Dear OZmidwives
I had forgotten this had you?
Denise
----- Original Message -----
From: "mary.cronk" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, December 29, 2001 7:28 AM
Subject: RE: [ukmidwifery] Re: low hb and home birth


> Yes You are about right remember this is a rough calculation but it
> indicates that you do not have an iron deficiency anaemia I.S. Mary
>
> -----Original Message-----
> From: viewfromthehill2001 [mailto:[EMAIL PROTECTED]]
> Sent: 28 December 2001 16:23
> To: [EMAIL PROTECTED]
> Subject: [ukmidwifery] Re: low hb and home birth
>
>
> Hi again
>
> Just need to check I have this right -
>
> "To get a rough idea of the Hb allowing for the haemodilution
> Take the Hb reading divide it by the Hct. and multiply the result by
> >36
> (the bottom of the normal range)"
>
> So:  I divide 9.4 (hb) by .279 (hct) and times result by 36 (= 1226
> (4SF)).  This result gives me my hb level as it would show if I was
> not 9 mths pregnant and therefore experiencing haemodilution - I
> assume 12.3?
>
> Have I understood the calc correctly?
>
> Many thanks for the help,
>
> Alison
>
> --- In [EMAIL PROTECTED], "mary.cronk" <[EMAIL PROTECTED]> wrote:
> > I am sure that AngelaH will give you the refs. and research  that
> you need,
> > BUT a Hb at your levels is NOT of itself an indication of an iron
> deficiency
> > aneamia and the midwives who believe it is, should be strongly
> recommended
> > to spend a study day in the library. If the Mean cell volume (MCV)
> is within
> > the normal range 78 - 99 and the Haemocrit (Hct)sometimes called
> the packed
> > cell volume (PCV)is also within the normal range .36 - .48 iron
> deficiency
> > anaemia is not present. and the Hb reading is a reflection of a
> healthy
> > haemodilution.  To get a rough idea of the Hb allowing for the
> haemodilution
> > Take the Hb reading divide it by the Hct. and multiply the result
> by >36
> > (the bottom of the normal range)  Your midwives are displaying
> worrying
> > ignorance and fear and I wonder in what other areas their knowledge
> is poor.
> > You might consider sharing your concerns about THEIR suitability to
> have a
> > home birth I.S. Mary
> >
> > -----Original Message-----
> > From: viewfromthehill2001 [mailto:ali.paul@b...]
> > Sent: 23 December 2001 07:01
> > To: [EMAIL PROTECTED]
> > Subject: [ukmidwifery] low hb and home birth
> >
> >
> > Hi
> >
> > I have a hb that fluctates around the 9.4 - 9.8 mark.  I am on my
> > third baby (due next week) and have planned a home birth.  The
> > trouble is, I had a c section last time (due to placenta praevia and
> > a breech baby), and the NHS team caring for me are completely
> opposed
> > to my plans.  They say that my hb levels make me a bad risk in every
> > way.
> >
> > I DO NOT feel anaemic.  I have carried on with my normal life, and
> > only started my maternity leave yesterday.  Seeing as 'normal life'
> > for me means a sevety hour working week, plus caring for my
> children,
> > my elderly mum, and my large dogs, I don't see how I can have
> > anaemia.  Surely I would have been ill?
> >
> > Additionally, taking iron supplements has no effect on me.  My hb
> > levels do not change.  I get constipated and nauseated, however, and
> > floridix seems to give me diahorrea and bad stomach cramps.  I had
> > similar prob during my 1st pregnancy - I was accused of not taking
> > the iron supplements (!) and eventually given an iron transfusion,
> to
> > which I was allegic - so they actually succeeded in making me ill.
> >
> > The questions are these:
> >
> > Why can't I get my iron levels up?  (none of my carers is interested
> > in this - they simply keep telling me to eat more iron supplements
> > and iron rich foods - honestly, I CAN'T - I am eating ridiculous
> > amounts of steak, watercress and apricots already.. and taking iron
> > (I've tried daily doses, intermittent doses, you name it) AND
> NOTHING
> > HAPPENS!!  I just get constipated....
> >
> > Am I really at a huge risk of a pph?  (I can't find any actual
> > statisics on this - I have read studies which suggest the risk is
> NOT
> > huge (Steer, 1994) but if this is so, then why have my NHS team been
> > so very negative?)
> >
> > Any info much appreciated
> >
> > Alison
> >
> >
> >
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