What Are the Symptoms of Anemia in Pregnancy?

During pregnancy, because pregnant women are affected by some physiological factors (such as an average increase in pregnant women's blood volume during pregnancy by 50%, early vomiting, loss of appetite, etc.), the hemoglobin in the blood can be relatively reduced, or iron, folate, vitamins and other nutrients Inadequate intake causes hemoglobin deficiency. Anemia occurs when the hemoglobin of a pregnant woman is below a certain value.

Anemia during pregnancy

During pregnancy, because pregnant women are affected by some physiological factors (such as an average increase in pregnant women's blood volume during pregnancy by 50%, early vomiting, loss of appetite, etc.), the hemoglobin in the blood can be relatively reduced, or iron, folate, vitamins and other nutrients Inadequate intake causes hemoglobin deficiency. Anemia occurs when the hemoglobin of a pregnant woman is below a certain value.

Western Medicine Name

Anemia during pregnancy

English name

anemia of pregnancy

Affiliated Department

Gynecology and Pediatrics-Obstetrics

The main symptoms

Anemia during pregnancy

Contagious

Non-contagious

Data show that about one-third of non-pregnant and non-lactating women in China

1. Increased iron requirement during pregnancy: During pregnancy, iron is needed due to fetal growth and uterine enlargement. When red blood cells increase, the synthesis of hemoglobin in red blood cells also requires iron. In addition, a part of the mother's body is also stored for the loss of blood during childbirth and the consumption of postpartum breastfeeding. Therefore, the amount of iron required by pregnant women during pregnancy (more than 4 mg / day) is four times higher than the amount of iron required by pregnant women at the end (1 mg / day). When the body's need for iron exceeds dietary intake, it can cause anemia.
2. Insufficient nutrition in food: If the diet of pregnant women lacks nutrients such as iron, protein, vitamin B12 or folic acid, they can cause anemia. In early pregnancy, there are often early pregnancy reactions such as nausea, vomiting, lack of food, picky eaters, and non-eating, resulting in insufficient intake of nutrients, lack of nutrients such as protein, iron and vitamins during hemoglobin synthesis, so as to affect the synthesis of hemoglobin, making Reduced to anemia.
3. Iron absorption disorders: Iron contained in food must be converted into ferrous salts by the action of hydrochloric acid in gastric juice before being absorbed into the blood by the small intestine and then loosened into the bone marrow to make blood. however. If the pregnant woman has a previous gastrointestinal disease or a weakened gastrointestinal function during pregnancy, the secretion of gastric juice will be insufficient, and the gastric acid will be reduced. As a result, iron-containing substances cannot be converted in the stomach, and absorption will be difficult. As a result, anemia will result from iron deficiency in the body.
4. Acute or chronic blood loss: If the pregnant woman had an acute bleeding before pregnancy and became anemia without complete cure, or a small amount of bleeding during pregnancy, such as gastric and duodenal ulcers, pyelonephritis, hemorrhoid bleeding, etc. Causes varying degrees of anemia.
5. Intestinal parasitic disease: Anemia caused by hookworm disease is more common. Some people have determined that each hookworm in the intestine needs to absorb about 0.5 ml of human blood every day. If pregnancy is accompanied by hookworm disease, pregnant women will have more severe anemia (hookworm disease is more common in the rural areas of southern Anhui in the Jianghuai region of our province. ).
6, too many children: too many children born, too dense or breastfeeding for too long, due to insufficient iron supply, can also easily cause anemia.

Iron deficiency anemia is the most common anemia during pregnancy, and it usually starts from 5-6 months of pregnancy. Most of the iron deficiency occurs in special cases where the demand for iron has increased and the supply has not been met. Pregnancy is one of them. In the third trimester, the blood volume increases by about 1,300 milliliters, the blood is diluted, and the number of red blood cells and hemoglobin are relatively reduced. Therefore, anemia can be diagnosed when the hemoglobin is less than 100 g / L during pregnancy. Many pregnant moms suffer from menstrual blood loss before pregnancy, resulting in insufficient storage in the body after pregnancy; and the development of the placenta and fetus needs to be increased

Pregnant women's serum ferritin and hemoglobin tests are the most sensitive indicators. When serum ferritin is less than 12 micrograms / liter or hemoglobin is less than 110 grams / liter, anemia in pregnant women can be diagnosed. (The hemoglobin content column can be seen on the blood report report we made in the hospital, which is below the standard value Is anemia, and below 100 is severe anemia).

Anemia is a common complication of expectant mothers during pregnancy. After pregnancy, due to the increased demand for oxygen in expectant mothers, metabolism is accelerated, and in the uterus, the development of fetal babies and placenta increases blood volume. In the increased blood, the plasma is increased more than the red blood cells, so the phenomenon of blood dilution during pregnancy is formed. This is a normal physiological process. It is medically called physiological anemia, and it is mostly iron deficiency anemia, but long-term anemia. If the prenatal examination is not found and treated in time, insufficient blood supply to the brain and insufficient oxygen in the blood can easily lead to fainting. At the same time, anemia can cause inadequate nutritional supply for the baby. The lighter makes the baby develop slowly, and the severer can cause premature birth,

1. The baby's vision and movement are not flexible. If the target is enough to pick up the suspended toy, thumb and index finger, take small items, as well as beading, nesting, and the building blocks and jigsaw puzzles that need to understand the coordination of vision and movement are all backward, it will also affect the homework ability after entering elementary school. .

2. Day

1. Eat more iron-rich foods From before pregnancy and when you are just pregnant, you should start to eat more iron-rich foods such as lean meat, poultry, animal liver and blood (duck blood, pig blood), eggs and so on. Soy products also contain more iron, and the intestinal absorption rate is also higher. Pay attention to intake. Eat more pasta as a staple food. Larger pasta contains more iron and better intestinal absorption than rice.

2. Eat more foods that help iron absorption

Not only can fruits and vegetables supplement iron, the vitamin C contained in them can also promote iron absorption in the intestine. Therefore, while eating iron-rich foods, it is best to eat more fruits and vegetables together, which also has a good iron supplement.

3. Use iron cookware for cooking

Use iron pans and shovel as much as possible when cooking. These traditional cookers will produce some small iron scraps that dissolve in the food when cooking, forming soluble iron salts, and it is easy for the intestines to absorb iron.

4. Eat more folic acid-rich foods

Take folic acid supplements from 3 months before pregnancy until 3 months after pregnancy. Pay attention to eating folic acid-rich foods, such as liver, kidney, green leafy vegetables and fish, eggs, cereals, soy products, nuts, etc. Also, be careful not to overheat when cooking or to cook for too long.

5. Do prenatal checkups on time

Hemoglobin should be checked at least twice in the second and third trimester of pregnancy. Repeated blood tests can detect anemia early and take corresponding measures to correct the anemia.