This study aims to address this evidence gap by comparing a step-up oral-first strategy with an early IV iron strategy in pregnant women diagnosed with anemia after 34 weeks of gestation.
• Women aged 18 years or older.
Singleton pregnancy.
Gestational age ≥34+0 weeks at the time of anemia diagnosis.
Hemoglobin <11 g/dL measured as part of routine antenatal care.
• Known anemia not primarily due to iron deficiency.
Known hemoglobinopathies.
Severe anemia requiring immediate blood transfusion.
Previous severe hypersensitivity reaction to IV iron formulations.