Iron deficiency anaemia prevalence in a population of immigrated women in Italy

Morrone, Andrea; Nosotti, L.; Piombo, L.; Scardella, P.; Spada, Raffaella; Pitidis, Alessio

doi:10.1093/eurpub/ckq144

Cited by 17 publications

(27 citation statements)

References 9 publications

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“…We also documented a significant positive correlation between maternal Hb and low birth weight which is in line with previous studies [33] [34]. On the other side other studies failed to find such relationship [35] [36] [37] [38].…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Maternal Anemia in Pregnancy: The Effect of Maternal Hemoglobin Level on Pregnancy and Neonatal Outcome

Youssry¹,

Radwan²,

Gebreel³

et al. 2018

OJOG

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Objective: The aim of our study is to assess the prevalence of anemia in pregnant women, and to evaluate the effect of severity of anemia on maternal and perinatal outcome. Methods: This retrospective cohort study was conducted at the Department of Obstetrics and Gynecology from hospital records. Study population of all pregnant women who had delivered in our hospital after twenty weeks gestation between July 2014 and December 2016. Results: A total of 2654 pregnant women fulfilled the inclusion criteria, 42% were anemic, 83.3% mild anemia group (I) which represents the majority of patients and 16.7% moderate to severe anemia group (II). The majority of cases were due to iron deficiency anemia 92.8%, while 7.2% were due to sickle cell trait, B-thalassemia intermedia, and other causes. The incidence of postpartum hemorrhage, cesarean delivery, and infections was significantly higher in group II compared to group I (5.4%, 40.3%, 3.8% Vs, 2.9%, 31.0%, 2.0%; p = 0.007, 0.041, 0.043 respectively). Low Apgar score, preterm labor, and low birth weight babies were significantly higher in group II compared to group I (11.8%, 12.9%, 11.3% Vs 8.7%, 9.0%, 7.4%; p = 0.034, 0.046, 0.032). Conclusions: This study clarified that anemia is prevalent among pregnant women particularly mild anemia. Early diagnosis and treatment from first trimester has an essential role in managing maternal anemia and it reflects directly on the perinatal outcome. Prematurity, low birth weight infants, and postpartum hemorrhage are the commonest maternal and neonatal complications.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Maternal Anemia in Pregnancy: The Effect of Maternal Hemoglobin Level on Pregnancy and Neonatal Outcome

Youssry¹,

Radwan²,

Gebreel³

et al. 2018

OJOG

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“…Then, we combined studies using a random effects model and no significant relationship was observed between maternal anemia in the third trimester of pregnancy and LBW (relative risk, 1.21 [95% CI: 0.84 to 1.76] (9, 10, 16, 20, 29-32). Yildiz’s study had the highest weight (31).…”

Section: Resultsmentioning

confidence: 99%

“…Different studies with different values of relative risk and confidence interval were previously conducted (8-11, 16, 18-20, 22-24, 28-33). Various maternal criteria such as anemia, age, intervals between pregnancies, physical tumor factor and weight loss were included in this study.…”

Section: Discussionmentioning

confidence: 99%

Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis

Rahmati

Delpishe

Azami

et al. 2017

IJRM

107

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Background: Infant low birth weight is one of the major problems in different societies. Different reports have provided different results regarding the relationship between maternal anemia and infant low birth weight in different months of pregnancy. Objective:The aim of this study was to determine the relationship between maternal anemia during pregnancy and infant low birth weight.Materials and Methods:This systematic review was conducted using related keywords in national (Sid, Iran.doc, Iran medex and Magiran) and international (PubMed, Science Direct, Cochrane, Medline, Web of Science, Scopus, Springer, Embase, Google scholar) databases. Relative risks and confidence intervals were extracted from each study. The results were combined using random-effects model for meta-analysis. The I2 index was also used to measure heterogeneity between the studies.Results:Overall, 17 studies with a total sample size of 245407 entered the final meta-analysis and demonstrated that the relative risk for maternal anemia in the first, second and third trimester of pregnancy were 1.26 (95% CI: 1.03-1.55), 0.97 (95% CI: 0.57-1.65), and 1.21 (95% CI: 0.84-1.76), respectively. The relationship between maternal anemia and infant low birth weight in the first trimester of pregnancy was significant. Conclusion:Maternal anemia, especially during the first trimester of pregnancy, can be considered as a risk factor for pregnancy outcomes. Therefore, one needs to take the necessary steps to cure this disease in order to reduce the incidence of infant low birth weight.

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“…We found no other studies in the literature comparing the iron status of preschool-aged immigrants with non-immigrants and only one study suggesting American Hispanic children has worse iron status compared with white non-Hispanic children 9. Studies on pregnant women suggest immigrant women have higher rates of ID compared with native-born women 36 37…”

Section: Discussionmentioning

confidence: 74%