Anemia in pregnancy stage

Anemia in pregnancy stage


Anemia in pregnancy stage. In the case of anemia, the hemoglobin level in the blood is too low. Hemoglobin is an iron-containing substance in red blood cells. It ensures the transport of oxygen through the blood. The hemoglobin value is expressed as a number that indicates the amount of hemoglobin per liter of blood.

The hemoglobin level for women is normally between 7.5 and 10 millimoles per liter. During pregnancy, the hemoglobin level in the blood always decreases. This is why anemia only occurs during pregnancy if the hemoglobin level is lower than approximately 6.8 millimoles per liter. It may be slightly lower for black women. Let’s see the Symptoms of anemia in pregnancy stage.

Types of anemia in pregnancy stage

Anemia during pregnancy is different from anemia under normal circumstances, and the criteria for judgment are also different from those for women under normal circumstances.

What is the most common anemia in pregnancy?

Depending on the cause of the disease, pregnant women may suffer from many different types of anemia. Common symptoms of anemia in pregnant women can be divided into the following categories (some intractable diseases are temporarily excluded):

1. Iron deficiency anemia

Iron-deficiency anemia is most likely to attack pregnant women. During pregnancy, a woman’s iron requirement is about twice as high as usual. If the woman’s hemoglobin is low before pregnancy or she is pregnant with more than one baby, the iron requirement will increase even more. If the iron supply cannot keep up, the mother is prone to suffer from iron deficiency anemia. However, the fetus in the early pregnancy is still small, and the iron requirement is not large. The iron deficiency of pregnant women may not be obvious, but it is strongly recommended that mothers take iron supplements every day after four months of pregnancy. At the same time, iron deficiency anemia is the most common type of anemia in pregnant women.

2. Megaloblastic anemia

Most megaloblastic anemias are caused by a lack of folic acid. Although women take folic acid in the first trimester and the first trimester of pregnancy, the lack of dark green vegetables in the diet can easily lead to folic acid deficiency, resulting in DNA synthesis obstacles and megaloblastic anemia.

3. Aplastic anemia

This type of anemia is mainly manifested as bone marrow hematopoietic failure. The cause of the disease is generally not clear. It may be caused by some biochemical reasons, and few people can recover without treatment. Pregnant women with this type of anemia must go to the hospital to actively cooperate with the doctor’s treatment, and the doctor will make professional diagnosis and treatment judgments.

Symptoms of anemia in pregnancy

If you have anemia, you may have the following symptoms and symptoms:

  • fatigue
  • a light feeling in the head
  • black spots for the eyes
  • the feeling of fainting easily
  • pale skin color
  • palpitations
  • a feeling of stuffiness
  • a feeling of shortness of breath
  • feeling sick
  • no energy
  • susceptible to infections

How does anemia develop during pregnancy?

The hemoglobin value decreases during pregnancy. That is normal. It is the result of an increase in the amount of blood in combination with a changed blood composition. We, therefore, speak of anemia in pregnancy only if the hemoglobin level is lower than approximately 6.8 millimoles per liter. This is usually caused by an iron deficiency.

Causes of anemia in pregnancy stage

Normal decrease in hemoglobin The decrease during pregnancy is caused by the amount of blood in your body increases by one liter and the composition of it changes. Blood consists of blood cells and blood plasma (the blood fluid in which the cells are).

During pregnancy, the amount of blood plasma in particular increases. The number of red blood cells is also increasing, but not as strong as the blood plasma. In proportion, the number of red blood cells per liter of blood therefore decreases. This also applies to the hemoglobin that is in the red blood cells.

Anemia: Red blood cells are added during pregnancy. Because red blood cells contain hemoglobin, your body must therefore also produce more hemoglobin. An important building block of hemoglobin is iron. Your child also needs iron to make its own blood and extracts it from your blood via the mother cake. You, therefore, need a lot of iron during pregnancy.

If you get too little iron through your diet, there will be a shortage. There is not enough iron to give every blood cell enough iron. The consequence of this is that every red blood cell receives less iron than necessary. Because iron is needed for the production of hemoglobin, iron deficiency means that every red blood cell contains less hemoglobin than normal. This reduces hemoglobin value.

An important substance in the production of red blood cells is folic acid. Sometimes a deficiency can occur due to insufficient folic acid in the diet (for example with strict lines). This can also cause anemia.

What are the dangers of pregnancy anemia?

A large amount of data shows that iron deficiency in the first trimester is related to premature delivery and low birth weight. However, there are still many pregnant mothers who don’t understand the harm of iron deficiency anemia and don’t pay enough attention to it. There are different ways to affect anemia in pregnancy stage.

