Anemia in Pregnancy
Anemia in Pregnancy
|Red Blood Cells|
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- Anemia before pregnancy
- Very heavy menstrual flow before pregnancy
- Morning sickness with frequent vomiting
- Pregnancies that are close together
- Carrying twins or multiples
- A diet that is low in iron
- Abnormal hemoglobins (more common in individuals of African, Mediterranean, Southeast Asian, or West Indian ethnicity or descent)
- Dizzy spells
- Pale skin, especially the palms of the hands, lips, nails, and eyelids
- Rapid heartbeat
- Irregular heartbeat
- Shortness of breath
- Cravings for non-food items (a condition called “pica”) like clay , ice, and paper
- Hematocrit level—the percentage of red blood cells in your blood compared to total blood volume
- Hemoglobin level—the amount of hemoglobin in your blood
Folic Acid or Vitamin B12 Supplementation
- Seek early prenatal care.
- Take a prenatal vitamin containing 30 mg of iron, as prescribed by your practitioner, from the beginning of pregnancy.
- Eat foods that are high in iron including red meat, poultry, pork, shellfish, beans, iron-fortified breads and cereals, dried fruits, and leafy green vegetables.
- Eat foods that contain folic acid including whole grains, wheat germ, broccoli, beans, orange juice, and leafy green vegetables.
The American Congress of Obstetricians and Gynecologists http://www.acog.org/For%5FPatients
American Pregnancy Association http://www.americanpregnancy.org/
National Women’s Health Information Center http://www.womenshealth.gov/
Health Canada http://www.hc-sc.gc.ca
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
American Dietetic Association. Nutrition and Lifestyle for a Healthy Pregnancy Outcome. J Am Diet Assoc . 2002; 102:1470-1490.
Anemia & pregnancy. American Society of Hematology website. Available at: http://www.hematology.org/patients/blood-disorders/anemia/5227.aspx . Accessed December 18, 2012.
Anemia in pregnancy. The American Congress of Obstetricians and Gynecologists, Practice Bulletin No 95 . July 2008 (Reaffirmed 2010).
Beers MH, Berkow R, Burs M, eds. The Merck Manual of Diagnosis and Therapy . Whitehouse Station, New Jersey: Merck Research Laboratories; 1999.
Gordon D. Obstetrics, Gynecology, and Infertility. 5th ed. Arlington, VA: Scrub Hill Press; 2001.
Hemoglobinopathies in Pregnancy, American College of Obstetricians and Gynecologists, Practice Bulletin, no. 78, January 2007.
- Reviewer: Andrea Chisholm
- Review Date: 11/2012 -
- Update Date: 03/28/2013 -