I am 32 weeks pregnant and have been struggling to raise my hemoglobin counts. My hemoglobin (Hb) has measured between 10.5 and 11.5 since 20 weeks pregnant (was 10.5 at 31 weeks). My midwife said I'm anemic and gave me suggestions for the following supplements and dietary recommendations:
Floradix (30ml 2x/day)
Liquid Chlorophyll (2 TBSP 2x/day)
Chelated Iron (18mg 2x/day)
Beef Liver Extract (Nature's Life brand w/ 28mg iron/day)
Kale and/or Collard greens (2x/day)
Red Meat (minimum 5x/week)
Nettle and Red Raspberry Tea (2x/day)
Despite my taking more than 100+ mg of iron a day (not including the iron in my diet), my Hb count has not risen. I make a point to take in Vitamin C and B12 with every dose of iron to ensure proper absorption and never take my prenatal vitamins or calcium supplements within 2 hours of the iron ones. Additionally, I'm ingesting very little dairy and never within 2 hours of taking iron supplements.
Last week, my MW informed me that in order to have a home birth I needed a 12 or higher for my hemoglobin. This was a bit disheartening and prompted me to look into anemia levels further. I found limited resources that suggest that due to increased blood volume, it is normal for healthy pregnant women to have Hb counts in the 9-11 range. Others say that a decrease of 2 from pre-pregnancy Hb counts is normal during pregnancy. I've also heard that other midwives have a minimum of 10 for home births.
I understand that lower blood viscosity could lead to increase risk of hemorrhaging (which I know is a potential complication that any midwife would fear).
I'm very healthy and have felt no signs of anemia. I'm extremely energetic for 32 weeks pregnant, feeling AMAZING and finding it hard to believe that my pregnancy and blood are anything but perfectly normal.
Could it be that 10.5 is normal for me and it is safe for me to have a home birth at these levels?
Any input or experiences would be greatly appreciated!