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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Recommended For This Blood Test Result During Pregnancy?

Dear Sir, My wife is 26 Years old & with first pregnancy of 34 week. Approx fetal weight 2000 gm, BPD-87.9 mm, HC-300.5 mm, FL-61.7 mm, AC-282.3 mm, EDD-24/10/2015,we found her hemoglobin level is decreasing from 10 to 8.5 during last 30 weeks.She takes iron medicine from the day of pregnancy & for improving hemoglobin she takes iron injection 2 times. But when Dr. see hemoglobin level is not improving Dr. advised us S. Ferritin Test which result was 756ng/mL where normal value for female 05-148 ng/mL,Blood Film Test which comment was ,RBCs shows anisopoikilocytosis, anisochromia. Fair number of macrocyte, target cell, elongated cell, tear drop cells, microcytes, ovalcyte are seen. WBSs - mature with increased total count (13000/cmm) and increased neutrophil count (80%). Platelets are normal (4,00,000/cmm).We also conduct test for Hb Electrpphorsis, S. Iron, TIBC, Vitamin B12. Which report will get after a week.Could you please tell me about this blood disorder. Now give me the suggestion what we can do for hemoglobin improvement. As it is very important for baby growth. Dr. Also says that pushing 1 Bag blood for hemoglobin improvement.
Mon, 30 Nov 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Anemia in pregnancy definitely needs evaluation and correction.
Apart from the routine tests, you need to wait for the results of other tests also to properly diagnose and intervene.
At this stage, blood transfusion would be the only option that could be considered. Hence, as doctor has advised, please go ahead with it.
Once the report comes, particularly that of Hemoglobin electrophoresis, it would be able to get a clear picture as to how to go about next.
Hope the information provided would be helpful.
All the best.
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What Treatment Is Recommended For This Blood Test Result During Pregnancy?

Hi, Thanks for posting in HCM. I understand your concern. Anemia in pregnancy definitely needs evaluation and correction. Apart from the routine tests, you need to wait for the results of other tests also to properly diagnose and intervene. At this stage, blood transfusion would be the only option that could be considered. Hence, as doctor has advised, please go ahead with it. Once the report comes, particularly that of Hemoglobin electrophoresis, it would be able to get a clear picture as to how to go about next. Hope the information provided would be helpful. All the best.