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Is Your Blood Healthy?
Low-iron Anemia and Pregnancy
By Sonya Weiss
Fatigue during pregnancy is not unusual for most expectant mothers, but it's also one of the many symptoms of iron-deficient anemia. According to the National Institutes of Health, half of all pregnant women are iron deficient.
Iron-deficiency anemia is the most common type of anemia and occurs when a woman's iron stores have been depleted. This depletion is often caused by heavy menstrual cycles prior to pregnancy. Women with a history of fibroids are especially vulnerable to iron-deficiency anemia.
How important is iron in pregnancy? "Iron is necessary for both fetal-placental development and to expand the maternal red cell mass," says Dr. Kevin Pho, an internal medicine physician in Nashua, N.H.
Often, the symptoms of iron-deficient anemia are easily overlooked or credited to a different health problem.
Angela Leeper, an educational consultant living in Wake Forest, N.C., didn't suspect she had low iron. "During my pregnancy with the twins, I started to become extremely fatigued in the third trimester," she says.
During pregnancy, the body's need for iron increases. The fatigue is a result of the lack of iron, a mineral needed for the production of hemoglobin. Because of this lack, the body's organs do not get the amount of oxygen needed to work properly.
"In addition to extreme fatigue, I also did look very pale and would sometimes feel dizzy," says Leeper. "I didn't follow up on it because I thought it just went with the territory of carrying twins. The end of my pregnancy was during the winter so I attributed the pale skin to being cooped up inside."
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