Ferritin Levels Following Postpartum Hemorrhage: A Case Series

Jean-Paul Russo1, Jennifer M Banayan2, Karlyn A Martin3

  • 1From the Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida.

A&A Practice
|July 2, 2026
PubMed

Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality, complicating 2% to 4% of US deliveries and exacerbating iron deficiency anemia. Ferritin is the primary biomarker for iron deficiency (ferritin <30 µg/mL), yet its reliability as a marker of iron deficiency in the acute setting of PPH remains uncertain because it also functions as an acute-phase reactant. In this case series, 10 iron-deficient women who experienced PPH following cesarean delivery all maintained ferritin <30 µg/mL postoperatively. Ferritin remained a reliable marker for iron deficiency following acute PPH in women with pre-existing iron deficiency. These observations highlight the need for larger, prospective studies to further validate ferritin's reliability following PPH.

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