I'm really worried about my 23-year-old wife. She's in her 31st week of pregnancy, and her hemoglobin level is at 9.3. Earlier, her doctor had her on Lupiheme twice daily, but now she's switched to RicherCR and recommended two Revofer injections with NS as IV. I'm concerned if the Revofer injections are safe during pregnancy. We noticed her hemoglobin didn't really go up with just the tablets. Should we go ahead with the injections, or is there hope her levels might increase with the tablets? Can you help us out with some guidance?

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

Consult Now

Given your wife's low hemoglobin level (9.3) at 31 weeks pregnant, the doctor's recommendation to administer two Revofer (iron sucrose) injections with Normal Saline (NS) as IV is a common practice to rapidly increase iron levels; Revofer is generally considered safe during pregnancy, but it's essential to monitor for potential side effects, such as allergic reactions or hypotension; since oral iron supplements (Lupiheme and RicherCR) haven't significantly increased her hemoglobin levels, IV iron may be necessary to prevent maternal and fetal complications associated with iron deficiency anemia.

Answered 17 days ago