Update 5

After 2 weeks the patient stopped taking the iron tablets as she was struggling with abdominal discomfort and constipation.  She is prescribed an IV iron infusion for later that week and attends for this but unfortunately she notices some discomfort and some brown discolouration spreading in her anticubital fossa a few minutes into the infusion.  The infusion is stopped. 

Questions:

  • What has happened here?
  • Are there any contraindications for iron infusions?
  • Are there any further steps which need to be taken to prepare for her labour?

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