OB GYN

OB-GYN questions? Ask a gynecologist online.

Ask a Doctor,
Get an Answer ASAP!

I need to write a trajectory for the disease anemia in

Customer Question
pregnancy. Would like some direction...
I need to write a trajectory for the disease anemia in pregnancy. Would like some direction for sources.
Submitted: 8 years ago.Category: OB GYN
Show More
Show Less
Ask Your Own OB GYN Question
Answered in 1 minute by:
6/27/2010
OB GYN Doctor: Dr. Owen, OB/GYN (Doctor) replied 8 years ago
Dr. Owen
Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55,754
Experience: Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
Verified
Hello,
What do you mean a trajectory?
And, what specifically are you looking for - because anemia is not really a disease in pregnancy - it is associated with other 'causes' what we call etiologies.
Ask Your Own OB GYN Question
Customer reply replied 8 years ago
It was a suggestion from my instructor, like what the disease looks like pre and acute and long term. Maybe you could suggest a disease, OB GYN that would have phases that would be interesting to write about. I am a senior in colleg for my BSN and the class is Elderly holistic care and chronic illness.
OB GYN Doctor: khagihara, OB/GYN (Doctor) replied 8 years ago
khagihara
khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6,591
Experience: Trained in OB & GYN for many years.
Verified

Dr. Wilson opted out. I will try to help you.
Your iron requirements go up significantly when you're pregnant. Iron is essential for making hemoglobin, the protein in red blood cells that carries oxygen to other cells. During pregnancy, the amount of blood in your body increases until you have almost 50 percent more than usual. And you need more iron to make more hemoglobin for all that additional blood. You also need extra iron for your growing baby and placenta.
Unfortunately, most women start pregnancy without sufficient stores of iron to meet their body's increased demands, particularly in the second and third trimesters. If you get to the point where you no longer have enough iron to make the hemoglobin you need, you become anemic.
Your risk is even higher if you have morning sickness severe enough to cause frequent vomiting, if you've had two or more pregnancies close together, if you're pregnant with more than one baby, if you have an iron-poor diet, or if your pre-pregnancy menstrual flow was heavy.
This is why the amount of iron you need shoots up during pregnancy from 18 to 27 milligrams (mg) per day. Because it's hard to get enough iron through diet alone, the Centers for Disease Control and Prevention recommend that pregnant women take a daily supplement of 30 mg of elemental iron as a preventive dose. Many prenatal supplements contain that amount.
Iron deficiency is by far the most common cause of anemia in pregnancy, but it's not the only cause. You could also develop anemia from not getting enough folic acid or vitamin B12, by losing a lot of blood, or from certain diseases such as lupus, Rheumatoid arthritis, kidney failure or inherited blood disorders such as sickle dell disease.

The treatment for anemia depends on the cause. Iron supplements are not always the answer.

Your practitioner tests your blood for anemia at your first prenatal appointment. One of these tests (hematocrit) measures the percentage of red blood cells in your plasma. The other (hemoglobin) measures the number of grams of hemoglobin in your blood.

Even if you're not anemic at the beginning of pregnancy, it's not uncommon to develop anemia as your pregnancy progresses, so you'll have another blood test in your late second trimester or early third trimester. It's normal for your hemoglobin and hematocrit levels to go down somewhat in the second half of pregnancy, when the amount of blood in your body is expanding dramatically and the amount of plasma (the fluid component of blood) increases faster than the number and size of red blood cells – but you don't want them to dip too low.

If you do become anemic, you might not have any symptoms at all, especially if your condition is mild. Or you might feel tired, weak, and dizzy. (Of course, these are symptoms that many women experience during pregnancy, anemic or not.) You might also notice that you're paler (especially in your fingernails, the underside of your eyelids, and your lips). Other symptoms include a rapid heartbeat, heart palpitations, shortness of breath, headache, irritability, and trouble concentrating.

Finally, some studies have found a link between severe iron-deficiency anemia and cravings for non-food substances such as ice, paper, or clay (a condition known as pica).
There are also complications with blood loss during the pregnancy and delivery.

  • The second and third trimester: placenta previa, abruptio placentae (especially, due to preeclampsia), the rupture of the uterus (because of c-sections, placenta percreta)
Ask Your Own OB GYN Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an ob gyn doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask khagihara Your Own Question
khagihara
khagihara
khagihara, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 6,591
6,591 Satisfied Customers
Experience: Trained in OB & GYN for many years.

khagihara is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. C.

Dr. C.

Board Certified

2,537 satisfied customers

30 years of experience and an award-winning educator.

Monika Hearne, M.D.

Monika Hearne, M.D.

Board Certified OB/GYN

5,752 satisfied customers

With experience and compassion, I treat my patients like family.

DR PRABIR KUMAR DAS

DR PRABIR KUMAR DAS

CONSULTANT GYNAECOLOGIST

1,651 satisfied customers

MBBS(CAL)MD(G&O)

Dr.JBB

Dr.JBB

Board Certified OB/GYN

1,293 satisfied customers

15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence

Dr. Lawrence

Dr. Lawrence

OB/GYN

822 satisfied customers

Board Certified OB/GYN and accomplished educator

Dr.Ashwini Joshi

Dr.Ashwini Joshi

OB/GYN (Doctor)

400 satisfied customers

Consulting Obstretician & Gynecologist

Dr C

Dr C

OB/GYN (Doctor)

