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23

Anaemia - preventing, detecting and treatment in pregnancy and beyond

Front cover of Anaemia - preventing, detecting and treatment in pregnancy and beyond
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There are other causes of anaemia but these are usually as a result of loss of blood or pre-existing medical conditions, for example sickle cell anaemia and thalassaemia. You can find more information about these conditions in the section Sickle cell and thalassaemia in pregnancy.

What is anaemia?
The presence of the mineral iron (often abbreviated to Fe) is essential in the make up of the proteins in your body`s red blood cells. Haemoglobin (abbreviated to Hb) is the protein most commonly referred to in relation to anaemia. You are said to be anaemic when there is a fall in the number of red blood cells (abbreviated to RBC), there is less haemoglobin in the red blood cells, or a combination of both. If you are anaemic, your red blood cells are less efficient at carrying oxygen around the body to support your heart, lungs and other major body organs. The body usually has a competent mechanism which ensures that oxygen is transported into the body`s cells and tissues as, and when, it is needed. This is set at a level for normal amounts of exertion ie when you are undertaking most activities, but can quickly respond to a higher oxygen requirement when you need to be more active, for example when you run for a bus, or are exercising. However, if you are anaemic, this mechanism is not so efficient, and you might find yourself becoming breathless as there is not enough oxygen getting to your heart and lungs for your heart to work properly.

As previously mentioned, you can become anaemic if you have certain medical conditions and if you lose blood through injury or, for some women, through having continually heavy menstrual periods. However, it is also possible to become anaemic if you are not taking enough iron, vitamin B12 or folic acid in your daily diet.

Anaemia and your baby`s health
If you have anaemia in the early weeks of pregnancy, there is a slightly increased risk that your baby might be born too early (prematurely) or be born smaller or lighter than would be expected for that stage of your pregnancy (also called `small for gestational age`)...

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Contributors include:
Mr. Peter Young, MB; ChB; MRCOG;
Consultant Obstetrician and Gynaecologist
Prof. Moira Plant, RN; RMN; PhD;
Professor of Alcohol Studies
Anne Viccars, MA; BSc (Hons); PGDipEd; RM; RN;
Senior Lecturer in Midwifery
Dr. AP Madden, MA; BM; BCh; FRCA;
Consultant Anaesthetist
Dr. Julie Dallison, MSc; DPhil
Dr. Jenny Ingram, PhD; BSc (Hons)
Dr. Mary Stewart, PhD; RN; RM; ADM; BSc (Hons);
MSc; PGDipHE
Prof. Christine MacArthur, PhD;
Professor of Maternal and Child Epidemiology
Dr. Sally Marchant, PhD; RN; RM; ADM; DipEd
Prof. JG Thornton, MD; FRCOG;
Professor of Obstetrics and Gynaecology
Rona McCandlish, RM; RMN; RN; MSc (Epid);
Sarah Beake, MSc; RM; RN; Research Midwife
Prof. Alison Macfarlane, BA; Dip Stat; C Stat; FFPH;
Professor of Perinatal Health
April Bolding, DPT; Childbirth Educator; Doula, USA
Dr. Helen Churchill, PhD; BA (Hons); Senior Lecturer
Dr. Louise Howard, PhD; MSc; MRCP; MRC Psych;
Senior Lecturer in Women's Mental Health
Sharon Hodgkiss, RN; RM; DipHE; BSc (Hons); MPH;
West Midlands Regional NSC Antenatal & Child Health
Screening Coordinator
Vicky Carne, MSc; BA (Hons); ADM; RM; RN;
Head of Midwifery, MIDIRS
Glenda Augustine, MPH; BSc (Hons); RM; DipHV, RGN
Debra Kroll, MSc; PGCEA; ADM; RM; RN;
Midwifery Lecturer in Practice
Michelle Lynn, BEd (Hons); ADM; RM; RN;
Midwifery Advisor, Nursing and Midwifery Council
Chrissie Hammonds, MSc; RM; RN;
Midwife Ultrasonographer
Sara Wickham, MA; BA (Hons); RM; PGCE (A);
Midwife & Author
Dr. Sandy Oliver, PhD; BA; Reader in Public Policy
Sally Cottrell, RM; BSc; MSc; MICG; NNEB; Consultant
Midwife Public Health, Women & Family
Dr. Gillian Flett, FRCOG; FFSRH; MIPM; Consultant in
Sexual and Reproductive Health Clinical Lead, NHS Grampian
Amanda Mansfield, BSc (Hons); MSc; RM;
Consultant Midwife
Dr. Joyshri Sarangi, MBBS (Lond.); MBA; MRCP (UK);
MRCGP; FFPH; Consultant in Communicable Disease Control

Purchase this item Gold Members: 
	Download the Womens booklet Platinum Members: 
	Download the fully referenced booklet

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Registered office: 9 Elmdale Road, Clifton, Bristol. BS8 1SL. Email: support@choicesforbirth.org. Tel: 0800 581 009.
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The MIDIRS Informed Choice website is provided for reference information only. MIDIRS is not responsible or liable for any diagnosis made by a user based on the content of the website. Although great care is taken to ensure reference information is both suitable and accurate, MIDIRS is not liable for the contents of any external internet sites referenced, nor does it endorse any commercial product or service mentioned or advised on any of these sites.


Informed Choice titles
Support in labour
Listening to your baby`s heartbeat during labour
Ultrasound scans - what you need to know
Alcohol and pregnancy
Positions for labour and birth
Epidural pain relief in labour
Feeding your baby - breast or bottle?
Is my baby alright?
If your baby is in the breech position, what are your choices?
Where will you have your baby?
Do you want a waterbirth?
When your baby is overdue
Eating well - for your baby and for you
Non-epidural pain relief
Caring for yourself and feeling well after you have had your baby
How will your baby be born?
Caesarean section and subsequent births
Vitamin K for your baby
Information for women who are Rhesus negative
Mood changes after childbirth
Sickle cell and thalassaemia disorders: screening offered to mothers and babies
Sexual health and contraception before and after childbirth
Anaemia - preventing, detecting and treatment in pregnancy and beyond
Infections in pregnancy - prevention, detection and treatment
Health for parenthood - practical advice on how to maintain a healthy lifestyle for you and your baby