A 33-year-old woman, gravida 2 para 1, attends the GP at 28 weeks of gestation. Her booking haemoglobin was 118 g/L but repeat bloods now show haemogl...

Question

A 33-year-old woman, gravida 2 para 1, attends the GP at 28 weeks of gestation. Her booking haemoglobin was 118 g/L but repeat bloods now show haemoglobin 98 g/L, MCV 78 fL, and ferritin 8 µg/L. She is asymptomatic. Which is the single most appropriate management?

Accepted Answer

Commence oral ferrous sulphate 200 mg three times daily and recheck in 2-4 weeks

Answer

Arrange intravenous iron infusion as first-line

Answer

Prescribe dietary advice only and recheck at 36 weeks

Answer

Refer urgently to haematology

Answer

Commence oral ferrous fumarate 305 mg once daily

uk-drcog MCQ (SBA): Iron Deficiency Anaemia in Pregnancy

A 33-year-old woman, gravida 2 para 1, attends the GP at 28 weeks of gestation. Her booking haemoglobin was 118 g/L but repeat bloods now show haemoglobin 98 g/L, MCV 78 fL, and ferritin 8 µg/L. She is asymptomatic. Which is the single most appropriate management?