Any supplies are to be documented in the green notes, as well as on the electronic record.

Ferrous gluconate 300mg PO is an alternative to ferrous sulphate 200mg PO. It has a better gastrointestinal side effect profile than ferrous sulphate, so may be better tolerated by pregnant people.

Taking iron replacement on alternate days has been found to be as effective as taking it every day. This is because alternate day administration is less likely to cause a compensatory increase in the pregnant person's hepcidin levels, which can reduce absorption from the GI tract. It is also better tolerated when taken on alternate days.

If ferrous sulphate or ferrous gluconate is not appropriate the patient must be referred to the GP (e.g. if needs liquid etc), as not all iron preparations are pharmacy meds and can be supplied in this way.

Only registered midwives can hand out these medicines.