hello group, I would like to know how your institutions deal with the administration of iron after transfusion.

In the past, we paused iron supplementation during three days after a blood transfusion. However, we thought this routine did not really make sense as the iron load from a blood transfusion would correspond to ~1 month of iron supplementation

In infants with many transfusions, we do check S-Ferritin, and halt iron supplementation if S-Ferritin is >350 μg/L.

We do not pause iron supplementation

We pause for one week and then check ferritin level; restart if ferritin is <300, otherwise wait 1-2 weeks.

We start iron supplements at 6 weeks and find most babies not requiring blood transfusions after this time. But should need arise we don't pause them.

dont stop iron