42.7% was deferred due to low Hemoglobin among female donors
Women seem more willing to donate blood than men despite the limitations that affect their donation rate. However in Mauritius, there are less female donors than men and we believe there is a need to remove those “factors” that women are less incline to donate blood.
Generally, women are more altruistically inclined than men to give blood, the motherly instinct for example BUT fear and lack of information especially among high income level female gender groups, there are less donors. However and as mentioned above, there are restrictions to women giving blood, especially low haemoglobin concentration, which reduce the number of female blood donations. Women also have more difficulty when blood is withdrawn and are more susceptible to vasovagal reactions, which negatively affect their experience as donors (fear of fainting etc).
NBTS will work on action plan to see the best means to reduce these barriers to encourage women to continue to offer to donate blood, thereby ensuring that they become regular donors, which is a key factor in guaranteeing an adequate supply of blood and to find means for that. Media including Social Media, could be used. BUT, we do sensitization at Schools and though less at Universities and almost impossible at Textiles Factories, we need perhaps be aggressive and have the support of Radio and TV.
In a study done (abroad) by Newman et al.5, 1,000 randomly selected donors were questioned about their experience 3 weeks after donating. Among women 9% reported vasovagal reactions, 11.1% fatigue and 12.5% arm discomfort after the procedure as opposed to 4.5%, 4% and 6.9%, respectively, in men. Women are typically lighter than men, and vasovagal reactions and post-donation fatigue appear inversely related to weight.
Still, the percentage of women giving blood in Mauritius is too low. We encourage our women folks to come forward and donate blood at least once or twice a year.
Donors Deferred for Low Haemoglobin
As mentioned in this article, although you were not able to donate on your recent attempt, you may be able to donate in the future. A haemoglobin and hematocrit reading, which is lower than the required level does not indicate that the donor has any serious health issues. Also, some donors naturally have lower levels, which causes them no harm. However, it may prevent them from being eligible blood donors.
According to Dr Vishwas Madhav Thakur, General Physician on Lybrate, those donors who are slightly anaemic due to iron deficiency can increase their iron intake and thereby boost their haemoglobin and hematocrit level. Men whose haemoglobin levels are below 12.5 g/dL and women who have levels below 12g/dL are not allowed to donate blood.
The most common cause of low haemoglobin, especially in women, is low levels of iron because iron is needed to make hemoglobin. Blood donation further leads to removal of iron from the body, which may cause or contribute to low iron levels and possibly anemia. For someone who has haemoglobin or blood count problem, it is important to take a multivitamin with iron or an iron-only supplement to replace the iron lost through blood and platelet donations after consultation with your doctor or practitioner.
Even though anyone with low haemoglobin is not allowed to donate blood, in rare cases if they do, they may experience symptoms like weakness, tiredness, and fatigue due to the low blood count. Patients are often encouraged to eat a well-balanced diet that is high in Vitamin C and iron rich. If a low haemoglobin patient is not allowed to donate blood today, it does not mean that the patient can never donate blood.
BEFORE DONATING BLOOD WHAT YOU MUST KNOW (Click on the link)
#1: The minimum time gap between two successive blood donations should be at least 3 months. This is because, in general, your blood cells can take around three months to regenerate post a donation episode. Going by the numbers, you can donate blood four times in a year.
#2: When it comes to the donor, ensure that your age is between 18 – 65 years and you weight is more than 45 kg, which is one of the key criteria for any person planning to donate blood. Also, you have to be in good health with your haemoglobin content more than 12.5 mg%.
#3: Blood donors are also asked questions related to their fitness before blood donation. Also, donor’s blood pressure, haemoglobin and weight are checked before the donor is deemed fit for blood donation.
#4: There are rare chances of a donor feeling dizzy, which is mainly due to anxiety. Apart from this, there are no other side-effects of donating blood. In fact, there are various health benefits of blood donation.
#5: Make sure you drink water or have fluids after donating blood as it will help you to stay hydrated as fluids get retrieved in 24 hours post blood donation. However, stay away from drinking aerated drinks or carbonated beverages.
#6: As far as diet is concerned, eat something light before donating blood. Also, avoid drinking alcohol the day prior to blood donation and do not smoke just before blood donation.
#7: Do not exercise or perform any strenuous physical activity after donating blood as there are high chances of suffering from dizziness. It is important to take rest that day to not strain yourself either physically or mentally.
Some donors, especially women, struggle with a lack of iron – or low hemoglobin in their bodies.
“You may give blood during a menstruation, but if you are having a particularly heavy menstrual bleeding, it would be better for you not to. This is because any form of blood loss can reduce the iron levels in your body and potentially make you feel unwell for a short time. If you are having medical investigations please wait until these have been completed. You must also exclude pregnancy if a period has been missed before you give blood. If you have been prescribed medication by your doctor to help cope with menstrual pain or are having heavy or prolonged periods, talk to our Blood Bank Officer or a Doctor if present.
2. How much blood is actually taken?
“During a blood donation we take 450ml of blood, which is just under a pint.”
3. Can all blood types donate?
“All blood types can be taken and we always need different blood groups, but there are times when we may make an appeal for people with rare blood types, such as O negative and B negative, to donate. This is based on the demand for that blood type at a given time. If you don’t know your blood type, you will find out after your first donation.”
4. My haemoglobin was in the normal range, but I was told I couldn’t donate.
It is normal for haemoglobin levels to fluctuate. If you’ve not previously been deferred due to low haemoglobin levels and your level was in the normal range, we encourage you to eat a nutritious, well-balanced diet with foods rich in iron and high in vitamin C.
If you donate often, see your doctor who who can consider putting you a multivitamin with iron or an iron supplement. Multivitamins and supplements are available over-the-counter, but you should discuss with your health-care provider before taking them.
5. How might low iron levels affect me?
It is normal for iron levels to fluctuate, even in those individuals who don’t donate blood and platelets. Many people who have low iron feel fine and have no symptoms. Symptoms may change from mild to more serious and can include: anemia, tiredness and irritability, reduced endurance during physical activity, difficulty concentrating or a craving to chew things such as ice or chalk (pica).
6. Do any health conditions rule you out of giving blood?
“Although most people can give blood, there are some restrictions – depending on things like your health, medication, and whether you’ve been abroad recently. You are usually able to give blood provided you are:
• fit and healthy
• weigh at least 50 kgs
• are aged between 18 and 60, or over 65 (if after 60, you give at least once a year and this applies to men as well)
♦ Surgery: from 6 to 12 months
For more information contact:
Tel: 427 0711/427 7192/424 0650/424 4766
2. Cosmopolitan- UK (cosmopolitan.com)
4. Low Iron – oneblood.org