Iron Deficiency of Pregnancy: Time for a New Paradigm
- Oral iron is frontline therapy for uncomplicated iron deficiency in those who tolerate it
- High quality published evidence suggests alternate day oral iron is preferable
- For heavy uterine bleeding, late pregnancy, IBD, CIA and other comorbid conditions associated with iron lack, GB, OWR and oral iron intolerance the intravenous route is preferred and should be moved to the frontline
- The preponderance of published evidence suggests the USPSTF recommendations for screening for iron deficiency in pregnancy should be revisited
- Four formulations are able to be administered in a single total dose infusion obviating multiple visits and decreasing infusion reactions and increasing adherence: LMWID, FCM, isomaltoside (Europe only) and ferumoxytol
- Intravenous iron is likely safer than most physicians believe and should be moved forward in the treatment paradigm
Recommended CitationAuerbach, MD, FACP, Michael, "Iron Deficiency of Pregnancy: Time for a New Paradigm" (2019). Department of Obstetrics and Gynecology Presentations and Grand Rounds. Paper 44.