Hemoglobin during pregnancy is reduced to do. Low hemoglobin in pregnant women: signs of anemia and methods of protein normalization

No conversation with a pregnant woman, a conversation on the forums on the Internet or with real meetings, the friends do not work out without any questions on the level of hemoglobin during pregnancy and its importance.

Someone worried too low numbers, others - very high. Why exactly this indicator attaches such great importance?

Hemoglobin - protein contained in erythrocytes, it can form a fractional temporal connection with oxygen and carbon dioxide, that is, it is an intermediary in the process of breathing tissues.

Low hemoglobin during pregnancy: consequences

The decrease in hemoglobin during pregnancy can lead to the following troubles:

• with its insufficient number exchange processes slow downThe cells are shared less often, worse freed from spent substances. All complex biochemical reactions proceed weaker or go away;
• the growth of the kid slows down, the immune system is weaker, it threatens with frequent diseases in the future, after birth;
• child is born with low weight, worse adapts to the new life environment;
• more risk of complications in childbirth, for example, weakness of generic activity, a tendency to longer;
• woman slowly restored after childbirthIt is difficult for her to care for the baby because of fast fatigue.

What is the norm?

What is the rate of hemoglobin level during pregnancy? It's believed that normal hemoglobin level during pregnancy - 120-140 g / l or 12-14 units. Permissible oscillations of 10-15 g / l in one direction or another.

With such indicators of the tissue are sufficiently saturated with oxygen, and blood viscosity is optimal, it quietly passes through the smallest capillaries.

During pregnancy, the heart of the woman provides bloodstream both in the body of the mother and in the placenta, therefore the amount of fluid in vessels increases.

The influx of additional volume occurs mainly due to the plasma, which "dilutes" the blood and the natural decrease in hemoglobin occurs. But if there are no health problems, nutrition is sufficient and full, this the deficit is quickly eliminated.

The second critical period - After 20 weeks of pregnancy, when the baby begins to grow very quickly, its own blood cells are actively produced, iron reserves accumulate for independent life.

The mother's body shares its reserves with the child, and if they are enough, everything goes well. If, before that, the woman often sick, sat on a diet or fond of vegetarianism, the level of hemoglobin in pregnant woman decreases sharply.

What kind symptoms arise under anemia in pregnant women?

• , drowsiness, fatigue.
• a tendency to colds.
• reliability of nails and hair, dry skin and pallor.
• reduced mood, sleep disorder.
• dizziness, frequent.

How to increase the indicators?

Low hemoglobin during pregnancy needs to be raised. Treatment methods Low (reduced) hemoglobin during pregnancy depend on the severity and degree of decline.

With a slight course, the level of hemoglobin is about 100 g / l, you can try first establish regime and nutrition. A sufficient amount of sleep, fresh air, a reasonable amount of physical activity is absolutely necessary for good well-being and successful therapy.

Balanced diet. If you disassemble the word "hemoglobin" itself, it can be noted that the second part, "Globin," speaks of its protein origin, but the iron is contained in the first part. Therefore, without a sufficient amount of protein in food, even the most modern drugs will be ineffective.

Iron is also preferable to animal originFrom the richest elements of buckwheat, a very small amount is absorbed.

Medicia treatment. Prescribed iron-containing tablets or syrups, in severe cases (rarely) injection solutions are used.

The reception of these drugs requires the correct combination with food. Basic rule - Do not combine them with milk, so if the dairy porridge is planned for breakfast, the medications are better to drink in another food intake.

But well help the digestibility of products in which there are vitamin C I.. Often they are additionally discharged by the doctor.

Here main productswithout which the future motley should not do:
From the kingdom of plants:

• grain and legumes: buckwheat, beans, wheat sprouts;
• fruits and berries: Pomegranate (with caution with frequent), apples, peaches, apricots, quince. If there is no allergies to citrus, they must be eating and drinking fresh juices. Do not lose their effectiveness and dried fruits, the only one must ensure that chemical reagents do not use when they are dry;
• vegetables and greens: spinach, parsley, carrots, cabbage of all kinds and in any form of preparation, beet, pumpkin, onions;
• be sure to have a pregnant woman every day to eat at least several walnuts, well acts and natural.

From the animal world:

• non-fat beef and pork, beef tongue, fish, bird;
• many iron and vitamins contain yolk Yiitz, caviar, liver. Lightweight and gentle stemped protein will help the liver and fully absorbed by the body.