The danger of pregnant women

1. Anemia will lead to a decline in the immunity and resistance to infections of pregnant women, and the ability to recover from infectious diseases. At the same time, it will also affect the development of the fetus because of such diseases. In addition, the postpartum physical recovery of anemia pregnant women is relatively slow, which will cause Bao’s mother to take care of the baby.

2. Anemia will reduce the digestion and absorption capacity of pregnant mothers. Due to the special physiology during pregnancy, digestive tract cells are very sensitive to the lack of micronutrients. The decline in digestibility directly affects the actual utilization of nutrients. This makes it difficult for the fetus to obtain sufficient nutrients, causing adverse factors to the growth and development of the fetus.

Harm to the fetus: How does anemia affect baby during pregnancy?

1. Anemia can increase the risk of premature delivery and low birth weight infants. Studies have shown that the prenatal hemoglobin content of pregnant mothers is related to the birth weight of the baby. And premature birth and low birth weight will reduce the survival rate of newborns, and will also slow down the growth and development of the baby in the later period, and even cause adverse consequences such as mental retardation.

2. With anemia in pregnant mothers, the iron reserves of newborns will be reduced accordingly. The iron reserves of normal newborns can be used for 6 months after birth. However, due to the insufficient iron supply of pregnant mothers during pregnancy, the baby may appear before supplementary food is added. Iron deficiency. This will also affect the baby’s growth and development, later physical fitness and intelligence.

It can be seen that iron deficiency anemia during pregnancy has a great impact on pregnant mothers and babies. It should be noted during pregnancy. If you find anemia during pregnancy, you should consult your doctor in time. And If it is more serious, you need iron supplements in addition to daily diet supplements. If the anemia is not very serious, as long as you pay more attention to your daily diet, you can avoid anemia. Now you know how does anemia affect baby during pregnancy?

Is it serious and what can you expect?

Because of the anemia, you do not feel fit and low in energy. Mild anemia (between 6.5 and 6.8 millimoles per liter) is not serious for you and your child. If the hemoglobin value falls even further, sufficient oxygen can no longer be transported. Your symptoms increase and the supply of oxygen to your child decreases, causing growth retardation and developmental disorders. Therefore, anemia must be detected and treated.

Checking for anemia: Because anemia occurs fairly frequently during pregnancy, your obstetrician, doctor or gynecologist who supervises your pregnancy will be alert to this. During the pregnancy check your blood will be checked for anemia a number of times as standard. This happens with 12, 24 and sometimes 36 weeks of pregnancy.

In some cases, it is also checked with 30 weeks. Sometimes this is done with a finger prick, otherwise, you have to have blood sampled at a collection laboratory. If there is evidence of anemia between the standard checks, the blood may be additionally checked for anemia.

Treatment for Anemia in pregnancy stage

Anemia can be treated very well with extra iron in the form of tablets, the so-called steel pills. The iron supply is thus replenished and the red blood cells are again provided with sufficient iron to make hemoglobin. The oxygen transport is thus secured. If there is a shortage of folic acid, this can also be supplemented with medication.

Side effects: The main side effect of steel pills is that they can cause a blockage (constipation). For some people, steel tablets actually lead to diarrhea. Another annoying side effect that sometimes occurs is nausea. However, most people tolerate steel pills well. It is quite normal for your stools to turn darker to black when using steel pills.

Alternatives to steel pills: If you have a mild form of anemia and the steel pills are poorly tolerated, the midwife may advise you to use other iron sources as an alternative to the steel pills. These can be iron-enriched fruit juices, herbal elixirs or multivitamin preparations. Sometimes iron levels in the blood can also arise as a result. It is better not to use such drugs on your own initiative, always consult your obstetrician or gynecologist first.

Pay attention to the early prevention and diagnosis of anemia during pregnancy

Due to the large differences in the prevalence of iron deficiency in pregnant women in various regions, it is difficult to propose a uniform iron supplementation standard during pregnancy. Pregnant women should check their blood routines in time for the first check-up, pay attention to the changes of Hb, and repeat the check every 8 to 12 weeks in the future. Serum ferritin can also be tested if possible. Only early prevention, early detection, and early treatment can prevent the occurrence of severe anemia.

Pregnant women with high-risk factors for anemia (previously suffering from anemia, multiple pregnancies, continuous pregnancy within 1 year, vegetarian food, etc.) should be checked for iron deficiency even if Hb≥110 g/L. For small cell hypopigmented anemia patients, iron treatment trials also have good clinical significance. If the Hb level rises after 2 weeks of iron treatment, it indicates IDA, which is a very useful diagnostic method for primary medical units.

When to the doctor?

If you recognize the symptoms of anemia in yourself, you can discuss this with the doctor, obstetrician, or gynecologist who supervises your pregnancy. This can then check the hemoglobin level. Because anemia occurs fairly frequently during pregnancy, your counselor will also be alert to signs of anemia and, by default, test your blood two or three times for signs of it.

