Anemia during pregnancy blood test results like?

Question
Hello doctor,
I am pregnant at 13 weeks and from week 11 onwards, I have severe morning sickness. In the 7th week, I went to the doctor who prescribed me Legend mana and IQ Imax. At week 12, the children went back to the doctor, did blood tests, and found that the HGB (104), HCT (31.4), RBC(3,56) indexes were low, other indicators MCV(88,3) MCH(29,4) MCHC(333) is normal. Please ask the doctor what is the blood test result of anemia during pregnancy? The doctor there suspected that she had thalassemia major and said that she might need amniocentesis. I have no history of fainting, dizziness, dizziness, and have donated blood many times before. Hope the doctor can help me, thank you.
Anonymous customer
Reply
Hello,
To the question “What is the blood test result of anemia during pregnancy? ”, the doctor would like to answer as follows:
Anemia in pregnant women is an important public health problem in many countries. Anemia in pregnant women has serious consequences for both the mother and the fetus. Anemia in pregnant women often manifests as fatigue, weakness, pale mucous membranes of the mouth, lips, eyes, dizziness, etc. Pregnant women are considered anemic when the hemoglobin (Hb) level in the blood is low > 11 g. /dl and ranges from mild to severe depending on the amount of Hb in the blood. Anemia includes: microcytic anemia (MCV < 80 fl), normocytic anemia (80 fl < MCV < 105 fl) and macrocytic anemia (MCV > 105 fl). Pregnant women often have microcytic anemia, which is often caused by iron deficiency, in addition to thalassemia.
Thalassemia (also known as hemolytic anemia) is an inherited hematologic disease involving an abnormality of hemoglobin (a protein structure in red blood cells that carries oxygen). In patients with Thalassemia, the red blood cells are excessively destroyed leading to anemia. Thalassemia is an autosomal recessive inherited disease. Therefore, Thalassemia causes serious consequences for the species, affecting the lives of patients and the community.
According to the Thalassemia screening process of the Ministry of Health: Pregnant women will be tested for total peripheral blood analysis for the first prenatal visit.
If MCV >/= 85 fl, MCH >/= 28pg would be low risk for Thalassemia. If MCV < 85fl and/or MCH < 28pg, there is a high risk of thalassemia. At that time, the husband of the pregnant woman will be consulted for a peripheral blood test. Depending on the results of the low-risk or high-risk husband for the disease, there will be subsequent screening and diagnostic directions such as: hemoglobin test in the couple, globin gene test in the couple, amniocentesis. Amniotic fluid testing for fetal genes,...
According to your blood count, you have mild hypochromic anemia and do not think you have Thalassemia. You can improve this anemia with an iron-rich diet such as: Chicken thighs, beef, shrimp, legumes, avoiding foods that reduce the body's ability to absorb iron such as tea, coffee... You should have regular antenatal check-ups according to your appointment and take additional medications for pregnancy as prescribed by your obstetrician.
If you still have questions about anemia during pregnancy, you can go to a hospital of Vinmec Health System for examination and advice by experienced obstetricians and gynecologists. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

Answered by Specialist Doctor I Pham Thi Yen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.