[Dr.Vad]

FIGO recommends the following:
>Anemia is defined as hemoglobin less than 11.0 g/dL during pregnancy and postpartum.
>Full blood count should be assessed at least at booking and at 28 weeks.
>All women should be given dietary information to maximize iron intake and absorption.
>Routine iron supplementation for all women in pregnancy is recommended, according to the health policies of the countries, especially in areas with a high prevalence of anemia. The minimum dosage should be 30 mg of elemental iron a day.
>Unselected screening with routine use of serum ferritin is generally not recommended although individual centers with a particularly high prevalence of at‐risk women may find this useful.
>Women with iron deficiency anemia should be given 100–200 mg elemental iron daily. They should be advised on correct administration to optimize absorption.
>Referral to secondary care should be considered if there are significant symptoms and/or severe anemia (hemoglobin <7.0 g/dL), late gestation (>34 weeks), or if there is failure to respond to a trial of oral iron.
>Once hemoglobin is in the normal range, supplementation should continue for 3 months and at least until 6 weeks postpartum to replenish iron stores.
>Pregnant women with anemia may require additional precautions for delivery, including delivery in a hospital setting, available intravenous access, active management of the third stage of labor, and preparation for excess bleeding. Suggested hemoglobin cutoffs are less than 10.0 g/dL for delivery in hospital and less than 9.5 g/dL for delivery in an obstetrician‐led unit. Women with hemoglobin less than 10.0 g/dL in the postpartum period should be given 100–200 mg elemental iron for 3 months.
>Parenteral iron should be considered from the second trimester onward and during the postpartum period for women with confirmed iron deficiency who fail to respond or who are intolerant to oral iron.
>Blood transfusion should be reserved for those with risk of further bleeding, imminent cardiac compromise, or symptoms requiring immediate attention.
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