Glossary

Term · Pregnancy: Your Body

iron deficiency anemia

Also: iron deficiency anaemia, IDA, anemia from low iron

Anemia caused by too little iron, so the body makes fewer or smaller red blood cells. It can cause tiredness and is common in pregnancy and after birth.

In plain words

Iron deficiency anemia is anemia that comes from . Red blood cells carry oxygen, and they need iron to do that job. When iron runs low, the body makes fewer or smaller red cells, and less oxygen reaches your tissues. You may feel very tired, short of breath, dizzy, or cold. Your heart may beat faster than usual. Anemia is common in pregnancy because blood volume grows, and it is common after birth because of blood loss. A blood test measures to diagnose it. It is not the same as iron deficiency alone, which can happen without anemia. Ask your provider for your numbers and what they mean for you. Options include food changes, oral iron, and , and each has tradeoffs.

The deeper version

Anemia in pregnancy is defined by hemoglobin below trimester-specific thresholds that account for physiological : under 11.0 grams per deciliter in the first and third trimesters and under 10.5 in the second, per the WHO reference (2011). Iron deficiency is the leading cause worldwide. A 2015 Cochrane review of postpartum trials found that intravenous iron produced fewer gastrointestinal effects than oral iron, that hemoglobin outcomes were similar or modestly better, and that fatigue data were inconsistent, with low-quality evidence. The controversy is whether intravenous iron in pregnancy or the early postpartum period improves fatigue, mood, or long-term outcomes beyond the hemoglobin change, and how to time treatment relative to delivery.

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Sources

  • World Health Organization — Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity, 2011
  • Cochrane — Intravenous versus oral iron for treating postpartum anaemia, 2015

The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.