The main thing in the preparation of the diet - feeling measures and variety. When signs of allergies or intolerance, it is worth finding out the product - a source of trouble and avoid it.

If hemoglobin is raised

Sometimes, somewhat less often there are situations, when hemoglobin is raised (above 160 g / l).

This is considered the norm for women living in mountainous areasAs part of the adaptation system to air sparseness. The same indicators may be in those who, before the start of pregnancy, and during her, it does not part with a cigarette.

Hot summerUnless the total amount of fluid in the body is reduced, the device for measuring hemoglobin will often give high values.

Chronic hypoxia, developing in case of light and heart disease, also increases the number of erythrocytes and hemoglobin in them.

It would seem that carriers of oxygen are even more than needed. Is it really bad? Unfortunately yes.

Thick blood is poorly flowing through the smallest vessels, so gas exchanges again disturbed and tissue "suffocate" from lack of oxygen. In addition, the risk of thrombosis increases.

Before making medicine, surveyTo find out the cause of such tests. Try to eliminate the possible lack of fluid, improve the work of the heart. Assign additional drinks (with the control of the amount of daily urine). In some cases, it is impossible to do without drugs.

The lack of hemoglobin in a pregnant woman is formed for the following reasons:

• an increase in plasma volume compared to the number of uniform elements, i.e. blood dilution;
• the formation of placenta fed from blood vessels, which forms an additional circle of blood circulation;
• growth and formation of the fetus;
• education in the fetus of own blood cells for which iron is needed;
• the absence of a sufficient number of vitamins, minerals, microelements in the diet of a pregnant woman;
• small bleeding, which gradually reduce the amount of blood in the vessels;
• abundant bleeding leading to a sharp decrease in the amount of hemoglobin.

To completely eliminate the low concentration of iron-containing protein, the doctor reveals the root cause. If you treat only the symptom appeared, the state will appear again.

Low hemoglobin symptoms during pregnancy

With a decrease in the amount of iron-containing protein, a woman has a characteristic clinical symptoms:

• reducing the quality of hair and nails, which leads to their fragility and falling;
• the pallor of the skin, circles under the eyes;
• weakness, fatigue, lethargy, drowsiness;
• dizziness, headaches;
• , the education of shortness of breath.

Symptoms with this state are not specific. They can manifest themselves with other states, diseases. Therefore, to identify the root cause, the doctor prescribes a pregnant woman a number of laboratory and instrumental analyzes that eliminate the damaging factor.

Consequences of low hemoglobin during pregnancy for a child

Reducing the indicator affects not only a woman, but also on the fruit. Negative consequences are formed:

• reducing the production of blood cells, especially erythrocytes;
• placental insufficiency, which forms a decrease in the flow of nutrients, vitamins, trace elements, minerals to the child;
• the hypoxia of the fetus, the reduced amount of oxygen negatively affects the activities of the central nervous system, which is under development;
• increases the risk of premature birth and miscarriage;
• insufficient set of body weight in the embryo;
• reduced immunity function, which leads to the formation of infectious diseases after birth.

Children born from a woman with low hemoglobin during pregnancy, much weaker than life indicators. Their body weight is below the required norm. Insufficient oxygen flow in the brain reduces the level of development of the central nervous system.

High ferrine with low hemoglobin during pregnancy

Ferritin - protein, which provides several functions in the body:

• neutralization of toxic trivalent iron to bivalent;
• iron connection with hemoglobin, organs of tissues.

Ferritin is inextricably linked to the hemoglobin concentration. If its number increases, and hemoglobin decreases, it is caused by the following states and diseases:

• the destruction of erythrocytes, as a result of which the number of hemoglobin decreases, and ferrity increases;
• infectious inflammatory processes in the body that reduces the amount of hemoglobin;
• excessively increased intake of iron leading to the synthesis of a large number of ferritin;
• formation of malignant neoplasms;
• thyroid disease.

If women have an increased number of ferritin, it always requires correction.

Low hemoglobin during pregnancy in 1 trimester

A healthy pregnant woman in the first trimester hemoglobin should remain within the normal range or slightly increase. The last state is due to the fact that there are no menstrual bleeding, and the red bone marrow continues to highlight erythrocytes with hemoglobin.

