12 weeks pregnant with a red blood cell count of 3.67; Hemoglobin 112, Ferritin 217.4 what's wrong?

Question
Hello doctor,
I am 12 weeks pregnant, the blood test results have a red blood cell count of 3.67; hemoglobin 112, Ferritin quantitative immunoassay 217.4. So the doctor asked me to ask that I am 12 weeks pregnant with a red blood cell count of 3.67; Hemoglobin 112, Ferritin 217.4, what's wrong? Looking forward to your advice, thank you doctor.
Anonymous question
Answer
Hello,
With the question “12 weeks pregnant, has a red blood cell count 3.67 hemoglobin 112 Ferritin 217.4 okay? , the doctor would like to answer as follows:
According to the World Health Organization, the hemoglobin (Hemoglobin) concentration in pregnant women should be higher than 11 g/dl in the first and third trimesters of pregnancy, and more than 10.5 g/dl in the second 3 months. The main cause of anemia and micronutrient deficiency in pregnant women is because the diet does not provide enough needs. The iron requirement of pregnant women is higher to provide for the fetus, so iron deficiency anemia is more common. Women who were malnourished before pregnancy also caused more anemia.
Anemia in pregnant women causes lack of oxygen in the organs, especially in some organs such as the heart, brain, ... can cause severe consequences for the mother and the fetus.
For the mother: Easy miscarriage, placenta previa, placental abruption, gestational hypertension, preeclampsia, premature rupture of membranes, postpartum hemorrhage, postpartum infection. For children: Low birth weight, preterm birth, fetal distress, prolonged resuscitation treatment, more susceptible to neonatal diseases than children without anemia. Red blood cell count: Helps determine anemia (low red blood cells) or polycythemia (high red blood cells). The normal red blood cell count in women is 3.9 - 5.6 M/μl. Ferritin is a form of iron storage protein active in blood cells, they are involved in iron storage organizations throughout the body. This protein is present in the liver, spleen, bone marrow and to a lesser extent in the serum of the blood. Normal values ​​of Ferritin in the blood include: for women: From 11-307 ng/ml or 11-307 μg/l.
The indicators you send have red blood cells lower than the normal limit, but you should bring the results to the doctor for advice and instructions on how to properly supplement iron in the next weeks of pregnancy.
If you still have questions about 12 weeks pregnant with a red blood cell count of 3.67 hemoglobin 112 Ferritin 217.4, you can go to the hospital of Vinmec Health System for further examination and advice. . Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

Answered by Master, Doctor Tran Quynh Trang - Doctor of Biochemistry - Laboratory Department, Vinmec Times City International General Hospital.