INTRODUCTION: Pregnancy induced hypertension (PIH) of anemia pregnant women is a major contributor to adverse birth outcomes of newborns. This research aims to assess the association between pregnancy induced hypertension of anemia pregnant women and poor birth outcomes of newborns, especially body length of newborns at delivery.MATERIAL & METHODS: One hundred and eight pregnant women are enrolled according to the inclusion criteria. Sociodemographic data, anthropometric measurements, obstetric profiles (gravida), and data of systolic and diastolic blood pressure were collected in this study. Trained midwives drew blood samples from pregnant women as the study samples to measure their hemoglobin (Hb) concentrations and to assess their anemia. Gestational age (GA), types of delivery, anthropometric measurements of newborns (length, weight, head circumference, abdominal circumference and chest circumference) were conducted at delivery. Univariate and bivariate linear analyses were conducted to compare birth outcomes of newborns for each groupRESULTS: Of the total 108 pregnant women as the study samples, 25 pregnant women had blood pressures at normal level and normal Hb concentrations, 36 pregnant women had pregnancy induced hypertension (PIH), 29 pregnant women had anemia and 18 pregnant women had pregnancy induced hypertension (PIH) of anemia pregnant women respectively. All groups showed significantly different characteristics of pregnant women in terms of age (p = 0,027), height (p = 0,019), weight (p = 0.000), body mass index (BMI) (p = 0,001), Hb concentration (p = 0.000), systolic blood pressure (p = 0.000), diastolic blood pressure (p = 0.000). Mean length of newborns was significantly lower in pregnancy induced hypertension (PIH) with anemia pregnant women (p = 0.001). Statistical tests showed that there were negative correlations between maternal Hb concentrations and birth length (p = 0.024) as well as blood pressure and birth length (p = 0.000).CONCLUSION: The average length of newborns in pregnancy induced hypertension (PIH) and pregnancy induced hypertension (PIH) of anemia pregnant women was statistically significant shorter length (stunting) than the normal group. Thus, it is suggested that women who give birth with these conditions should pay more attention to the intake of good nutrition in the first 5 years of their children (the gold period) to prevent long-term adverse effects.
Introduction: The length of stay (LOS) for pregnant mothers with vaginal delivery is different from that of caesarean delivery. Hypertension during pregnancy may be an indication to conduct caesarean delivery that affects length of stay in hospitals. Material and Methods:The total collected samples were 108 pregnant mothers and they were divided into 2 groups, 54 pregnant mothers with normal blood pressure and 54 pregnant mothers with hypertension. Maternal characteristics, routine hematology, blood pressure (BP) status, type of delivery and length of stay were analyzed.Results: Type of delivery, maternal age, height, weight, body mass index (BMI), systolic blood pressure, diastolic blood pressure, length of stay, and routine hematologic profile except leukocytes showed statistically significant correlations with hypertension for the total 108 pregnant mothers. Pregnant mothers with caesarean delivery due to pregnancy induced hypertension (PIH) was threefold than those of normal blood pressure (95% confidence interval, 1.343-6.563). Statistical analyses indicated significant correlations between type of delivery and length of stay for pregnant mothers with hypertension after delivery (p-value = 0.000). Conclusion:On average, pregnant mothers who had hypertension with caesarean delivery spent at least 49-72 hours in the hospital after delivery. Indeed, the Royal College of Obstetricians and Gynecologists recommended that pregnant mothers with vaginal delivery should stay in a hospital for 1 or 2 days and those with caesarean section were suggested to stay 3 or 4 days after delivery. However, some pregnant mothers in this study spent shorter time to stay at the hospital after delivery. Therefore, it is suggested for pregnant mothers to stay at a hospital in a more sufficient period of time after delivery to give an adequate time for physicians to classify, to diagnose, or to treat complications after delivery.
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