If anemia is found, this is due to the following reasons:

• reducing iron intake with food;
• lack of outdoor walks;
• strong toxicosis.

Reducing the level of iron-containing protein requires correction, especially in the first weeks of pregnancy, since at this time it is necessary to have sufficient admission of all substances for normal growth and the formation of the embryo.

Low hemoglobin during pregnancy in 2 trimester

In the second trimester of pregnancy, a placenta is formed. It is necessary for the receipt of nutrients from the mother to the fetus. It is permeated with blood vessels, since all the necessary substances come through it. It forms an additional circle of blood circulation, so most of the vitamins, microelements, erythrocytes are directed to this area. In addition, a woman is produced a large number of blood plasma, which dilutes blood. This contributes to the physiological decrease in hemoglobin in 2 trimester of pregnancy.

Low hemoglobin during pregnancy in 3 trimester

The maximum decline is 30-32 week of pregnancy. After that, the indicator remains in the previous limits. This is due to the fact that the growth and formation of the fetus slows down. That is, the flow of nutrients through the placenta is reduced. The volume of blood plasma ceases to increase.

How to increase low hemoglobin during pregnancy?

To stabilize the doctor's indicator appoints a comprehensive treatment:

• long walks in the fresh air for any weather;
• sleep at least 8 hours a day;
• admission in the body of a woman of products containing a large amount of iron (beets, pomegranate, red meat);
• the use of drug preparations containing iron (ferrum lek).

During the treatment period, it is necessary to periodically take a general blood test to identify the amount of iron-containing protein. If the concentration of software does not come to normal, the doctor adjusts the treatment.

Tablets with low hemoglobin during pregnancy

For drug treatment, the following varieties of tablets are used:

• vitamin complexes containing iron (phenumus);
• tablets containing a complex of iron and ascorbic acid (hemokhelper);
• preparations that promote the increase in hemoglobin during the nipping of the fetus (Ferrum Lek);
• means containing iron hydroxide (malto).

Doctors do not recommend to use drugs without appointing. Each of them can cause side effects. For certain categories of patients there are contraindications. Therefore, before appointing the drug, the doctor should examine the patient, carry out laboratory and instrumental tests.

What to eat with low hemoglobin during pregnancy

It is important that during pregnancy it was complex. All necessary, microelements, minerals, proteins, amino acids should be included in its body. For the fruit, not only the intake of iron, but also of other substances is important.

If a pregnant woman has anemia, doctors advise adhere to a diet. The diet must necessarily be included:

• red meat (beef, pork);
• liver;
• a fish;
• vegetables (beet);
• fruits (grenades, apples);
• yagoda
• cereals (buckwheat).

In food, it contains iron that is useful for artificial. It helps with a minor degree of anemia. If the patient's condition is severe, prescribe medication tools together with a change in the diet.

Hematogen during pregnancy at low hemoglobin

Together with the change of diet, the doctors prescribe the use of hematogen. This tool is not used as a monotherapy. To the desired result, such treatment will not lead. It is recommended to use hematogen only if hemoglobin is on the lower limits of the norm or is reduced slightly. If a woman has strong anemia, the drugs are used in aggregate with a diets and hematogen.

Hematogen is not a drug, but include the category of dietary supplements. It is impossible to use it uncontrollable. It is recommended to use up to 30g for one day.

Ekaterina Belikova, doctor of laboratory diagnostics, especially for the site

Useful video

Hemoglobin is a blood protein transporting oxygen throughout the body. Hemoglobin carriers are red erythrocyte tales. At their concentration in the blood and the level of hemoglobin, necessary for the normal functioning of organs and ensure their oxygen, is determined. And during pregnancy, the health and life of the child directly depends on the level of hemoglobin in the blood of the mother's blood.

The norm is considered to be the level of hemoglobin 110 g / l and higher. In other cases, we are talking about or, as it is also called in the people - Malokrovia. Distinguish three severity of anemia:

• easy degree: hemoglobin 110-90 g / l
• average degree: hemoglobin 90-70 g / l
• heavy degree: hemoglobin less than 70 g / l

Malokrovia is subject to about 40% of pregnant women. Fortunately, frequent mandatory surrenders of laboratory analyzes make it possible to identify complications in time. However, there are a number of symptoms for which the future mother itself can allegedly diagnose anemia. And the sooner you begin to take the necessary measures to normalize the level of hemoglobin, the smaller risks await you.

