I got my labs back. My Hemoglobin is at 11.8 and my Hematocrits at 33.4.<br>
The midwife I talked to seemed ok with those but does anybody know ranges? I feel so totally exhausted I was sure I would be told they were low.<br>
Hemoglobin is 12-14. 11.9 is not low at all. The values are actually different for men and women and what is "normal range" varies from facility to facility. Were I work we won't even consider a blood transfusion for anything greater than 8 unless someone is actively bleeding.<br><br>
Hematocrit is 37-47. It's also different for men and women. This is actually a percentage of the red blood cells that compose the entire blood. So if your hematocrit is 47, almost half your blood is made up of red blood cells and the rest plasma.
My midwife always went by this guideline (it also mentions altitude, not sure if that is an issue for you as I forgot to look at your location):<br>
In the first trimester, a pregnant woman at, or near, sea level, is anemic when her hemoglobin level is less than 11 g/dL or her hematocrit level falls below 37%.<br><br>
In the second trimester, she is anemic when the hemoglobin level is less than 10.5 g/dL or the hematocrit level falls below 35%.<br><br>
In the third trimester, she is anemic when the hemoglobin level is less than 10g/dL or the hematocrit level is less than 33%. In areas of high altitude, much higher values indicate anemia. For example, at 5000 feet, a hemoglobin level of less than 14 g/dL indicates anemia.
I've pretty much heard what the first response said. I'm slightly anemic regardless of pregnancy so for me it can get pretty severe during pregnancy and I'd rejoice at 11.8! That being said I do feel fatigued, hollow, sometimes dizzy, out of breath whenever I start to get close to 11 and under. I think it affects different people differently.
I had some blood work done and my midwife included the ranges. This is what she wrote me:<br><br>
total wbc: range 3.8 - 10.8<br>
red blood cells: range: 3.80 - 5.10 (There is a dilution of rbc in plasma with pregnancy but a marginally low level indicates a slight iron deficiency.)<br>
hemoglobin: range: 11.7 - 15.5<br>
hematocrit: range: 35.0 - 45.0 (Again, as blood volume increases with pregnancy, hct falls proportionally)<br>
MCV: range: 80-100<br>
mch: range: 270 - 33.0<br>
bands: range: 0-5<br>
neutrophils: range 48 - 75<br>
lymphocytes: range: 17 - 40<br>
monocytes: range: 0-14<br>
basophils: range: 0 - 3<br>
atypical lymphs: range: 0 - 5<br>
platelet count: range: 140 - 400<br>
red cell distribution width: range: 11 - 15<br>
mean platelet volume: range: 7.5 - 11.5
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<div style="font-style:italic;">Hemoglobin is 12-14.</div>
Sources vary. One of my lab says the lower limit is 11.0, another 11.5. Never seen it at 12. Those are normal values for a non-pregnant person, your iron levels are <i>supposed</i> to drop during pregnancy. I like for it to stay above 10 but want to see it drop at least 1 entire point between 28-32 weeks which signifies normal blood volume expansion. Men's normal ranges are higher than women's.
Thanks everybody - my midwife called and she said that although I fall into normal I am in the very low end of normal. She suggested floradix only a couple of times a week to see if I feel better. Considering I feel totally out of breath and exhausted I am going to give it a try. I appreciate your responses!