Anemia is when your blood has too
few red blood cells. Having too few red blood cells makes it harder for your blood
carry oxygen or iron. This can affect how cells work in nerves and muscles. During
pregnancy, your baby also needs your blood.
Women are more likely to get anemia
during pregnancy if they:
- Are strict vegetarians or vegans. They
are at greater risk of having a vitamin B12 deficiency.
- Have celiac disease or Crohn’s
disease, or have had weight loss surgery where the stomach or part of the stomach
Women are more likely to get
iron-deficiency anemia in pregnancy if they:
- Have 2 pregnancies close together
- Are pregnant with twins or more
- Have vomiting often because of morning
- Are not getting enough iron from their
diet and prenatal vitamins
- Had heavy periods before
You can get several kinds of anemia
during pregnancy. The cause varies based on the type.
Anemia of pregnancy. During
pregnancy, the volume of blood increases. This means more iron and vitamins are
needed to make more red blood cells. If you don’t have enough iron, it can cause
anemia. It’s not considered abnormal unless your red blood cell count falls too
Iron-deficiency anemia. During
pregnancy, your baby uses your red blood cells for growth and development, especially
in the last 3 months of pregnancy. If you have extra red blood cells stored in your
bone marrow before you get pregnant, your body can use those stores during pregnancy.
Women who don’t have enough iron stores can get iron-deficiency anemia. This is the
most common type of anemia in pregnancy. Good nutrition before getting pregnant is
important to help build up these stores.
Vitamin B-12 deficiency. Vitamin B-12
is important in making red blood cells and protein. Eating food that comes from
animals, such as milk, eggs, meats, and poultry, can prevent vitamin B-12 deficiency.
Women who don’t eat any foods that come from animals (vegans) are most likely to get
vitamin B-12 deficiency. Strict vegans often need to get vitamin B-12 shots during
Folate deficiency. Folate (folic
acid) is a B vitamin that works with iron to help with cell growth. If you don’t get
enough folate during pregnancy, you could get iron deficiency. Folic acid helps cut
the risk of having a baby with certain birth defects of the brain and spinal cord
it’s taken before getting pregnant and in early pregnancy.
You may not have clear symptoms of
anemia during pregnancy unless your cell counts are very low. Symptoms may include:
- Pale skin, lips, nails, palms of
hands, or underside of the eyelids
- Feeling tired
- Sensation of spinning (vertigo) or
- Labored breathing
- Rapid heartbeat (tachycardia)
- Trouble concentrating
The symptoms of anemia can be like
other health conditions. Always see your healthcare provider for a diagnosis.
Your healthcare provider will check
for anemia during your prenatal exams. It’s usually found during a routine blood
test. Other ways to check for anemia may include other blood tests such as:
Hemoglobin. This is the part of blood
that carries oxygen from the lungs to tissues in the body.
Hematocrit. This measures the portion
of red blood cells found in a certain amount of blood.
Treatment will depend on your symptoms, age, and general health. It
will also depend on how severe the condition is.
Treatment for iron deficiency
anemia includes taking iron supplements. Some forms are time-released. Others must
taken several times each day. Taking iron with a citrus juice, such as orange, can
help your body absorb it better. Taking antacids may make it harder for your body
to iron. Iron supplements may cause nausea and cause stools to become dark greenish
black in color. They may also cause constipation.
If you have anemia during pregnancy, your baby may not grow to a
healthy weight, may arrive early (preterm birth), or have a low birth weight. Also
very tired may keep you from recovering as quickly after birth.
Good nutrition before pregnancy not
only helps prevent anemia, but it also helps build other nutritional stores in your
body. Eating a healthy, balanced diet before and during pregnancy helps keep
up your levels of iron and other important nutrients needed for your growing baby.
Good food sources of iron
Meats. Beef, pork, lamb, liver, and
other organ meats.
Poultry. Chicken, duck, turkey, and
liver, especially dark meat.
Fish. Shellfish, including (fully
cooked) clams, mussels, and oysters are good. So are sardines and anchovies. The FDA
recommends that pregnant women eat 8 to 12 ounces per week of fish that are lower
mercury. These include salmon, shrimp, pollock, cod, tilapia, tuna (light
canned), and catfish. Don’t eat fish with high levels of mercury, such as tilefish
from the Gulf of Mexico, shark, swordfish, and king mackerel. Limit white (albacore)
tuna to only 6 ounces per week.
Leafy greens of the cabbage
These include broccoli, kale, turnip greens, and collards.
Legumes. Lima beans and green peas;
dry beans and peas, such as pinto beans, black-eyed peas, and canned baked
Yeast-leavened whole-wheat bread and
Iron-enriched white bread, pasta, rice,
Experts recommend all women of
childbearing age and all women who are pregnant take vitamin supplements with at least
400 micrograms of folic acid. Folate is the form of folic acid found in food. Good
- Leafy, dark green vegetables
- Dried beans and peas
- Citrus fruits and juices and most
- Fortified breakfast cereals
- Enriched grain products
- Anemia is a condition of too few red
- Four kinds of anemia can happen during
pregnancy: anemia of pregnancy, iron deficiency anemia, vitamin B-12 deficiency, and
- Anemia may cause your baby to not grow
to a healthy weight. Your baby may also arrive early (preterm birth) or have a low
- Anemia is usually found during a
routine blood test for hemoglobin or hematocrit levels.
- Treatment depends on the type of
anemia and how bad it is.
- Good nutrition is the best way to
prevent anemia during pregnancy.
Tips to help you get the most from a visit to your healthcare
- Know the reason for your visit and
what you want to happen.
- Before your visit, write down
questions you want answered.
- Bring someone with you to help you ask
questions and remember what your provider tells you.
- At the visit, write down the name of a
new diagnosis and any new medicines, treatments, or tests. Also write down any new
instructions your provider gives you.
- Know why a new medicine or treatment
is prescribed and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated
in other ways.
- Know why a test or procedure is
recommended and what the results could mean.
- Know what to expect if you do not take
the medicine or have the test or procedure.
- If you have a follow-up appointment,
write down the date, time, and purpose for that visit.
- Know how you can contact your provider
if you have questions.