Signs of anemia in pregnant women:

• pallor of skin and mucous membranes
• dizziness, "Flies" before your eyes
• weakness, Fast fatigue
• funding states
• heart palpitations
• noise in ears
• insomnia
• pallor skin
• hair liness and nails
• dry skin
• sonishness lips
• perverted taste preferences

Causes of anemia during pregnancy

Due to the increase in blood volumes, the concentration of hemoglobin is naturally reduced. A lot of iron is pulling the growing fruit, the likelihood of anemia is especially large, the likelihood of anemia during multiple pregnancy. The deficiency of copper, zinc, vitamin B12 can also cause anemia, since the digestibility of iron in this case deteriorates. Therefore, mothers plays a crucial role in the prevention of anemia.

Causes of low hemoglobin during pregnancy can be a different:

• diseases of internal organs (hepatitis, heart defects, pyelonephritis);
• a small gap between pregnancies (iron margin in the body of a woman is restored by about 3 years after delivery);
• hormonal changes;
• reception of drugs (cytostatics, leftomycetin, aminazine);
• dysbacteriosis;
• nervous stress.

Usually, the iron deficiency occurs in the second half of pregnancy. Starting from the 20th week, the blood volumes and the need of the fetus in the gland increase significantly. Maximum hemoglobin falls to 32-34 weeks of pregnancy. The drop of hemoglobin by the end of the term is considered quite normal and does not require special treatment. After all, the volumes of the mother's blood increase significantly, and when maintaining the previous viscosity, its circulation would be difficult. In such a "diluted" state, the concentration of red blood cells naturally decreases, and hemoglobin falls. But directly the hemoglobin level independently increases.

However, the natural drop of hemoglobin (physiological) from anemia should be distinguished, requiring the enterprise. Due to the low hemoglobin, the fruit is lacking for nutrients, in particular oxygen, as a result of which hypoxia develops. Anemia represents a threat to having a child, may cause the late toxicosis and late expulsion of the accumulating waters. Complications are also possible during childbirth: weak generic activity, abundant bleeding and even the death of the child during the first day of life. Often, such children are born immature, low weight and subsequently become more susceptible to infections. They can be disturbed by the hematopoietic function of the body, there is an oppression of blood cells.

That is why the doctors strongly declare that anemia must be treated. Moreover, it is important to know the level of the hemoglobin of a woman to pregnancy to calculate the speed of its fall.

Prevention and treatment of iron deficiencies

The most reasonable and ideal option would not allow the development of anemia. For this, all pregnant women are recommended from the first week to take vitamin complexes. In addition, the daily diet of the mother must contain a sufficient amount of protein and products rich in iron. Among such buckwheat cereals, liver, fish, eggs, stale bread, rye, disappear, beet, cocoa, peaches, apricots, kuraga, nuts, green apples, spinach, grenades and pomegranate juice, persimmon, carrots, parsley, dried mushrooms, legumes . Take into account that the hardest hardware is absorbed from animal food: 6% of iron is absorbed from meat, from vegetable food - only 0.2%. It also contributes in fresh air, folic and ascorbic acids.

Food with an increased amount of iron-containing products can help increase hemoglobin levels with a minor drop. But at low indicators, the doctor will moderate iron preparations for you and, possibly, additional components that improve its suction. Many are reluctant to take such an idea, fearing synthetic medicines. However, it is believed that the iron deficiency carries a greater threat to mother and fetus than the pills themselves. Take them follows after eating, drinking with plenty of fluid, as they can cause digestive disorders and nausea.

Doctors argue that without gland preparations, anemia is impossible in principle, since a very small percentage of iron is absorbed with food. Treatment occurs over several months, and the first tangible results occur only after 3 weeks of drug use. Moreover, in the case of a severe degree of anemia or intolerance of tablets, it is necessary to make injections. But it is not worth worrying: the doctor will select the most suitable treatment for you.

Especially for - Elena Kichak

Hemoglobin level determines the presence or absence of a woman anemia.

Normally, a woman should come up with such that will allow her without any problems for herself to transfer natural blood loss in childbirth.

But low hemoglobin is a frequent phenomenon during pregnancy. How dangerous for a woman and child, what is it connected with and what to do to prevent anemia development?

Hemoglobin is a special protein that is responsible for the transfer of oxygen in the human body. Hemoglobin is located in red blood cells - red blood cells. The drop in the hemoglobin level occurs in the development of anemia.

