sorry to hear you are feeling so bad. how many weeks are you now?
I agree, that wasn't a good thing to forget about on your midwife's part. is she in a busy practice? I have had my own issues with an overworked midwife who did not have my best interests at heart, not because she was insensitive, but because she (and the rest of the practice) was doing way too much. I think that would be a good thing to bring up with her in your next appt., to avoid carrying that feeling, that she wasn't giving concientious care, into your birth experience. I think it's very important to feel that you can trust your midwife to care for, and about you.
I had an anemia "scare" a few weeks ago, with the overzealous CNM that backs up my back up dr. (long story..) my HB midwife was not concerned, and neither was I once I did some reading. found out that most women have a signifigant drop in H/H at about 28-30 weeks, this is described in many midwifery books and some ob texts as "physiological" anemia. the reason being that your blood volume increases 50% at this time. there are differing beliefs as to what consistutes anemia, some say a reading below 11, some say below 10. also - latina women have consistently lower normal levels than other groups.
floriadix, nettles and yellow dock and alfalfa (that's what I'm taking as a tincture 3 times daily), blackstrap molasses, kale and spinach and drk green lettuce, cooking in cast iron are all good suggestions to bring it up if it really is anemia, or borderline. I have also heard that ferrous sulfate iron pills (the traditional prescription solution) are notorious for causing constipation, and not being very absorbable. maybe something to discuss with the midwife. and cutting out caffiene (said as I drink my chai... now feeling a little guilty, oops, I didn't think of that when I steeped it)
I would get your H/H restested, just in case, since physiological anemia balances out after the initial drop, and it sounds like the last time they tested was about 28 weeks. then if it isn't anemia, you know, and can figure out what it is to fix the problem. if it is anemia, you can fix that too. and it's an easy test to have done.
hoping you feel well again soon!