Thalassemia minor

She is recently diagnosed with thalassemia minor. Previously she was diagnosed with arthritis (rheumatoid). She took steroids. Now she is just taking folic acid. She is married and planning to have a child. she is worried whether her child got affected by her disease. Her husband is fit and no such problem is there.
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Sharath Kumar K N
General Physician Mandya
Hello,, if she is carrier then if she have 4 children there, her 2 children will have thalassemia minor. Her baby will benefit if she take 5mg of folic acid daily throughout her pregnancy. This is because thalassaemia may increase the risk of her baby developing a neural tube defect, such as spina bifida. Taking a high dose of folic acid daily reduces this risk.  Taking folic acid every day helps her blood to stay healthy too. Having thalassaemia can lead to anaemia during pregnancy. If she has beta thalassaemia minor, her doctor will recommend you have extra tests to check her iron levels before she offered iron tablets. Beta thalassaemia minor can affect blood test results during pregnancy and indicate that her iron stores are low when they're not.  Alpha thalassaemia minor can also cause anaemia, particularly if you carry two mutated genes.  Alpha thalassaemia HbH disease can cause mild to severe anaemia and may mean you require blood transfusions during pregnancy. 
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