During pregnancy, a decrease in hemoglobin level is considered a natural physiological process - this is due to a rapid increase in the mass of the body's body and an increase in circulating blood volumes.

As a rule, a tangible reduction of hemoglobin is marked in 2 trimester after 20 weeks. It is at this time that a placental circle of blood circulation is developing and the amount of blood has significantly increased significantly.

During this period, blood volume may increase almost twice, which creates a certain load on the blood formation organs and the cardiovascular system.

To facilitate the work of the heart, the body takes a number of actions.

Physiologically vessels relax, and the composition of the blood changes - it becomes less viscous. In the blood increases the amount of plasma - the actual fluid.

The number of erythrocytes does not change, but against the background of an increased amount of blood, this leads to the fact that the level of hemoglobin falls.

The risk of developing anemia is increasing. As a rule, the risk is higher for those women, which even before pregnancy was a tendency to its development.

Physiologically lowest hemoglobin during pregnancy occurs on 32-34 weeks. This is considered the norm if there is no impairment of well-being and falling below certain numbers.

Normally, the level of hemoglobin also increases physiologically due to changes in blood composition and its viscosity, which is due to the preparation of the body to the birth of a child.

If the hemoglobin level falls below 110 g / l, this is already considered not physiologically low hemoglobin, permissible during pregnancy, but a violation that can lead to sad consequences.

Currently it has been established that about 40% of all pregnant women have low hemoglobin.

The reasons

To the reasons of low hemoglobin, to reduce the level of hemoglobin in the blood include:

• iron deficiency in the body;
• lack of folic acid participating in blood formation processes;
• zinc lack, vitamin B12, microelements of type copper;
• multiple pregnancy;
• irrational nutrition;
• frequent pregnancy;
• , during which useful substances were washed from the body;
• nervous stress;
• dysbacteriosis;
• chronic diseases of the gastrointestinal tract - gastritis, ulcerative disease, etc.;
• unfavorable ecology or work in harmful production;
• infectious diseases of the mother;
• autoimmune diseases of the mother;
• bleeding during pregnancy;

A row of drugs, especially cytostatics, leftomycetin can provoke a drop of hemoglobin.

Low hemoglobin is often observed in women who are fond of vegetarianism due to the fact that there are extremely little iron in the plant products.

Signs of low levels

Normally, the level of hemoglobin during pregnancy should be at the level of 110g / l and above.

If it falls below these figures, then it is already about the development of pregnant anemia.

There are several of her degrees:

• Light (hemoglobin at the level of 100-20 g / l);
• Moderate gravity (90-70 g / l);
• Heavy (less than 70 g / l).

You can not notice a slight degree, because a woman may not feel her symptoms. Some weakness and pallor, it can take for a natural condition during pregnancy, just as a change in taste addictions.

If hemoglobin falls below 90 g / l, the symptoms of anemia is already beginning to appear brightly.

You can define a problem for a number of signs:

• pallor - at the same time not only leather, but also lips;
• frequent dizziness;
• weakness and falling performance - a woman feels the reluctance to move, it is easier for her or lying;
• dry skin;
• nail fragility;
• hair loss;
• the appearance of the bonds in the corners of the lips;
• perversion of taste up to eating inedible things like chalk;
• flushing flies in front of the eyes;
• rapid heartbeat, shortness of breath and sometimes in severe cases of pain in the heart;
• noise in ears;
• sleep disorders;
• fainting.

In order to prevent the development of anemia and burdening during pregnancy, it takes blood for hemoglobin during pregnancy 1 time in 3 months.

What is dangerous?

Reducing hemoglobin and its long deficit leads to undesirable consequences and violation of the development of pregnancy.

A developing child begins to experience the lack of oxygen and nutrients.

The result will be:

• lack of fetal weight - hypotrophy and the risk of violation of the development of internal organs.

Low hemoglobin in the early deadlines is not physiological and almost always becomes a sign of anemia that has a threat to the child.

In the early periods, low hemoglobin can cause:

• Toxicosis;
• Prelation of the placenta;
• Miscarriage;
• Disorders of the growth of cells in the fetus and its blood formation.

During the whole pregnancy, low hemoglobin causes:

• Chronic placental insufficiency, which can provoke a pair of placenta;
• Fetal hypoxia;
• Placenta hypoplasia;
• Delays in child development.

