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Ferric Carboxymaltose as an Effective and Safe Alternative to Iron Sucrose for Treatment of Iron Deficiency Anemia during Pregnancy Cover

Ferric Carboxymaltose as an Effective and Safe Alternative to Iron Sucrose for Treatment of Iron Deficiency Anemia during Pregnancy

Open Access
|Nov 2025

Figures & Tables

Comparison of maternal and neonatal outcomes in the two groups_

Group I (FCM)Group II (FeS)
Total patients with symptomsn = 23 (%)n = 19 (%)
  Improvement in 1 week15 (65.21)15 (78.95)
  Improvement in 2 weeks7 (30.43)4 (21.05)
  Improvement in 3 weeks1 (4.35)0
Side effects
  Major side effects00
  Minor side effects03 (6.5)
Gestational age at delivery
  Term (37–42 weeks)47 (95.9)46 (100)
  Preterm (< 37 weeks)1 (2.04)0
  Postterm (> 42 weeks)1 (2.04)0
Birth weight
  Low birth weight (< 2.5kg)1 (2.04)3 (6.53)
  Normal birth weight (2.5–4kg)48 (97.96)42 (91.3)
  Macrosomia (> 4kg)01 (2.18)
NICU admission
  Required2 (4.08)2 (4.34)
  Not required47 (95.91)44 (95.65)

Baseline characteristics of study participants in the two groups_

CharacteristicsGroup I (FCM)Group II (FeS)p value
Age (year)*25.49 ± 4.6325.36 ± 3.940.90
BMI (kg/m2)*23.77 ± 3.5524.54 ± 1.110.35
Gravidity*1.89 ± 1.111.78 ± 0.980.63
Haemoglobin (g/dL)*8.61 ± 0.878.55 ± 0.780.78
Serum ferritin (ng/mL)**6.4 (1.8–25.9)6.85 (0.6–16.9)0.87
Serum iron (mcg/dL)**25 (11–292)17 (8–391)0.06
MCV (fL)*73.52 ± 9.0573.08 ± 8.050.82
TIBC (mcg/dL)*540.38 ± 99.55562.17 ± 107.150.36
Reticulocyte count (%)*2.01 ± 0.661.91 ± 0.580.46

Change in haematological indices after parenteral iron therapy_

VariableGroup I (FCM)Group II (FeS)p value
Haemoglobin (g/dL)
  Rise after 14 days*1.69 ± 0.982.25 ± 0.910.01
  Rise after 28 days*2.50 ± 1.152.85 ± 1.180.20
Serum ferritin (ng/mL)
  Rise after 14 days**310.60 (89.20–1203.20)148.55 (0.20–516.19)< 0.001
  Rise after 28 days**94.10 (18.20–1035.40)71.60 (0.10–473.85)0.001
MCV (fL)
  Rise after 14 days**8.2 (0.0–24.2)9.8 (3.1–23.47)0.10
  Rise after 28 days**10.1 (0.60–26.8)11.2 (0.0–21.27)0.71
Reticulocyte count (%)
  Rise after 14 days**0.82 (0.00–3.89)0.91 (0.00–2.63)0.65
  Rise after 28 days**0.86 (0.01–2.25)0.72 (0.06–1.80)0.27
TIBC (mcg/dL)
  Fall after 14 days**133.0 (5–307)99 (7–254)0.20
  Fall after 28 days**192 (17–411)139 (23–336)0.05
DOI: https://doi.org/10.34763/jmotherandchild.20252901.d-25-00018 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 187 - 192
Submitted on: Mar 16, 2025
Accepted on: Aug 16, 2025
Published on: Nov 5, 2025
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Aparajita Singh, Manu Goyal, Shashank Shekhar, Pratibha Singh, Praveen Sharma, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.