Hi, Mom plus cannot be used in pregnancy; you can try lactulose instead. To improve your anemia at this stage, you can be considered for injectible medication or blood transfusion if you have other associated symptoms. Since you have moderate anemia, injections should suffice. Also, improve dietary intake of fiber through consumption of plenty of greens, whole fruits, and adequate water. If you have no other contraindication, a little walk everyday would be helpful. You can take a medium piece of jaggery everyday as it is rich in iron and also does not cause constipation. Hope this helps.