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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Iron Injections Advisable During Pregnancy While Having Normal Levels?

hi im 34 weeks pregnant (second pregnancy) and im a candidate for VBAC my doctor told me to take injections of iron and b12 twice weekly beside my iron bills before i hit the ninth month although my hb is 10.6 is it safe? or it is too much? also i got 1 iron injection and left a mark without pain what to do with it? and what wrong happened to cause this mark?
Sat, 3 Aug 2024
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Ayurveda Specialist 's  Response
Hi,

1. As Hb is 10.6 gm/dl which means you are in moderate group of Anemia in Pregnancy, and because your hemoglobin level is less than 11 g/dL, your Physician should determine the cause of anemia through CBC [complete blood count].

2. As a rule of Thumb: iron deficiency is the most common cause of anemia in pregnancy, thus initial management begins with the evaluation of Iron Studies.

3. In 34 weeks [Third Trimester]: the initial choice for iron deficiency is combination of improved dietary intake and oral iron supplements, and only if oral iron is not tolerated or anemia is severe then one can opt for injectable [through Z technique], and

4. blood transfusion may be required:
If anemia is resistant to Iron
If severe anemia near term.

5. In your trimester: things to watch out are: Edema and Hypertension, convulsions or any unusual per vaginal bleeding.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Munish Sood, Ayurveda Specialist
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Are Iron Injections Advisable During Pregnancy While Having Normal Levels?

Hi, 1. As Hb is 10.6 gm/dl which means you are in moderate group of Anemia in Pregnancy, and because your hemoglobin level is less than 11 g/dL, your Physician should determine the cause of anemia through CBC [complete blood count]. 2. As a rule of Thumb: iron deficiency is the most common cause of anemia in pregnancy, thus initial management begins with the evaluation of Iron Studies. 3. In 34 weeks [Third Trimester]: the initial choice for iron deficiency is combination of improved dietary intake and oral iron supplements, and only if oral iron is not tolerated or anemia is severe then one can opt for injectable [through Z technique], and 4. blood transfusion may be required: If anemia is resistant to Iron If severe anemia near term. 5. In your trimester: things to watch out are: Edema and Hypertension, convulsions or any unusual per vaginal bleeding. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist