Early Antenatal Support for Iron Deficiency Anemia

This study is evaluating early antenatal (prenatal) support and treatment strategies for pregnant women with iron deficiency anemia — a common condition during pregnancy where the blood does not carry enough oxygen due to low iron levels. The study aims to find the most effective way to treat this condition early in pregnancy to protect both mother and baby. You may be eligible if: - You are at least 18 years old - You are pregnant with a single baby (not twins or more) - You are less than 24 weeks pregnant - Your hemoglobin (Hb) is between 9.0 and below 11.0, with evidence of iron deficiency anemia (ferritin below 30 and/or iron saturation below 20%) You may NOT be eligible if: - You have sickle cell disease (sickle cell trait is okay) - You have acute anemia that requires a blood transfusion or IV iron right away - Your baby has a known major birth defect or chromosomal problem - You have already received IV iron during this pregnancy - You have severe heart, kidney, or liver disease - You have an autoimmune disease such as lupus - You are allergic or have a contraindication to either study medication - You have had reactions to IV iron products in the past Talk to your obstetrician or midwife if you are pregnant and have been told you have iron deficiency anemia.