A woman at 24 weeks is tired with haemoglobin 98 g/L and low ferritin but has no bleeding, chest pain or breathlessness. What is the most appropriate

Question

A woman at 24 weeks is tired with haemoglobin 98 g/L and low ferritin but has no bleeding, chest pain or breathlessness. What is the most appropriate management?

Accepted Answer

Start oral iron and review haemoglobin response

Answer

Give intramuscular vitamin B12 without further assessment

Answer

Give therapeutic anticoagulation while awaiting repeat haemoglobin

Answer

Arrange urgent caesarean birth for maternal anaemia

Answer

Reassure that iron deficiency is physiological and needs no treatment

Iron-deficiency anaemia in pregnancy — DRCOG MCQ

A woman at 24 weeks is tired with haemoglobin 98 g/L and low ferritin but has no bleeding, chest pain or breathlessness. What is the most appropriate management?