What are we looking at in PANDA?


In PANDA, we want to answer the question: Does taking iron tablets during pregnancy help to prevent anaemia?

You might find it helpful to learn more about the role of iron during pregnancy and some of the things we currently know about taking iron supplements during pregnancy.

On this page:

PANDA logo

Why iron is important in pregnancy

Pregnant women need approximately ten times more iron to keep healthy during their pregnancy.

Iron is important in pregnancy because it helps create red blood cells which carry food and oxygen to the baby as well as the pregnant woman.

Not having enough iron causes anaemia. This can lead to pregnant women being more tired and breathless, and can sometimes cause complications for the baby and woman during pregnancy.

Iron tablets and pregnancy

Iron tablets have been given to pregnant women for decades and we know they are safe for women to take.

Taking iron tablets is the easiest way to safely boost iron levels and prevent anaemia.

Whilst iron tablets are completely safe for pregnant women and their babies, they can sometimes cause minor side effects for a woman, such as constipation, nausea or heartburn. These side effects are usually mild and not dangerous to the pregnant woman or the baby, and some side effects stop over time. These can also be symptoms that many women experience as part of a healthy pregnancy.

In the PANDA study, we want to see whether taking iron supplements from the second trimester of pregnancy helps to prevent anaemia from developing.

Getting enough iron in pregnancy

While we can get iron from food, women need much more iron during pregnancy than when they are not pregnant - approximately ten times more - to help the baby grow and to stay healthy.

Although most women get the iron they need from the food they eat when they aren't pregnant, it can be difficult to get the extra iron needed in pregnancy from food alone.

In order to get the right amount of iron from food alone, you would need to eat one of the following every day:

3 bags of spinach

3 large bags of spinach

8 boiled eggs

8 boiled eggs

Iron tablets are the best way for women to safely get the extra iron they need. Although pregnancy multi-vitamins contain iron, this is at much lower doses than prescribed iron tablets.