See also, Pregnancy and medicine use

What can you do about it yourself?

Promoting iron intake If you have actually developed anemia, you will need to take steel pills to ensure that the anemia disappears. Iron is best absorbed by the body in combination with vitamin C. Take the steel pills with, for example, orange juice. Do this half an hour before breakfast. Do not drink milk at breakfast, because milk actually inhibits the intake of the steel pills.

Preventing clogging (constipation) To prevent clogging as a result of the steel pills, it is important to drink enough (at least two liters of fluid per day), eat enough fiber (whole-grain products), and exercise regularly (walking, cycling, swimming).

General advice and precautions for Anemia in pregnancy stage

By using iron-rich foods you can reduce the risk of anemia in pregnancy. Products that contain a lot of iron include:

  • meat
  • tomato juice
  • (cashew nuts
  • legumes
  • Whole grain bread
  • kiwis
  • dried fruit (apricots)
  • egg
  • bean curd
  • brown rice
  • Apple syrup
  • dark chocolate
  • green vegetables

Promote iron intake: Combine these iron-rich products with products that contain vitamin C, such as orange juice and other fruit. Vitamin C promotes the absorption of iron. Do not drink milk or tea with food; they inhibit the absorption of iron. Therefore, drink the milk that is needed in the middle of the morning, in the afternoon or in the evening.

See also, Perfect diet for pregnancy

Multivitamins: A multivitamin preparation can also help to increase iron levels and get more energy. Special multivitamin preparations are for sale for pregnant women. Before using such preparation, consult with the person who is supervising your pregnancy. When you use pregnancy vitamins, you should not also use another vitamin preparation, certainly not vitamin A.

Points for attention for vegetarians: Even if you eat vegetarian food and therefore do not eat meat that contains a lot of iron, you are extra sensitive to develop anemia. It is important that you use other foods with a lot of iron. Under the heading What can you do about it yourself? read more about that.

Reporting: If you normally already suffer from anemia, you are extra sensitive to develop anemia during pregnancy. Also report this to the obstetrician, doctor or gynecologist who supervises your pregnancy. Carefully follow the aforementioned precautions.

How to eat iron during pregnancy

The prerequisite for iron supplementation is obviously that the iron content in the pregnant mother’s body is low, so the core of the problem lies in “how much & how much to supplement”. Of course, the iron content required by expectant mothers at different stages of pregnancy will vary.

Generally speaking, the longer the gestational week, the more complete the baby’s development, the more iron is needed, so pregnant mothers must learn to treat them differently.

pregnancyIron intake (mg/day)
First trimester15-20
Second trimester30
Third trimester35

Understand the iron content required at different stages of pregnancy, then it is time to learn how to supplement iron!

In fact, iron is a relatively common nutrient element in the daily diet, so dietary supplements are undoubtedly the preferred iron supplement method for expectant mothers. While paying attention to food supplements, pregnant mothers should also master some practical iron supplement skills to better help themselves absorb nutrients. Let’s see how to eat under Anemia in pregnancy stage.

1 ) How to eat food “iron triangle”

Animal liver, blood and lean meat are not only rich in iron, but also high in utilization. It is also called the “iron triangle” of food. Pregnant mothers can eat more pig liver, chicken liver, lean pork, lean beef and duck blood by supplementing iron. Wait. It should be noted that if the same ingredients are cooked in different ways, the effect of iron supplementation will be different. Taking pig liver as an example, the iron content will be greatly reduced during the cooking process. Switching to liver tip or soup cooking can better “preserve” the iron contained in the food itself.

2 ) Vitamin C in fruits and vegetables is a beneficial supplement

Vegetables and fruits are rich in vitamin C and that can improve the absorption and utilization of dietary iron. It is recommended to eat more green peppers, celery, cauliflower, citrus, kiwi, fresh dates, etc. while supplementing iron. However, plant foods are not the first choice for iron supplementation, including spinach, which is often mentioned. Compared with animal foods, the iron content and absorption rate are dozens of times different and can only be used as a beneficial supplement to promote absorption.

3 ) Use iron cooking pots for cooking

Ensure that you have enough iron in your diet, and cook meals with iron cookers, which will also help supplement iron. Especially the traditional iron pots and shovel will produce some iron dissolved in the food during the cooking process, forming soluble iron salt, which can promote better absorption of iron in the intestines.

4 ) It is best to take iron after meals

In addition to food supplements, pregnant women who have developed iron deficiency anemia can also seek the help of a doctor and take some iron supplements under the guidance of a doctor. It is recommended that pregnant mothers take it 30 minutes after meals to avoid gastrointestinal reactions caused by iron, such as nausea, vomiting, and diarrhea.

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