امرأة عمرها ٢٦ سنة حامل في الأسبوع ٣٠، تعبانة، والهيموغلوبين ٩٫٦، وحجم الكرية MCV مرتفع ١٠٦، والفولات منخفض. تأكل قليلاً من الخضار الورقية. ما الأرجح؟

A 26-year-old at 30 weeks of pregnancy is tired. Hb 9.6 g/dL, MCV 106 fL and low folate. She eats few leafy vegetables. What is most likely?

1. Normal anaemia of pregnancy
2. Folate-deficiency anaemia
3. Thalassaemia minor
4. Iron-deficiency anaemia

Answer: B) Folate-deficiency anaemia. Large red cells with low folate in pregnancy indicate folate deficiency; folic acid is given, with B12 checked first so its deficiency is not masked.