Iron Infusions In Pregnancy

I get asked a lot over on Instagram, “what do you think of iron infusions, should I be getting one?” and it’s a lengthy topic with many things to consider - so here is an episode entirely dedicated to the topic! 
The purpose of this episode is to help arm you with information so you can make your own informed decisions that feel right for you. 

In this episode, I go over..

• what the current guidelines and recommendations are in Australia for iron infusions in pregnancy, and what is the cut offs for diagnosing anaemia in pregnancy
• What the risks of infusions outlining maternal and neonatal outcomes
• What the difference is between iron deficiency and iron deficiency anaemia
• When are iron infusions not recommended
• What too little, and on the other end, too much iron could do in pregnancy
• What is the solution to preventing iron deficient anaemia in the first place

As always, please make sure you have an informed discussion regarding the risks with your primary health care provider as this episode is not designed to replace medical advice.

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References:
Seeho SKM & Morris JM. 2018. Intravenous iron use in pregnancy: Ironing out the issues and evidence. Aust N Z J Obstet Gynaecol, 58, 145–147.

//www1.racgp.org.au/ajgp/2019/march/anaemia-in-pregnancy

Khalafallah A, Dennis A, Bates J, et al. A prospective randomized, controlled trial of intravenous versus oral iron for moderate iron deficiency anaemia of pregnancy. J Intern Med 2010;268(3):286–95. doi: 10.1111/j.1365-2796.2010.02251.x

Breymann C. Iron deficiency anemia in pregnancy. Semin Hematol 2015;52(4):339–47. doi: 10.1053/j.seminhematol.2015.07.003.

Lee AI, Okam MM. Anemia in pregnancy. Hematol Oncol Clin North Am 2011;25(2):241–59. doi: 10.1016/j.hoc.2011.02.001. 

Reveiz L, Gyte GM, Cuervo LG, Casasbuenas A. Treatments for iron-deficiency anaemia in pregnancy. Cochrane Database Syst Rev 2011;(10):CD003094. doi: 10.1002/14651858.CD003094.pub3

Qassim A, Mol BW, Grivell RM, Grzeskowiak LE. Safety and efficacy of intravenous iron polymaltose, iron sucrose and ferric carboxymaltose in pregnancy: A systematic review. Aust N Z J Obstet Gynaecol 2018;58(1):22–39. doi: 10.1111/ajo.12695.