How do you manage a patient with sickle cell disease during pregnancy?   

I refer all pregnant women with SCD to maternofetal medicine/high risk pregnancy clinic for more frequent monitoring. I recommend a baby aspirin for preeclampsia prevention (see UK guidelines). I recommend folic acid 4 mg. If they do have iron overload, I do not recommend iron supplementation. For a...

I largely agree with the above answers and comments with a few additions and modifying comments. In addition to SCD specific measures, it is imperative to regard pregnancy in this setting as high risk comprehensively. Vigilance for and management of other high risk aspects like hypertension, infe...