In later dates, low hemoglobin can provoke:

• preeclampsia and eclampsia of pregnant women;
• early oral influence and;
• weakness of labor activities, which will require stimulating events or even a cesarean section;
• risk of bleeding in childbirth;
• risk of bleeding after childbirth;
• asphyxia child at birth;
• the death of a child within a few hours after birth due to the imperfection of the blood formation system caused by a constant hemoglobin deficiency at the mother during pregnancy.

The weight of the child at birth in mothers suffering from anemia, below the norm, the child is more susceptible to infections.

Hygogalactium can develop at the very same mother - milk will be produced little or not start producing at all with severe forms of anemia.

In addition, a woman suffering from anemia will be much longer to recover after delivery. She has a higher risk of developing postpartum complications, long bleeding.

Delivery of blood - how many times?

Based on the foregoing, it becomes clear why doctors pay such attention to the control of the level of hemoglobin in a woman.

Therefore, a general blood test is required in each trimester.

When the violations are detected, a corrective diet is assigned and, in more severe cases, medicines. Control of hemoglobin levels in this case is done more often: 2-4 weeks after the treatment.

How to raise the level?

Raise the low level of hemoglobin during pregnancy, the following measures helps:

• compliance with a full-fledged diet;
• refusal of vegetarianism;
• reception of drugs containing iron;
• reception of drugs containing folic acid and vitamins of group V.

Promotes a special diet.

In the diet of a pregnant woman there must be products rich in protein, vitamins and iron.

Most of all iron in beef meat, liver, fish, turkey, cocoa, eggs, buckwheat, almond, apples, apricots, grenade.

With low hemoglobin, the diet must be included. For example, you need to eat beef at least 3-4 times a week, and follow the daily use of protein food - any meat or fish.

But at the same time it is necessary to remember that the norm of the protein per day is not more than 125.

Therefore, portions should not be large. If you use protein food over the norm, it causes proteinuria - that can lead to pathology of pregnancy.

In the diet should be enough carbohydrates and fats. At the same time, in the norm of fat, it is necessary to use no more than 80 g, so it is best to use meat of non-fat varieties.

The need for carbohydrates must be satisfied due to slow carbohydrates contained in the croups, vegetables, fruits and in no case at the expense of fast carbohydrates contained in sugar, sweets, flour products.

The products that increase hemoglobin include vegetables, fruits and all kinds of greens.

In plant food, contains vitamin C and. A These elements improve the absorption of iron from other products.

For the prevention of anemia and for the treatment of it is mild, the reception of polyvitamins, including folic acid, iron, copper, ascorbic acid, vitamins B, zinc are prescribed.

If these events are not enough, the doctor may appoint - sorbifer, ferroolgamma, Totema, Malto, Ferrum Lek, Ferroplex.

It is worth remembering that such drugs take at least 2 months, since the effect of them will be felt in 6-8 weeks. All of them are accepted in the form of tablets.

Injections are appointed in extreme cases when anemia threatens the health of the mother and the child, or when the impairment of iron absorption, the ulcer of the stomach and the 12rred intestine is diagnosed.

As a rule, the reception of iron-containing drugs is carried out with the simultaneous intake of means containing folic and ascorbic acids.

The side effects in drugs are a bit - usually they are well tolerated. These include:

• redness of the skin;
• deterioration of appetite;
• or ;
• pain in epigastrics;
• allergic reactions (extremely rare);
• aggravation of chronic gastritis;
• cala and urine darkening;
• dental of teeth.

When these signs appear, it is necessary to stop taking the drug and consult a doctor.

Contraindications for receiving medication are orally orally:

• intolerance to iron preparations;
• peptic disease;
• acute inflammatory diseases of the stomach and intestines - aggravation of gastritis, colitis.

The low level of hemoglobin requires a relatively careful attitude. It is impossible to assign treatment yourself in this case - it is necessary to consult with your doctor and accurately follow his recommendations. In this case, you can be sure that the pregnancy will leak without complications.

