Red blood cell index 3.14, hemoglobin 110 in pregnant women is anemia?

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Hello doctor! I am currently 28 weeks 2 days pregnant. When I was 28 weeks pregnant, I had a test for gestational diabetes, the results showed the following indicators:
Red blood cells: 3.14 Hemoglobin: 110 So the doctor asked me: “Red blood cell index 3.14, hemoglobin factor 110 in pregnant women is anemia and is this level severe or mild, what is the treatment method? Thanks for the advice doctor!
Vo Thi Tam Tin ( 1990)
Reply
Hello! Pregnant women are considered anemic when the hemoglobin (Hb) level in the blood is <11g/dl. There are many possible causes of anemia but the most common in pregnant women is iron deficiency anemia. This is a condition in which the body does not have enough iron needed to make Hemoglobin - an important protein of red blood cells. Anemia not only adversely affects pregnant women but also causes many bad consequences for children later. Therefore, maintaining hemoglobin within normal limits is very important.
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 a lack of oxygen in the organs, especially in some organs such as the heart and brain, which can cause severe consequences for the mother and the fetus. Specifically:
For mothers: Easy miscarriage, placenta previa, placental abruption, gestational hypertension, preeclampsia, premature rupture of membranes, postpartum haemorrhage, postpartum infection. For children: Low birth weight, preterm birth, fetal distress, prolonged resuscitation treatment, more susceptible to neonatal diseases than children without anemia. Children of mothers with anemia early in pregnancy have a higher risk of cardiovascular disease than other children. Therefore, doctors have considered anemia and iron deficiency during pregnancy as an obstetric threat.
With the above test indicators, your anemia is mild. Therefore, you should supplement with 100-200 mg of elemental iron daily before meals. In addition, you should supplement natural iron through the diet. Iron is found in many foods such as beef, fish, liver, egg yolks, legumes, and beans. Besides, you should supplement vitamin C daily by: drinking orange juice, grapefruit juice, apple, dragon fruit to help the body absorb iron better.
Hope the doctor's sharing will help you answer the question: "Red blood cell index 3.14, hemoglobin 110 in pregnant women is anemia?" . If you still have questions about the treatment method, you can go to a hospital of Vinmec Health System for more in-depth advice. Best regards!
Answered by Specialist I Pham Thi Yen - Specialist in Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital