Forewarned is forearmed. Therefore we need to increase her HCT as much as we can. At this point, simple Iron supplements are indicated. If the anemia were to get severe enough, pre-operative transfusion would be indicated. This, thankfully, is very unlikely.
All pregnant women tend toward anemia to some degree.
Of course, with triplets this tendency is increased exponentially. Fibrinogen is one of the elements in the clotting of blood. This patient's fibrinogen was elevated. There is an entire sequence of events that result in clotting of the blood, and if it didn't exist, we'd all bleed to death. Hemophiliacs experience defects in this sequence, and some are lucky enough to be able to replace that one item missing.