What Is The Effect Of Ferritin Levels In Pregnant Women On The Fetus?
Afternoon, I want to ask… when in the early months of pregnancy I was recommended to have a complete blood test. As a result, my hb was just right even though it was still normal according to the referral, then the doctor suggested a ferritin test, and at that time my ferritin level was low only at 5 (while normally it was 13-150, judging from the reference number) then I transfused 2 ampoules of venover, and After I was 31 weeks pregnant, I took the ferritin test again. But the results are even further below normal, only 2.5. What I want to ask is, what effect will my low ferritin level have on the fetus? What are the risks and dangers for the fetus and delivery later? Then what is the solution?
Hello, good morning Sifa.
Ferritin is a protein in cells that functions to store excess iron reserves. Iron in the body will be distributed differently. 65% of iron will be carried by red blood cells, 30% of which will be stored as ferritin in the liver, spleen and bone marrow. In addition to storing excess iron in the body, ferritin can also release iron at certain times or conditions. In other words ferritin acts as a barrier between iron deficiency and iron overload.
Examination of ferritin in the blood can indirectly serve to see iron reserves stored in the body. High ferritin indicates an iron storage disorder such as hemochromatosis (excess iron in the body). While low ferritin indicates a lack of iron in the body which can cause anemia, which is a condition in which the body lacks blood cells that contain hemoglobin, characterized by low Hb levels.
Ferritin examination can be done to determine the type of anemia experienced by a person, in the case of anemia due to iron deficiency, in addition to low Hb, ferritin levels are also low. Meanwhile, in the case of anemia due to a chronic disease, the Hb level is low while the ferritin level is increased. In your case, where ferritin levels are very low, it is necessary to determine the possible cause of your iron deficiency, whether due to inadequate intake of food and supplements or due to other conditions such as chronic bleeding (eg from the gastrointestinal tract). It is recommended that you return to the doctor who treats you for possible further examination.
The effect of iron deficiency during pregnancy will result in low hemoglobin. Hemoglobin functions as a substance that binds oxygen in the blood so that the body's need for oxygen can be met. Thus, a lack of hemoglobin will result in a lack of oxygen in the body, resulting in shortness of breath, fatigue, fast heart rate, etc. This of course will also affect the fetus. Anemia in pregnant women can increase the risk of impaired fetal development, premature labor, and the risk of low birth weight in infants.
As already mentioned, it is recommended that you check with your treating doctor to find out the exact cause of your anemia, what additional investigations are needed, and a plan to prepare for delivery (such as where should you give birth, whether to prepare a donor, etc.). Here are some suggestions for pregnant women to overcome anemia in pregnancy:
taking iron supplements
increase the intake of foods that are high in iron, such as
fish, red meat, chicken
green vegetables, such as spinach, broccoli
consume enough vitamin C, because iron absorption will be maximized with sufficient vitamin C levels in the body
That's all, hope it helps.
Regards, dr. Denisa