Is intravenous iron necessary for mild anemia in pregnancy?

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I understand your concern.

A hemoglobin level of 9.9 grams/deciliter in the third trimester is considered mild anemia, which is common during pregnancy. However, if untreated, it can lead to complications during labor and delivery, such as increased risk of excessive bleeding, fatigue, and weakness that can affect your ability to push during labor, delayed recovery after childbirth, and a possible risk of low birth weight or preterm birth for your baby.

Your doctor has recommended an intravenous (IV) iron infusion because your hemoglobin is low but not dangerously low (severe anemia is below seven grams/deciliter). You may not be absorbing enough iron from oral supplements, and since you're close to delivery, IV iron works faster than oral pills.

If you are unable to afford the IV injection, you can try to improve your hemoglobin with a diet rich in iron and iron supplements. Foods high in iron include red meat, liver, chicken, fish, spinach, lentils, chickpeas, beetroot, and fortified cereals. If you are not already taking iron supplements, ferrous sulfate with vitamin C can help with absorption. Avoid taking iron with calcium or dairy, as they can block absorption. Folic acid and vitamin B12 in leafy greens, eggs, dairy, and fortified cereals can also support your iron levels.

If your doctor strongly recommends the IV iron, it is best to follow their advice to prevent complications during delivery. If cost is a concern, ask about cheaper alternatives, as some hospitals offer government schemes or different iron formulations. If your hemoglobin drops below 9 g/dL, you may need an IV iron infusion or even a blood transfusion before delivery.

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Thank you.