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Is Hemoglobin Level Of 9.3 A Cause For Concern While Having Thalassemia Minor?

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Posted on Wed, 12 Oct 2016
Question: Dear Doctor,

This is regarding my wife, who is expecting right now.
She is thalassemia minor. Her HB is right now 9.3.
Just want to know, what should be minimum HB while delivery. Is there a need to go for iron drip, as her delivery is scheduled next month.
doctor
Answered by Dr. Hardik Sanghvi (42 minutes later)
Brief Answer:
Minimum hemoglobin should be 10 gm at time of delivery.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.

Your wife has thallasemia minor. Her hemoglobin level is 9.3.

Normally hemoglobin level should be above 10 at time of delivery to avoid complications.

In pregnancy iron demand increases as blood volume increases. So iron supplements are required.

As such iron can not help in thallasemia minor. But in most of the cases there is associated iron deficiency anemia.

So iron therapy is required. Her hemoglobin is 9.3 so its not too low. And she is taking livogen tablet.

So according to my opinion livogen tablet is OK. Injectable iron is not required.

Close monitoring of hemoglobin is required.
Don't worry much about that. Just be relaxed.

Hope I have answered your question.
If you have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic.
Wish you very good health.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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Is Hemoglobin Level Of 9.3 A Cause For Concern While Having Thalassemia Minor?

Brief Answer: Minimum hemoglobin should be 10 gm at time of delivery. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. Your wife has thallasemia minor. Her hemoglobin level is 9.3. Normally hemoglobin level should be above 10 at time of delivery to avoid complications. In pregnancy iron demand increases as blood volume increases. So iron supplements are required. As such iron can not help in thallasemia minor. But in most of the cases there is associated iron deficiency anemia. So iron therapy is required. Her hemoglobin is 9.3 so its not too low. And she is taking livogen tablet. So according to my opinion livogen tablet is OK. Injectable iron is not required. Close monitoring of hemoglobin is required. Don't worry much about that. Just be relaxed. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you very good health.