What is the appropriate management of iron‑deficiency anemia in a pregnant woman with normal liver enzymes and thyroid‑stimulating hormone?

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Management of Iron-Deficiency Anemia in Pregnancy

Continue the current oral iron supplementation at 60-120 mg elemental iron daily, as the patient is already on liquid iron and prenatal vitamins, and reassess hemoglobin in 4 weeks expecting an increase of ≥1 g/dL. 1, 2

Current Laboratory Assessment

The patient's labs reveal:

  • Hemoglobin 12.4 g/dL (reference 11.7-15.5 g/dL) - technically within normal range but on the lower end
  • Low serum iron 34 mcg/dL (reference 40-190 mcg/dL)
  • Low iron saturation 8% (reference 16-45%)
  • Low ferritin 7 ng/mL (reference 16-154 ng/mL)
  • Normal liver enzymes (AST 16, ALT 24) and TSH (1.31 mIU/L)

This pattern confirms iron deficiency without frank anemia yet, but the patient is at high risk for developing iron-deficiency anemia as pregnancy progresses. 1, 2

Treatment Protocol

Oral Iron Dosing

  • Prescribe 60-120 mg elemental iron daily as first-line therapy 1, 2
  • The patient is already taking liquid iron, which is appropriate and may improve tolerability compared to tablets 1
  • Continue taking iron with vitamin C (which the patient is already doing) to enhance absorption, though evidence is limited 1, 2
  • Take iron on an empty stomach when possible to maximize absorption, though taking with food may improve tolerability at the cost of reduced absorption 2

Monitoring Schedule

  • Recheck hemoglobin after 4 weeks of treatment 1, 2
  • Expect hemoglobin increase of ≥1 g/dL or hematocrit increase of ≥3% 1, 2
  • If no response after 4 weeks despite confirmed compliance and absence of acute illness, perform additional testing including MCV, RDW, and repeat ferritin 1, 2
  • Continue iron supplementation for 3 months after hemoglobin normalizes to replenish body stores 1

When to Escalate Care

  • Refer to a specialist if hemoglobin drops below 9.0 g/dL or hematocrit below 27.0% 1, 2
  • Switch to intravenous iron if the patient fails oral therapy after 4 weeks with confirmed adherence, cannot tolerate oral preparations, or requires rapid correction 2, 3
  • Intravenous iron sucrose is safe after the first trimester with no adverse maternal or fetal outcomes reported 3

Dietary Counseling

Counsel the patient to consume iron-rich foods including:

  • Meat and poultry (heme iron sources with better absorption) 1, 2
  • Iron-fortified grain products 2
  • Certain fruits and vegetables 2

Avoid iron-fortified breakfast cereals and excessive iron supplements beyond the prescribed dose 1

Critical Pitfall to Avoid

The most important caveat: Do not assume the patient is compliant with iron supplementation. 2 Gastrointestinal side effects (constipation, nausea, abdominal discomfort) frequently lead to discontinuation, and patients may not volunteer this information. 1, 2 At the 4-week follow-up, explicitly verify that the patient has been taking the medication as prescribed before concluding that oral iron has failed.

Vitamin C Supplementation Considerations

Limit vitamin C supplementation to ≤500 mg/day if the patient has any risk factors for iron overload conditions, though this is unlikely in the setting of documented iron deficiency 1 The patient's current vitamin C supplementation is appropriate for enhancing iron absorption in the context of iron deficiency. 1, 2

Thyroid Function Context

The patient's normal TSH (1.31 mIU/L) is reassuring, as iron deficiency can impair thyroid peroxidase activity and affect thyroid hormone synthesis. 4, 5, 6 Correcting iron deficiency may help maintain optimal thyroid function throughout pregnancy. 4

Pregnancy-Specific Considerations

Iron deficiency anemia in pregnancy is associated with adverse outcomes including:

  • Increased risk of preterm delivery 3, 7
  • Low birth weight 3, 7
  • Post-partum anemia 3
  • Increased likelihood of transfusion at delivery 7

The patient's hemoglobin of 12.4 g/dL is currently adequate, but with documented iron deficiency (ferritin 7 ng/mL, iron saturation 8%), she will likely develop frank anemia as pregnancy progresses without treatment, since pregnancy removes approximately 1 gram of iron from maternal stores. 1

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Oral Iron Supplementation in Pregnancy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Iron Deficiency Is a Risk Factor for Thyroid Dysfunction During Pregnancy: A Population-Based Study in Belgium.

Thyroid : official journal of the American Thyroid Association, 2021

Research

The association between iron status and thyroid hormone levels during pregnancy.

Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS), 2022

Research

The relationship between iron level and thyroid function during the first trimester of pregnancy: A cross-sectional study in Wuxi, China.

Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS), 2017

Research

Iron Deficiency Anemia in Pregnancy.

Obstetrics and gynecology, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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