Role of Intravenous Iron Sucrose in Severe Anemia in Late Pregnancy: A Case Report From Rural Ballabgarh, Haryana

Abstract

Severe anemia is a high-risk factor in pregnancy and needs to be treated appropriately to prevent poor maternal and fetal outcomes. A pregnant woman with severe anemia reluctant for blood transfusion due to issues of accessibility was given four doses of 300 mg intravenous iron sucrose (IVIS) in 300 ml normal saline starting at 31 weeks 5 days of gestation and her hemoglobin level increased by 4.2 gm/dl over a period of five weeks without any complications and without any intake of iron and folic acid tablets during the entire duration. Intravenous iron sucrose is a useful intervention for severe anemia of pregnancy even in late pregnancy with rapid increase in haemoglobin levels and can be used regularly for treating severe anemia in pregnant women alternative to blood transfusion who have limited accessibility to blood transfusion facilities.

Intravenous Iron Therapy in Severe Anemia at 28-34 Weeks of Gestation and it’s Feto-Maternal Outcome- A Prospective Study from A Developing Country

“…During pregnancy the most recurrent nutritional deficiency is anemia due to deficiency of Iron. During pregnancy, haemoglobin levels below 11 gm/dl is considered as anemic and when levels are below 7 gm/dl, it is categorised as severe anemia [1]. Such low haemoglobin levels is considered as a high-risk factor during pregnancy as it has been seen to be linked with frequent preterm deliveries and low birth weight with increased possibility of maternal mortality [2].…”

“…Such low haemoglobin levels is considered as a high-risk factor during pregnancy as it has been seen to be linked with frequent preterm deliveries and low birth weight with increased possibility of maternal mortality [2]. With appropriate and necessary interventions at appropriate time severe anemia can be rectified [1].…”