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