Remembering your pregnancy, I can say that the doctors of each second girl told the diagnosis of "Tonus of the Uterus" and each third "low hemoglobin". When you go to a pregnant first month, everything scares everything, then when these diagnoses sound often, but at the same time nothing bad happens, you get used to them, and you are not so acute. At the moment, I am the most important adviser and the consultant for your close friend, which wears the first and very long-awaited pregnancy. It may be due to the fact that the long period of time my friend could not become pregnant, maybe just because of fear that something is wrong with the child, she very acute reacts to all the assumptions of doctors. To reassure it a little and support, as well as to help other interested in this issue, pregnant, decided to write an article dedicated to the topic, which is dangerous low hemoglobin during pregnancy and how to increase it, by proper nutrition.

What is hemoglobin and why he need ?

Hemoglobin is a blood protein that is responsible for transporting oxygen throughout the body. It is in red blood tales - red blood cells. At their concentration in the blood and the level of hemoglobin, necessary for the normal functioning of organs and ensure their oxygen, is determined. Hemoglobin during pregnancy is a very important component, it is thanks to him the fruit receives oxygen and can normally develop, the lack of this element can be very detrimental to the health and even the life of the baby.

Signs of reduced hemoglobin (anemia) during pregnancy :

Very pale leather;

Frequent dizziness;

Fast fatiguability;

Consent and pre-real states;

Bad sleep;

Brittle, weak hair and nail plates;

Lip color blue shade;

Problems with regular chair (constipation).

The reasons why hemoglobin levels can fall strongly .

With the onset of pregnancy, the blood volume increases, but the concentration in it is hemoglobin decreases. So occupied by nature that almost all stocks of iron are dragging toward the growing fetus, and the task of a pregnant woman to replenish these reserves through proper nutrition to ensure the normal functioning of its own body. The greater chance of a shortage of hemoglobin during pregnancy occurs during multiple pregnancy, but also the level of hemoglobin may also indicate other malfunctions in the work of the internal organs. The most common causes of low hemoglobin during pregnancy are:

Diseases of internal organs (hepatitis, heart defects, pyelonephritis);

Strong toxicosis in the early periods (first trimester);

A small period of time between the current and previous pregnancy (in order for the woman's body in the body fully restored the balance of iron, it takes at least three years);

Hormonal changes;

Reception of certain drugs;

Dysbacteriosis;

Stresses.

In the period, approximately, from 19 to 21 weeks the blood volume increases significantly, at this time the fruit very much needs the hardware, the maximum hemoglobin can fall by time 33 - 34 weeks, such a position is normal. A week before the birth, the hemoglobin level is naturally rising, so laid by nature. During this period, part of the stock of iron moves to the baby who is ready for his birth. Thus, at the time of birth, the child has a stock of iron in its body for about 6-8 months, before the period, until the feed is administered, where the iron margin will already be replenished with food.

Hemoglobin deficiency during pregnancy can cause such consequences as :

Hypoxia fetus. In case of catastrophic lack of hemoglobin, the kid does not receive the entire volume of nutrients and vital oxygen, as a result of which hypoxia can develop;

Late toxicosis;

Threat to having a child;

Complications for childbirth, such as weak generic activity, bleeding and premature birth.

Newborn babes, tooling which was accompanied by a strong lack of hemoglobin throughout the entire period of pregnancy, as a rule, are very small weight, weak immunity, too susceptible to infectious diseases and may have disruption of the hematopoic function of the body.

In order to avoid all these negative consequences, doctors direct each pregnant periodically to donate blood tests to see how quickly hemoglobin falls and needs pregnant food or more serious medication treating anemia.

Treatment and prevention .

With anemia of medium and severe, treatment is appointed a strictly physician, after studying analyzes according to an individually developed scheme. These can be medical preparations that increase the level of hemoglobin, in a complex with a specially developed diet. If anemia has been revealed in late pregnancy, then the child can also be born with a reduced hemoglobin level, simply will not be laid in the iron stipulated by nature in this case, in this case, increase the hemoglobin in a breast child, will not work independently. For the normalization of hemoglobin, the newborn must necessarily be under the supervision of the doctor and strictly observe all its recommendations.

Than to treat a certain disease, it is best to prevent it, therefore, for the prevention of anemia, all pregnant women are recommended to develop their diet, so that it necessarily contains products rich with iron, they can be attributed to them: buckwheat, meat, liver, fish, eggs, eggs , stale bread, rye, tepro, beets, cocoa, peaches, apricots, crouches, nuts, green apples, spinach, grenades and pomegranate juice, persimmary, carrots, parsley, dried mushrooms, legumes. Hemoglobin walks in the fresh air, as well as folic and ascorbic acids.