Despite clear guidelines, anemia in pregnancy is still frequently mismanaged, leading to avoidable maternal and fetal risks.

❌ Common mistakes we still see:

🔴 1. Treating the number, not the cause

Starting iron without confirming iron deficiency

→ Overlooking hemoglobinopathies, B12 or folate deficiency.

🔴 2. Delaying treatment because anemia is “mild”

Mild anemia can progress rapidly if ignored — especially in late pregnancy.

🔴 3. Poor follow-up after starting oral iron

No repeat hemoglobin check

→ No way to assess response or compliance.

🔴 4. Persisting with oral iron despite failure

No Hb rise after 2–4 weeks

→ IV iron should be considered, not delayed.

🔴 5. Using blood transfusion too early

Transfusion is not treatment for iron deficiency in stable patients.

🔴 6. Ignoring anemia before planned delivery

Low Hb + cesarean section = higher transfusion risk.

🔴 7. Stopping treatment once Hb improves

Replenishing iron stores is as important as correcting Hb.

Key Take-Home Message

Anemia in pregnancy is preventable, detectable, and treatable —

but only when managed correctly and early.

📌 Following evidence-based protocols protects both mother and baby.

💬 Which mistake do you see most often in practice?

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