Summary
First Trimester/Booking
Offer the following patients empirical oral iron. 200mg ferrous sulphate or 300mg ferrous gluconate on alternate days.
Known anaemia.
<1year between pregnancies.
Adolescent pregnancies aged <19.
Multiparity > P3.
Twins/multiple pregnancy.
Jehovah's Witness
Vegan/vegetarian diet.
If Hb <70g/L urgent referral to joint haematology obstetric clinic to investigate and plan management.
Ferritin > 300mcg/L refer to GP for advice.
Ferinject is contraindicated in the first trimester.
Anaemia and iron deficiency: Diagnosis and Treatment throughout Pregnancy, Labour and Postpartum Period Clinical Guideline V4.3