367 satisfied customers

MD

< Previous | Next >

Related OB GYN Questions
Why would it be I haven't started my period by 2 weeks I
Why would it be I haven't started my period by 2 weeks I have taken pregnancy test n they come back negative and the doctors checked.threw my blood work and it still came back negative but I have felt… read more
Dr. C.
Dr. C.
Board Certified
Doctoral Degree
2,537 satisfied customers
Last month I engaged in dry humping, mutual masturbation,
Hi last month I engaged in dry humping, mutual masturbation, and oral sex. There was no direct genital to genital contact and the guy did not ejaculate on or near my vulva. However I did get precum on… read more
Dr. Lawrence
Dr. Lawrence
OB/GYN
MD
822 satisfied customers
I had blood tests done pertaining to my miscarriage. I asked
I had blood tests done pertaining to my miscarriage. I asked you previously about some of the issues they found with the placenta. I received copies of results of the testing but have not heard from m… read more
Dr. Tim, MD
Dr. Tim, MD
Board-Certified OB/GYN
663 satisfied customers
I got a problem with my menstruation, i am still bleeding
Hi , i got a problem with my menstruation, i am still bleeding like the first or second day on the 20th day of my mestruation, iwent to the gp and she said once the bleeding is settled can do an u/s t… read more
Dr. C.
Dr. C.
Board Certified
Doctoral Degree
2,537 satisfied customers
My periods have always been regular 5-6 days. but lately
My periods have always been regular 5-6 days. but lately they have been 2 days with little bleeding. and the second day barely even soil the pad. in march my bf and i had a condom bust on us and all t… read more
Dr. K.
Dr. K.
Staff physician
MD
595 satisfied customers
I am 16 weeks pregnant with type O positive blood. My first
I am 16 weeks pregnant with type O positive blood. My first son had A+ and spent a few days in the NICU for ABO incompatibility issues. When I was 5 weeks pregnant with this current pregnancy, I had a… read more
Dr. Tim, MD
Dr. Tim, MD
Board-Certified OB/GYN
663 satisfied customers
Im 22 im goin into the 14th week of my pregnancy im due
hi my name is ***** ***** 22 im goin into the 14th week of my pregnancy im due october. i was born wit a murmur but went away but now have it with this pregnancy didnt have it with other 2 pregnancies… read more
Dr. C.
Dr. C.
Board Certified
Doctoral Degree
2,537 satisfied customers
I have Hypothyroidism, Hashimoto's Disease and Celiac
I have Hypothyroidism, Hashimoto's Disease and Celiac Disease. After over a year of trying to get pregnant with our second child, I am finally pregnant (6 weeks). What kind of doctor(s) is most approp… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
I've been taking the pill (marvelon) for one year and a
I've been taking the pill (marvelon) for one year and a half. I'm 28 years old, 170 cm tall, my weight is 50 Kg. I have coeliac disease. Now I want to try to get pregnant, because I see that this woul… read more
Mary Claire Haver, M. D.
Mary Claire Haver, M. D.
Physician, MD
Doctoral Degree
2,533 satisfied customers
I'm 36 weeks pregnant and for the past few days, I have been
I'm 36 weeks pregnant and for the past few days, I have been waking up with bright red cheeks. It's more localized to my cheek bones rather than my cheeks. It doesn't itch and usually lasts about an h… read more
Mary Claire Haver, M. D.
Mary Claire Haver, M. D.
Physician, MD
Doctoral Degree
2,533 satisfied customers
I recently had a period from the 9th to the 19th August,
Hi, I recently had a period from the 9th to the 19th August, which for me is quite a long time, they usually last a maximum of 5-6 days but are very heavy non the less. I miscarried more than 5 months… read more
Mary Claire Haver, M. D.
Mary Claire Haver, M. D.
Physician, MD
Doctoral Degree
2,533 satisfied customers
I am currently 37 weeks and 4 days pregnant. My hemogobin is
I am currently 37 weeks and 4 days pregnant. My hemogobin is an 8 and my OB is not concerned about it in the least. I also have hypogammaglobulinemia on top of it and still they aren't worried about d… read more
Dr. Zach
Dr. Zach
OBGYN Physician
Doctoral Degree
4,514 satisfied customers
I am 32 years old andI was told that I had a ruptured
I am 32 years old andI was told that I had a ruptured ovarian cyst after a pelvic exam and sono were performed. I had another small cyst on my left ovary was noted. There was a large amount of fluid i… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
Since the beginning of December I have had heavy mentrual
Since the beginning of December I have had heavy mentrual bleeding. I went to my ob/gyn and she prescribed Norethindrone 5mg to help stop the bleeding, and I have an upcoming uterine biopsy. At this t… read more
Dr. Kala
Dr. Kala
Director Women\u0027s Health
Doctoral Degree
4,360 satisfied customers
I am 6 months pregnant, and i was wondering if smoking pot
I am 6 months pregnant, and i was wondering if smoking pot once in a while is harmful for the unborn baby? I have done a lot of research and most sites say that its bad to do it regularly. I would lik… read more
Dr. Singer
Dr. Singer
Physician and Surgeon
Post-Doctoral Degree
255 satisfied customers
I was diagnosed w/ HPV at 15. I am 33 now. I've had a child
I was diagnosed w/ HPV at 15. I am 33 now. I've had a child since then and no real symptoms or problems until last year. 1 year ago I started having: out of cycle bleeding, bloating, frequent urinatio… read more
Dr. Pfeiffer
Dr. Pfeiffer
Doctoral Degree
5,290 satisfied customers
I was just wondering if there was anywhere in writing
I was just wondering if there was anywhere in writing stating that it is not a health risk for a pregnant woman to consume an O''Douls every once in while.… read more
Dr. Saul
Dr. Saul
Physician
Doctoral Degree
1,887 satisfied customers
I gave birth to baby 6 weeks ago and i feel some numbness in
i gave birth to baby 6 weeks ago and i feel some numbness in my hand and legs is this normal?… read more
Dr. Pfeiffer
Dr. Pfeiffer
Doctoral Degree
5,290 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x