Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Anaemia in pregnancy

8-minute read

Key facts

  • When you have anaemia, your blood doesn’t have enough healthy red blood cells or haemoglobin to carry oxygen around your body and to your baby.
  • Iron deficiency is the main cause of anaemia during pregnancy.
  • If you have anaemia, you may feel tired and weak.
  • Anaemia during pregnancy is diagnosed by doing a simple blood test.
  • If you are found to have iron deficiency anaemia during pregnancy, your doctor may suggest that you take iron supplements or have intravenous iron (through your veins).

What is anaemia?

When you have anaemia, your blood doesn’t have enough healthy red blood cells or haemoglobin to carry oxygen around your body and to your baby.

Red blood cells are one type of cell in your blood. Their main role is to carry oxygen from your heart to the rest of your body — your brain, your muscles, your skin, your kidneys and everywhere else. Red blood cells are produced in bone marrow. They contain a protein known as haemoglobin, which is vital for carrying oxygen.

You need enough iron, vitamin B12 and folate to produce all the haemoglobin you need. If you don’t have enough of any of these nutrients, you may become anaemic.

What causes anaemia in pregnancy?

Your body changes during pregnancy, to look after your growing baby. Your body needs to make more blood when you are pregnant. On average, you will have about 5L of blood when you’re not pregnant, compared to 7 to 8L of blood near the end of your pregnancy.

Making the extra blood cells requires plenty of iron, vitamin B12 and folate to make all the extra haemoglobin needed. Iron deficiency is the main cause of anaemia during pregnancy. You need 3 times as much iron when you are pregnant than when you are not, and your iron requirements increase throughout the pregnancy.

Unfortunately, dietary iron is hard to absorb. This can make it difficult for your body to take in enough iron from the foods you eat, to make enough haemoglobin for your pregnant body’s needs. Because of this, many people become anaemic during pregnancy unless they take iron supplements.

Anaemia in pregnancy can also be caused by lack of folate (folic acid) and vitamin B12 in your diet, or by unusual bleeding, or by having a condition such as pre-eclampsia or sickle cell disease.

What are the symptoms of anaemia

Mild anaemia is common in pregnancy. If you have mild anaemia, you will feel a little tired. If you have severe anaemia, you may feel as if you are constantly out of breath. You may also feel weak, dizzy, irritable and find it hard to concentrate. You may experience palpitations (a fast heartbeat).

How is anaemia in pregnancy diagnosed?

You would usually have a blood test around the time you first see a doctor or midwife about your pregnancy; and again at 28 weeks to check your full blood count. Your haemoglobin level will be checked as part of this test. You might have further tests if your haemoglobin is low for your stage of pregnancy.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, dietitians and pharmacies near you.

How is anaemia in pregnancy treated?

If you are diagnosed with iron deficiency anaemia during pregnancy, your doctor may recommend iron supplements. Your doctor will continue to monitor your haemoglobin levels.

Some people who take iron supplements have side effects that include nausea or constipation. If you are finding it difficult to take iron supplements because of the side effects, or if your doctor sees that your haemoglobin levels aren’t rising even when you take the supplements regularly as prescribed, you may be offered treatment with intravenous iron (iron through your vein, also known as IV).

ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.

What are the risks if I am anaemic while pregnant?

Being severely anaemic can affect your heart and make you more unwell if you lose a lot of blood during the birth.

How can anaemia in pregnancy be prevented?

There are 3 good ways to prevent anaemia during pregnancy:

  • Start your pregnancy in good health.
  • Eat well while pregnant.
  • Take iron supplements if your doctor or midwife says you need to.

Starting pregnancy in good health

If you are thinking about becoming pregnant, you should see your doctor and get a check-up. At this time, you will get advice about anaemia and other conditions, and particularly about taking iodine and folate supplements.

People planning a pregnancy need to take a folic acid supplement for at least a month before becoming pregnant and continue this for at least the first 3 months of pregnancy. Taking folic acid supplements will decrease the risk of neural tube defects such as spina bifida. The standard dose is 0.5mg of folic acid per day. A higher dose may be recommended if you have diabetes, epilepsy, overweight or obesity or have had a child with a neural tube defect. Your doctor can recommend the correct dose for you.

It is also recommended to consume 150mcg iodine through supplements as well as having iodine as part of a healthy diet. Iodine is used in the body to produce thyroid hormones. It is essential for the baby’s development and if you are pregnant, you will need more iodine that the average person.

Eating well while pregnant

Eating a healthy diet helps to protect against anaemia. Iron is found in meats, iron fortified breads and cereals, eggs, spinach and dried fruit. Vitamin B12 is found in meat, fish, shellfish, eggs and dairy products. High levels of folate are found in green leafy vegetables, beans, muesli, broccoli, beef, Brussels sprouts and asparagus. Eating a diet rich in these foods will help prevent anaemia.

If you are vegetarian, you can replace animal foods with lentils, beans, tofu, eggs and soy drinks.

Eating plenty of citrus fruit and avoiding tea and coffee with or soon after meals, may help you absorb the iron in your food, and may help prevent anaemia.


If you are planning a pregnancy, ask your doctor or pharmacist to recommend an iodine and folate supplements before pregnancy and for the first 3 months. Your health team may also recommend that you take iron supplements if your blood tests show that you are iron deficient or are at risk of becoming iron deficient.

Vegetarians and vegans may be advised to take vitamin B12 supplements. If you are considering taking supplements, talk to your doctor or dietitian about the best ways to take them, and how to avoid any possible side effects.

Resources and support

Nutrition Australia also provides fact sheets on iron rich foods.

The Thyroid Foundation provides advice on iodine supplementation.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: January 2023

Back To Top

Need more information?

Iron deficiency anaemia -

Iron deficiency anaemia is when lack of iron means that the blood does not produce enough haemoglobin. A prolonged deficiency will produce anaemia.

Read more on myDr website

Iron deficiency anaemia in children -

Many children do not get enough iron from their diet to meet the demands of their growing bodies. This can result in low body iron and eventually iron deficiency anaemia (low haemoglobin).

Read more on myDr website

Iron studies | Pathology Tests Explained

Iron is needed to help form adequate numbers of normal red blood cells, which carry oxygen throughout the body. Iron is a critical part of haemoglobin, the p

Read more on Pathology Tests Explained website


Anaemia describes a condition where there is a low red blood cell count or low haemoglobin level.

Read more on WA Health website

Anaemia -

If results from a full blood count indicate you have anaemia, there are further blood tests that can be done to determine the cause of your anaemia.

Read more on myDr website

Anaemia in children & teenagers | Raising Children Network

Anaemia is usually caused by not having enough iron in your body. Children with anaemia might look pale and get tired. It’s a good idea to see your doctor.

Read more on website

Anaemia - Better Health Channel

When a person is anaemic, the red blood cells have to work harder to get oxygen around the body.

Read more on Better Health Channel website

Pregnancy and childbirth | Lifeblood

Anaemia, bleeding, prevention of haemolytic disease of the newborn and immune platelet disorders are conditions that can happen during or immediately after pregnancy and need treatment.

Read more on Australian Red Cross Lifeblood website

Thalassaemia - Better Health Channel

Thalassaemia is an inherited blood disorder that can cause anaemia or death if not treated.

Read more on Better Health Channel website

Vegetarian diets: children & teenagers | Raising Children Network

Children and teens who choose vegetarian diets need to eat a wide variety of fresh foods to get enough protein, omega-3 fatty acids, iron and vitamin B12.

Read more on website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.