What is the normal hemoglobin (Hb) level for a 5.5-month-old, 10kg, full-term baby with no underlying medical conditions?

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Normal Hemoglobin Level for a 5.5-Month-Old Infant

For a 5.5-month-old infant weighing 10 kg, the normal hemoglobin level is 11.0 g/dL or higher, with anemia defined as hemoglobin below 11.0 g/dL. 1

Age-Specific Hemoglobin Reference Range

  • Infants aged 0.5 to 5 years (which includes your 5.5-month-old) have a hemoglobin threshold of 11.0 g/dL, below which anemia is diagnosed 1

  • This threshold is consistent across major international guidelines for this age group, representing the lower limit of normal hemoglobin concentration 1

Clinical Context for This Age Group

  • At 5.5 months of age, infants are in a period of physiologic nadir for hemoglobin, where levels naturally reach their lowest point before gradually increasing 2

  • The 10 kg weight suggests this infant is growing appropriately (above average for age), which is reassuring but doesn't change the hemoglobin reference range 2

Important Clinical Considerations

  • If the hemoglobin is below 11.0 g/dL, further evaluation is warranted to determine the cause of anemia, including assessment for iron deficiency, nutritional deficiencies, hemolytic processes, or chronic disease 1

  • Serial measurements are more informative than a single value, particularly if there are clinical concerns about the infant's health status 2

  • Maternal and perinatal risk factors should be considered when interpreting borderline values, as these may lower the threshold for clinical concern 2

Common Pitfalls to Avoid

  • Do not use adult reference ranges for pediatric patients, as hemoglobin levels vary significantly by age 1

  • Avoid relying solely on laboratory values without clinical context—signs of pallor, poor feeding, tachycardia, or failure to thrive warrant investigation even with borderline hemoglobin levels 2

  • Be aware that different laboratory methods may have slight variations in measurement, though the diagnostic threshold of 11.0 g/dL remains standard 3

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Interpretation of Neonatal Blood Counts

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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