Management of Iron Deficiency Anemia in Pregnancy in India

  • Rimpy Tandon
  • Arihant Jain
  • Pankaj Malhotra
Review Article


Iron deficiency anemia (IDA) continues to be the commonest etiology of anemia in pregnancy. The prevalence of iron deficiency (ID) in pregnant Indian women is amongst the highest in the world. Untreated iron deficiency (ID) has significant adverse feto-maternal consequences. Plethora of investigations are available for diagnosis of IDA, each having specific advantages and disadvantages when used in the pregnancy setting. Therapy for ID includes dietary modification, oral iron supplementation, intravenous iron and blood transfusion. Newer parenteral iron preparations are safe and there is mounting evidence to suggest their use in frontline settings for pregnancy associated IDA in the second and third trimester. Through this review, we suggest an algorithm for diagnosis and treatment of IDA in pregnancy depending on the severity of anemia and period of gestation suited for widespread use in resource limited settings. Also, we recommend ways for increasing public awareness and tackling this health issue including the observance of “National Anemia Awareness and Treatment Day.”


Iron deficiency anemia Pregnancy India 


Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

This article does not involve any study with participation with human participants or animals by the authors.

Supplementary material

12288_2018_949_MOESM1_ESM.docx (54 kb)
Supplementary material 1 (DOCX 53 kb)


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© Indian Society of Hematology and Blood Transfusion 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyGovernment Medical College and Hospital-32ChandigarhIndia
  2. 2.Department of Internal Medicine (Clinical Hematology Division)PGIMERChandigarhIndia

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