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Case Reports in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 485452, 3 pages
http://dx.doi.org/10.1155/2012/485452
Case Report

Severe Anaemia during Late Pregnancy

1School of Medicine, Keele University, Staffordshire ST5 5BG, UK
2Consultant Obstetrics & Gynaecology, University Hospital of North Staffordshire NHS Trust, Maternity Building, City General Hospital, Newcastle Road, Stoke-on-Trent ST4 6QG, UK

Received 7 April 2012; Accepted 9 July 2012

Academic Editors: M. H. Eichbaum and L. Nilas

Copyright © 2012 Mahenaz Akhtar and Ismail Hassan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vitamin B12 deficiency is uncommon in pregnancy, it occurs in 10–28% of uncomplicated pregnancies, and is associated with a few complications. We present a case report of a 21-year-old patient with severe anaemia during late pregnancy caused by vitamin B12 deficiency. At 38 weeks gestation and with a BMI of 48.9, a history of rupture of membranes was given but not confirmed. On examination, she appeared pale and therefore full blood counts were done. Interestingly her haemoglobin (Hb) levels were 3.7 g/dL. Folate and vitamin B12 levels were also found to be low, and the diagnosis of anaemia caused by vitamin B12 deficiency was made. After treatment with vitamin B12 injections, folic acid and blood transfusions, the patient’s haemoglobin levels improved from 3.7 g/dL to 10.7 g/dL. The conclusion is that effective history taking, diagnosis, and management can prevent many complications that are usually associated with vitamin B12 deficiency anaemia.