemia, hematology, hematology, approach to anemia, types of anemia, types of anemia, microcytic normocytic and macrocytic anemia, medicine, pathology, iron deficiency anemia, vitamin B12 anemia, and folate deficiency

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