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Anaemia in pregnancy

Thresholds and iron treatment.

Source: BSH 2019

Hb below

1st trimester110 g/L
2nd / 3rd105 g/L
Postpartum100 g/L
Ferritin<30 µg/L confirms iron deficiency

Treat

  • Oral iron 40–80 mg elemental once daily (or alternate days)
  • Recheck Hb at 2–3 weeks; continue 3 months after normal
  • IV iron (2nd/3rd trimester): intolerance, no response, Hb <100 after 34 wk
  • Escalate if Hb <70 g/L or symptomatic
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.