Low hemoglobin during pregnancy : how to improve
Analyses And Studies / / August 12, 2017
- Etiology Symptoms and consequences
- low hemoglobin How to increase hemoglobin in pregnancy?
- The raise hemoglobin in the home?
The primary cause of anemia in pregnancy is an increased need for iron (it is necessary for the normal development of the fetus), and insufficient intake of this element in a woman's body with food while poor nutrition.The level of hemoglobin in a given period is also reduced with a deficit of protein and vitamins.Furthermore, it should be called, and other etiological factors:
- presence of somatic diseases - rheumatism, heart disease, liver disease, pyelonephritis.
- Pathology of infectious nature.
- worm infestation.
- diseases of the gastrointestinal tract, especially ulcers, which is complicated by bleeding.
- Chronic nosebleeds on background thrombocytopathy or thrombocytopenic purpura.
- Reduced hemoglobin often occur among women who are diagnosed with endometriosis, uterine fibroids, painful menstruation and robust, as well as among those with a history of miscarriage.
- Anemia can be caused by multiple pregnancies, early toxicosis, hypotension, worsening of existing chronic diseases, placenta previa or premature detachment.
Additionally, pregnant women are accumulated metabolic products that are toxic to the bone marrow, increased blood volume, and fluid retention is observed in the interstitial tissues and high levels of copper, a reduced amount of zinc, manganese, nickel and cobalt in the body, which also affects the concentration of hemoglobin.Also during pregnancy hormonal changes.This increases the amount of hormones that inhibit erythropoiesis.The value in the development of anemia in pregnant women also has oxygen deprivation and immunological changes.
Symptoms and consequences of low hemoglobin
To determine the level of hemoglobin concentration, it is necessary to pass a complete blood count.Held this laboratory study in the morning on an empty stomach.Normally, women hemoglobin should be in an amount of 120-140 g / l.During the period of gestation of the analysis should be assessed, taking into account the peculiarities of pregnancy and her life.So, in the first trimester hemoglobin concentration should not differ from the figures obtained from the survey of non-pregnant women.The rate of hemoglobin in pregnancy during the second and third trimesters is somewhat lower - 110-130 g / l, so early detection of anemia take into account not only the option but also determine the content of certain vitamins, serum iron and ferritin and transferrin.
With the development of anemia appear the following complaints:
- general weakness and drowsiness;
- impaired performance and memory impairment;
- frequent headaches and dizziness;
- loss of appetite and pathological changes of smell and taste;
- pale mucous membranes and skin;
- deterioration of nails, hair, tooth decay;
- occurrence of constipation or diarrhea;
- stomatitis and fissures on the lips;
- chest pain, palpitations and heart rate acceleration;
- frequent colds.
If the blood of a pregnant little hemoglobin, it will negatively affect the development of the fetus.Thus, the violation triggers more frequent early toxicosis and gestosis increases the risk of miscarriage and premature birth, leads to placental insufficiency and fetal growth retardation syndrome.Also, women with low hemoglobin levels during pregnancy there is premature rupture of membranes and premature detachment of the placenta.
most dangerous in this respect is the third trimester of pregnancy.In addition, women with anemia more often register uterine inertia, hypotonic or atonic postpartum hemorrhage, DIC, purulent-septic complications in the postpartum period, as well as inadequate secretion of breast milk (hypogalactia).Low hemoglobin is also dangerous because it increases the likelihood of congenital anomalies of the fetus and lead to more frequent perinatal mortality.
How to increase hemoglobin in pregnancy?
Immediately I must say that when a significant reduction in hemoglobin levels is necessary to take special iron supplements.Self-treatment is unacceptable, so be sure to consult with your doctor, who on the basis of clinical data and laboratory results prescribe the necessary medication to the optimal dosage and admission of multiplicity, which will effectively raise hemoglobin and prevent a number of serious complications.
usually prescribe oral drugs (Aktiferrin, Tardiferron or Ferropleks).The treatment is also used complex pharmacological agents (Pregnavit, Fenyuls), which in addition to iron contain vitamins, ascorbic acid and minerals.injectable forms of drugs may be administered, if necessary (for example, if oral medications cause dysfunction of the digestive system).
worth remembering that hemoglobin is not quickly improved, even when properly selected pharmacological therapy.Treatment is long-term and should continue even if the normalization of blood counts.
In severe anemia, pharmacological treatment that does not produce the desired results, carried out blood transfusions.In pregnant women this manipulation is carried out under strict indications, and in extreme cases, if required by the condition of the woman.
The raise hemoglobin in the home?
In anemia pregnant women are recommended to adhere to a special diet.In the daily diet should be given meals that contain a lot of protein, iron, and a limited amount of fat.
What products raise hemoglobin?This, above all, pork and veal liver, turkey meat and rabbit, veal, egg yolks, almonds and apricots, herbs, buckwheat and oats, wild rose, lean fish, pomegranates and peaches, beans, apples, raisins and prunes, greenvegetables.
Timely diagnosis of anemia and its proper treatment helps to restore the optimum level of hemoglobin, which ensures the normal course of pregnancy and completion.