A trial of oral iron should be considered as a diagnostic test for all pregnant women
with suspected iron deficiency anaemia (IDA). The haemoglobin should increase
within 2 weeks, otherwise further tests are required.6
Oral iron supplementation is
the primary treatment option. A high iron diet should be recommended, including red
meats (if possible), fortified cereals and drinks.6,7 Intravenous iron should only be
Assessing response to treatment
Repeat FBP 2 – 8/52 following commencement of iron therapy
(Dependent upon gestation)
Hb ↑ continue therapy Hb ↔ review diet, Fe (type/dose),
exclude folate, B12 deficiency (treat as
required). Assess if Hb studies
required/completed. Refer to CNC
Haematology for IV Fe if no
improvement in 2nd/3rd trimester only
Hb ↓clinical review patient, exclude
active bleeding, folate, B12 deficiency
(treat as required). Assess if Hb studies
required/completed. Refer to CNC
Haematology for IV Fe in 2nd/3rd
trimester only
Title: Anaemia in Pregnancy and the Postnatal Period King Edward Memorial Hospital for Women
Clinical Guidelines: Obstetric and Midwifery Perth, Western Australia
2013
All guidelines should be read in conjunction with the Disclaimer at the beginning of this section
Page 2 of 12
used in severe cases of iron deficiency, if the woman is unresponsive to oral iron
treatment, or when rapid repletion of iron is required.2,
A trial of oral iron should be considered as a diagnostic test for all pregnant womenwith suspected iron deficiency anaemia (IDA). The haemoglobin should increasewithin 2 weeks, otherwise further tests are required.6 Oral iron supplementation isthe primary treatment option. A high iron diet should be recommended, including redmeats (if possible), fortified cereals and drinks.6,7 Intravenous iron should only beAssessing response to treatmentRepeat FBP 2 – 8/52 following commencement of iron therapy(Dependent upon gestation)Hb ↑ continue therapy Hb ↔ review diet, Fe (type/dose),exclude folate, B12 deficiency (treat asrequired). Assess if Hb studiesrequired/completed. Refer to CNCHaematology for IV Fe if noimprovement in 2nd/3rd trimester onlyHb ↓clinical review patient, excludeactive bleeding, folate, B12 deficiency(treat as required). Assess if Hb studiesrequired/completed. Refer to CNCHaematology for IV Fe in 2nd/3rdtrimester onlyTitle: Anaemia in Pregnancy and the Postnatal Period King Edward Memorial Hospital for WomenClinical Guidelines: Obstetric and Midwifery Perth, Western Australia2013All guidelines should be read in conjunction with the Disclaimer at the beginning of this sectionPage 2 of 12used in severe cases of iron deficiency, if the woman is unresponsive to oral irontreatment, or when rapid repletion of iron is required.2,
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