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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Written by Zhao Li Li
Obstetrics
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How should pregnant women supplement for anemia?

Under normal circumstances, if anemia symptoms are confirmed after pregnancy, further examination is still necessary for active symptomatic treatment. Normally, the specific cause of the anemia can be identified, whether it is due to iron deficiency, folate deficiency, or B12 deficiency. According to the specific cause of anemia, oral medication can be administered for symptomatic treatment, which can effectively alleviate the symptoms. After taking oral medication, it is also necessary to regularly check the rise in hemoglobin levels to properly manage the condition.

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Written by Gong Hui
Pediatrics
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How to supplement baby's anemia?

The treatment for childhood anemia primarily focuses on addressing the underlying cause. Nutritional anemia is the most common type of anemia in children, which includes iron-deficiency anemia and megaloblastic anemia. For iron-deficiency anemia, the main treatment is iron supplementation. This can be done through dietary means, such as increasing the intake of foods high in iron like pork liver and egg yolks. Additionally, treatment should address any underlying causes of iron deficiency. For instance, if parasitic infections are causing blood loss, then treating the parasitic infection is necessary. If the anemia is due to poor dietary habits or picky eating, then changing these habits is crucial. If general treatments are ineffective, then oral iron supplements should be considered. In the case of megaloblastic anemia, it is important to address the vitamin deficiencies that cause it, namely the lack of folate and vitamin B12. Supplementation of folate and vitamin B12 is recommended.

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Written by Li Fang Fang
Hematology
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Can anemic people donate blood?

Patients with anemia cannot donate blood. After donating blood, due to the reduction of blood volume, it may worsen anemia and cause symptoms such as dizziness, excessive sweating, nausea, vomiting, and other manifestations of low blood pressure. In severe cases, it can even induce acute cardiovascular and cerebrovascular accidents, so patients with anemia cannot donate blood. Clinically, the requirements for blood donors include not being anemic, weighing more than 45 kilograms, and being free of infectious diseases.

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Written by Yue Hua
Obstetrics and Gynecology
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Symptoms of anemia in late pregnancy

Patients with mild anemia in the late stage of pregnancy may not exhibit any obvious symptoms. However, patients with severe anemia may feel a lack of energy and dizziness throughout the body, and experience symptoms such as palpitations and shortness of breath after doing just a little bit of activity. Additionally, some individuals may experience gastrointestinal symptoms, such as abdominal bloating and diarrhea. Moreover, those affected may have a reduced appetite. In anemic women, signs on the skin and mucous membranes include pallor, dry skin, and sparse hair. Additionally, the nails may also be fragile and thin, and there is an increased likelihood of developing oral inflammation and similar symptoms.

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Written by He Li Fang
Hematology
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Iron deficiency anemia is what type of anemia?

Iron deficiency anemia refers to the anemia that occurs when the body's stored iron is depleted and cannot meet the needs for normal red blood cell production. Before the production of red blood cells is limited, the body's stored iron has already been exhausted. However, at this stage, the routine blood tests may not yet show obvious signs of anemia; this condition is then referred to as iron deficiency. The characteristics of iron deficiency anemia include a lack of stainable iron in the bone marrow and other tissues, as well as reduced serum ferritin and transferrin saturation, presenting as typical microcytic hypochromic anemia. Therefore, iron deficiency anemia is a type of microcytic hypochromic anemia and is classified according to the level of marrow proliferation as a hyperproliferative anemia.