Dr. Pamela Smith, ND 

Dr. Pam has a family practice at The Nest Family Wellness Centre which offers naturopathic and midwifery care. She combines science-based natural medicine with conventional medical therapeutics. Learn more about Dr. Pam and the services offered by her clinic here, or book an appointment at www.drpamelasmith.com.

Check out the latest Ask Dr Pam Q&A and posts by topic below as well as her health and wellness posts.

Ask Dr Pam   

What is considered anemia in pregnancy?

In pregnancy, hemoglobin levels are generally lower as they become diluted due to the 50% increase in blood volume. Levels tend to really fall around the 28 week mark of gestation. This does not necessarily mean you are anemic; however, your midwife or doctor may recommend you supplement with extra iron. The ability for a woman to maintain iron levels throughout her pregnancy depends on how high her preconception values were and her ability to absorb iron. Only one in five women begins their pregnancies with adequate iron. Some women may require an iron transfusion during pregnancy if levels drop too much. This can be defined as serum ferritin below 12 ug/L and hemoglobin below 110 in first and third trimester and below 104 in the second trimester.  

Click here for posts about pregnancy complications. Consult your healthcare provider if you have any concerns about your pregnancy symptoms.