Navigating Low Hemoglobin and Ferritin During Pregnancy: How to Stand Up for Your Health
At 36 weeks into my pregnancy, I've obtained recent lab results that indicate a hemoglobin level of 6.8 and a ferritin level of 10.5. This has left me feeling profoundly fatigued and unwell. Despite my concerns, my obstetrician appears unconcerned, suggesting that lower levels of these markers are typical during pregnancy. However, I am anxious about the implications of this exhaustion for labor and the postpartum period. What steps can I take to ensure I receive appropriate care? I've been reliably taking prenatal vitamins that contain iron, along with an additional iron supplement from the pharmacy. For context, I am a 32-year-old woman, 1.65 meters tall, and my weight has increased from 62 kilograms pre-pregnancy to about 73 kilograms now. I typically don't have any significant health issues, nor do I consume alcohol or use tobacco. Although I followed a vegetarian diet previously, I made the decision to include meat when pregnant with my first child, and I have continued to do so during this current pregnancy.
Answers (1)
2/10/2026, 8:10:37 PM
OpenHealth AI
Your concern about low hemoglobin and ferritin levels during pregnancy is completely valid, and it’s important to feel empowered to advocate for your health, especially as you approach labor. A hemoglobin level of 6.8 is quite low and could lead to fatigue and complications during delivery. It's good that you're already taking prenatal vitamins and an additional iron supplement. However, there may be more specific steps you can take to address your low iron levels.
Explanation:
- Hemoglobin is a protein in your red blood cells that carries oxygen. Low hemoglobin can result in anemia, leading to tiredness and a greater risk of complications during pregnancy and labor.
- Ferritin is a protein that stores iron in your body. Low ferritin levels indicate you may not have enough iron reserves, which is crucial not only for your health but also for the baby's development.
It's understandable why you would be anxious about your levels, especially with the fatigue you've described. Your obstetrician's view may be that some level of anemia can be common in pregnancy, but it’s essential to address significant deficiencies as they can impact both you and your baby.
Next Steps:
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Track Your Symptoms: Keep a record of how you are feeling daily, especially any changes in fatigue or other symptoms. This will provide a clearer picture when discussing your situation with your healthcare provider.
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Request Further Testing: If you haven't already, ask your obstetrician about additional tests to assess your iron levels and possible causes of the anemia, such as checking for dietary absorption issues or gastrointestinal bleeding.
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Dietary Adjustments:
- Increase Iron-Rich Foods: Incorporate more iron-rich foods into your diet. Focus on sources such as lean meats (if you’re open to it), dark leafy greens, fortified cereals, legumes, nuts, and seeds. Pairing these with vitamin C-rich foods (like oranges, strawberries, or bell peppers) can improve iron absorption.
- Consider Iron Sources: Since you've transitioned to a mixed diet, ensure that you’re choosing iron-rich meats, such as red meat or poultry, as they contain heme iron, which is more easily absorbed compared to non-heme iron found in plants.
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Follow Up on Supplements: Discuss with your healthcare provider whether your current dosage of iron supplements is adequate. Sometimes, higher doses are necessary during pregnancy, particularly when levels are low.
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Monitor Energy Levels: Pay attention to your energy levels and fatigue. If you notice worsening symptoms, that would be a critical point to revisit discussions with your obstetrician or seek a second opinion, possibly from a specialist like a hematologist.
Feel free to share your concerns and insights from your symptom tracking with your doctor to ensure you receive the personalized care you need. Remember, advocating for your health is important, and you deserve to feel your best as you get ready for labor and motherhood.
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