Which strategy is part of postpartum iron deficiency anemia management?

• A. Vitamin B12 supplementation only
• B. Intravenous iron with no oral iron
• C. Oral iron supplementation with iron-rich foods and vitamin C; monitor constipation and stool color changes
• D. Avoid iron supplements altogether

Answer: (C)

Postpartum iron deficiency anemia is best managed by replenishing iron stores through oral iron while supporting intake of iron-rich foods and vitamin C to enhance absorption. This approach addresses the root deficiency with a safe, accessible method and helps iron levels rise gradually after delivery. Watching for constipation and changes in stool color is part of the plan because these are common, anticipated effects of oral iron therapy. If intolerance or poor response occurs, IV iron may be considered, but starting with oral iron is the standard first step. Vitamin B12 alone won’t correct iron deficiency, and avoiding iron altogether would worsen anemia, so the combination of oral iron, dietary iron, and vitamin C is the appropriate strategy.