Case 45 – the beginning

You are in a GP surgery as the GP registrar. A 24 year old female complains of feeling tired. She is eleven weeks pregnant and was due her ‘booking visit’ by the midwife in a one week’s time. She has been taking folic acid as advised. She looks pale and so you request a full blood count. It shows:

  • Hb 87g/L
  • MCV 72fL
  • PLT 126×10*9/L
  • WCC 9.6×10*9/L (normal white cell differential)


  • Physiologically what happens to the blood count commonly during pregnancy?
  • What do you think of her Hb and MCV?
  • Does the platelet count worry you?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

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