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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Hemoglobin Levels During Pregnancy?

I am 33 years old, 28 weeks pregnant... pregnancy coming along fine.. when i went for the routine blood work last week, my Hemoglobin was 9.9.... ob said to start taking Iron, & sent me for further Iron Studies... BUT, those came back normal--Iron was 89, TIBC was 397, Transferrin was 22, Ferritin was 17.2.... Sooo, only my CBC tests were abnormal--Hemoglobin now at 9.8, Hematocrit 30.1, RBCs at 3.05---all low...... If its not iron-deficient anemia, what is it, and why are they telling me to continue to take the extra iron! it bothers my stomach anyways, and if my iron s not low, should we be looking into maybe if my B12 is low? or something else? what do you suggest? should i just start some extra B12, or is that dangerous if we dont know if thats low? Help, cuz i m not getting the answers i need from my office!!
Thu, 23 Jul 2015
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OBGYN 's  Response
Hello dear,I understand your concern.In my opinion the low HB is due to various causes like low iron,low B12 and folic acid,any blood loss causing low HB like piles,infections like malaria,TB etc.So as low iron is ruled out other causes need to be evaluated.You can take B12 and folate even if they are not low.Take healthy nutritional diet.Dont worry your HB is not too low.It will build up by term take iron capsule daily and get recheck HB after a month.
Best regards...dr.srilatha
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What Causes Low Hemoglobin Levels During Pregnancy?

Hello dear,I understand your concern.In my opinion the low HB is due to various causes like low iron,low B12 and folic acid,any blood loss causing low HB like piles,infections like malaria,TB etc.So as low iron is ruled out other causes need to be evaluated.You can take B12 and folate even if they are not low.Take healthy nutritional diet.Dont worry your HB is not too low.It will build up by term take iron capsule daily and get recheck HB after a month. Best regards...dr.srilatha