What should pregnant women do about anemia?

Written by Liu Wei Jie
Obstetrics
Updated on September 05, 2024
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We often find that anemia in pregnant women is very common during prenatal check-ups. There are three main reasons for anemia. The first reason is iron deficiency anemia, which is due to insufficient intake during pregnancy while the fetus requires a large amount, leading to iron deficiency anemia. The second reason is megaloblastic anemia, which is caused by insufficient intake of vitamin B6 and folic acid, resulting in anemia. Another condition is thalassemia, which is due to a genetic mutation causing anemia.

For treatment of anemia, we first need to address the specific cause. If it is iron deficiency anemia, iron supplements are necessary, and the diet should include foods like pork liver and lean meat. If it is megaloblastic anemia, supplementation with folic acid and vitamin B12 is needed. Moreover, for thalassemia, mild cases can be observed, while severe cases may require a small amount of blood transfusion treatment.

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Iron deficiency anemia is a type of anemia.

Anemia is a condition in which the total volume of red blood cells in the circulating blood is reduced below the normal value. Iron deficiency anemia belongs to a category of anemia caused by a lack of hematopoietic raw materials. It occurs when the body's stored iron is depleted and cannot meet the needs for normal red blood cell production. Iron deficiency anemia is a common disease among red blood cell disorders and is categorized under anemias caused by a deficiency in hematopoietic raw materials.

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Written by Du Rui Xia
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What should I do about adenomyosis-related anemia?

When suffering from adenomyosis, patients often experience an increase in menstrual flow. Prolonged heavy menstrual bleeding can lead to anemia. At this time, drug treatment should be initiated first. Some medications can be used to stop bleeding, and minimally invasive surgery or interventional treatment can also be considered to remove the affected areas of adenomyosis. In terms of diet, it is important to consume foods rich in protein that aid in blood replenishment. Additionally, an appropriate supplement of vitamin B and vitamin C is necessary, and it's crucial to actively work on blood replenishment to avoid risking the patient's health. (Medication should be used under the guidance of a professional doctor.)

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Written by Li Fang Fang
Hematology
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What indicators are used to diagnose anemia?

To determine if someone is anemic, we should look at the red blood cell count and hemoglobin level in a complete blood count. Currently, hemoglobin level is the commonly used indicator clinically. Normal hemoglobin levels are 110~150g/L for women and 120~160g/L for men. Anemia is diagnosed when the hemoglobin level falls below the normal range. Based on the amount of hemoglobin, anemia can be classified into very severe, severe, moderate, or mild. Hemoglobin levels above 90g/L indicate mild anemia, levels between 60~90g/L indicate moderate anemia, levels between 30~60g/L indicate severe anemia, and levels below 30g/L indicate very severe anemia.

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Written by Li Fang Fang
Hematology
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How to recuperate from anemia

How to nourish anemia depends on the specific cause of the anemia, and it varies with the specific cause. If the anemia is nutritional, this type is due to a lack of hematopoietic materials such as folic acid, vitamin B12, and iron. In this case, it is necessary to actively supplement these hematopoietic materials, including eating foods that are rich in these materials. However, if the cause of anemia is due to leukemia, aplastic anemia, myeloma, lymphoma, etc., then it is necessary to treat the underlying disease to improve the anemia. In addition, patients with anemia need to pay attention to rest, prevent catching cold, and prevent infections.

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Written by Li Fang Fang
Hematology
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Can anemia cause fever?

Patients with severe anemia may exhibit low-grade fever due to the severity of the anemia, where the fever generally does not exceed 38 degrees Celsius, mostly hovering around 37.5 degrees Celsius. Besides, if a patient with anemia develops high fever above 38 degrees Celsius, even reaching around 39 degrees Celsius, it is crucial to be vigilant about a possible secondary infection due to poor resistance from anemia. It is important to actively search for the source of infection, complete tests such as inflammatory markers, CT scans, and ultrasound imaging, and, once an infectious fever is suspected, to initiate aggressive anti-infection treatment.