Review Article

Oral Iron Prophylaxis in Pregnancy: Not Too Little and Not Too Much!

Table 1

Iron balance in normal pregnancy and delivery, approximate figures.

Gross iron demands
 Obligatory iron loss (0.8 mg × 290 days)230 mg
 Increase in red cell mass450 mg
 Newborn baby (weight 3500 g)270 mg
 Placenta and umbilical cord90 mg
 Blood losses at delivery200 mg

Total gross1240 mg

Net iron demands
 Menostasia in pregnancy−160 mg
 Postpartum decrease in red cell mass−450 mg

Total net iron demands630 mg