Hi . My Wife Is 29 Weeks Pregnant And Her

Posted on Wed, 20 Nov 2019

Question: hi . My wife is 29 weeks pregnant and her HB is 5.8 now and in her 21 weeks it was 6.5 and in her 8th week it was 9. I am told that she is beta thylysima minor. She is taking regular iron pills and i got her the iron infusion of 10ml last week. She is active and does not complain any problems now. Just wanted to check is it fine?

Answered by Dr. Shanti Vennam (1 hour later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

I have gone through your query and would like to offer some suggestions.

With the thalassemia trait, the mean hemoglobin concentration observed at the first clinical visit should be taken as the normal and follow up treatment should be based on this.

Iron deficiency is rare in the beta-thalassemia group, but can exist. Intramuscular injections are more useful than oral iron supplements, especially from the second trimester onward.

In the current scenario, your wife should have regular follow up, fetal growth and amniotic fluid levels carefully monitored for any decrease and anemia should be corrected as far as possible. Blood pressure is another factor to be monitored as such patients are predisposed to pregnancy induced hypertension.

Since there are no obvious complaints, everything should be fine with the pregnancy. Many cases have favorable outcomes. Give her a good diet consisting of dates, raisins, beans etc.

Hope you find this information useful. Please let me know if I can assist you further.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Nagamani Ng