Hi dear dr .. iam 34 years old .. iam pregnant 22 weeks.. but i have and carrier of beta minor thalassmia HbA2 4% and HbF 5%.. yesterday i do ultrasound and US report Normal baby healthy have no any problem now.. but my PCV 31% low.. please tell me what is effect of minor thala on baby during pregnancy ..
tha doctor of sonography tell me that baby healthy and Not Downsyndrom ..
please tellm how increase my hemoglobin ?
and i do all Thrombophilia test
Cardiolipin IgG - IgM Normal -- beta 2 glycoprotein IgG - IgM Normal ..... Antids DNA IgG - IgM Normal
ANA titer 0.4 normal
PT 15.5 secnd --- APTT 32.6 second----
bur my Lupus AntiCoagulant slightly high ( 34.5 second while normal range 25- 34 seconds )
my gynocologyist Advise me take Aspirin 75 mg daily ..
Answers (7)
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As far as baby’s health is concerned, with the given picture it seems that physically baby is normal no anomaly are seen but possibility of baby to get minor or major thalasemmia is 50%....also as far as your all reports are concerned all reports being normal except lupus anticoagulant on border...it explains that that your blood is having tendency to be little thick...so to prevent any coagulation ( any vascular obstruction- which may cause decreased or loss of blood supply to fetus)
To prevent this complication (coagulation) you are prescribed anticoagulant (aspirin) by your doctor.....
Next Steps
As soon as child borns get HB PROFILE DONE AFTER CONSULTING A SKILLED HAEMATOLOGIST
Health Tips
Take more natural iron supplements like jaggery spinach beet root etc etc....
Hi there!
Understand your concerns, thalassemic minor carrier pregnancy may cause growth retardation, but as your scan is normal at 22 weeks, its less likely to occur, however follow up scans may help to find out if growth retardation starts. Your folic acid tablets will take care of your baby from any neural tube defects and eventually will increase your Hb levels too.
Be stress free. Child is safe during pregnancy and since this is Beta minor so no major complication is likely even after birth. A careful monitoring is required to watch for any complication occuring. Do not worry about child's future. It will be fine.
Next Steps
Go with the advice of gyn but make sure to have regular blood tests.
Health Tips
Dont take iron supplements to increase hemoglobin. It can cause iron overload. Take healthy planned diet as suggested by doctor.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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