Maternal Anaemia and Neonatal Outcome: A Prospective Study on Urban Pregnant Women

Kaur, Manpreet; Chauhan, Aarti; Manzar, Dilshad; Rajput, Mohammad Muntafa

doi:10.7860/jcdr/2015/14924.6985

Cited by 28 publications

(24 citation statements)

References 15 publications

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“…This is also different from that of the findings in study conducted by Kaur et al in which the head circumference of babies born to anemic mothers was significantly lower compared to babies born to non anemic mothers. 15 The lack of association between maternal anaemia and head circumference may be because mothers with anemia in 1 st trimester were lower in the present study compared to previous studies and it is anemia in 1 st trimester that has been found to result in lower head circumference in babies in most of the studies .…”

Section: Discussioncontrasting

confidence: 79%

Effect of maternal anaemia on birth weight of term babies

Nair¹,

Gireesh²,

Yakoob³

et al. 2018

Int J Contemp Pediatr

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Background: Low birth weight is the major determinant of mortality, morbidity and disability in infancy and childhood and has a long-term impact on health outcome in adult life. The objectives of this study were to study the relationship between maternal anemia and birth weight of babies and to study anthropometric measures of babies born to anemic and non-anemic mothers and to correlate the timing of anemia with birth weight of babies.Methods: Term babies born in Institute of Maternal and Child Health, Government Medical College, Kozhikode from November 2014 to October 2016 fulfilling the criteria were divided into 2 groups, cases (term babies with birth weight <2500g) and controls (term babies with weight >2500g) and studied and their maternal hemoglobin values were compared.Results: Maternal anaemia in all three trimesters was found to be more in cases compared to controls. Mean 1st trimester hemoglobin of cases was 10.68 g/dl which was significantly lower when compared to controls. Mean 2nd trimester hemoglobin of cases was 10.36 g/dl compared to 11.47 g/dl in controls. Mean 3rd trimester hemoglobin of cases was 10.42 g/dl which was also significantly lower compared to 11.32 g/dl in controls. SGA babies were also found to be more in cases, 89%, compared to 18% in controls. The difference in head circumference between two groups was not statistically significant. Mean length of babies were higher in controls compared to cases. Mothers with anemia at any time during pregnancy was found to have 4.3 times higher risk of giving birth to low birth weight babies compared to non-anemic mothersConclusion: Anemia during pregnancy is a risk factor for low birth weight and SGA, independent of the trimester. Length of babies born to anaemic mothers is also low. But it does not have a significant effect on head circumference of babies.

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Section: Discussioncontrasting

confidence: 79%

Effect of maternal anaemia on birth weight of term babies

Nair¹,

Gireesh²,

Yakoob³

et al. 2018

Int J Contemp Pediatr

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“…The main perinatal outcomes were accepted as stillbirth, gestational diabetes mellitus (GDM), PIH, PB, neonatal intensive care unit (NICU) admission, PPH, CS, and low Apgar scores, and these outcomes were obtained from hospital records. Stillbirth was judged as the death of a fetus during delivery ( 8 ) . GDM was established as if one or more of the followings were increased in the 75 g oral glucose tolerance test: fasting glucose ≥92 mg/dL, ≥180 mg/dL at 1 hour, and ≥153 mg/dL at 2 hours ( 9 ) .…”

Section: Methodsmentioning

confidence: 99%

The effect of first trimester hemoglobin levels on pregnancy outcomes

Çakmak¹,

Türker²,

Öztaş³

et al. 2018

tjod

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Objective:The relationship between hemoglobin levels and pregnancy outcomes is still a challenging issue. There is a supported opinion about the increased adverse pregnancy outcomes both with low and high hemoglobin levels. In this study, we aimed to evaluate this association for first trimester hemoglobin levels in a Turkish population.Materials and Methods:In this retrospective study, 1306 women who were followed up during their pregnancy and gave birth in our clinic were enrolled. The patients were divided into three groups: hemoglobin <11 g/dL (n=490), 11≤ hemoglobin <13 g/dL (n=673), and hemoglobin ≥13 g/dL (n=143). The hemoglobin <11 g/dL group was classified into two subgroups as hemoglobin ≤9 g/dL (n=64) and hemoglobin >9 g/dL (n=426). Demographic characteristics, first trimester hemoglobin levels, gestational age at delivery and mode, birth weight, Apgar scores, and pregnancy outcomes were recorded and compared between the groups.Results:Pregnancy-induced hypertension, preterm birth, neonatal intensive care unit admission, birth weight, gestational age at delivery, Apgar scores, and postpartum hemorrhage were significantly different between the three groups. In the pairwise comparison, gestational age at delivery, birth weight, and first minute Apgar scores were higher in the 11≤ hemoglobin <13 g/dL group, and pregnancy-induced hypertension was more common in the hemoglobin ≥13 g/dL group as compared with the others. Moreover, the preterm delivery rate was highest in the hemoglobin ≥13 g/dL (26.6%) group and lowest (7.3%) in the 11≤ hemoglobin <13 g/dL group. The neonatal intensive care unit admission rate was higher both the hemoglobin <11 g/dL and hemoglobin ≥13 g/dL groups. Postpartum hemorrhage was more common in the hemoglobin <11 g/dL group as compared with the other groups. Furthermore, pregnancy-induced hypertension was more common in the hemoglobin ≤9 g/dL subgroup (p=0.012).Conclusion:In conclusion, both low and high hemoglobin levels are related with adverse pregnancy outcomes. We suggest that hemoglobin levels must be screened during pregnancy to provide maternal and fetal well-being.

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“…due to iron deficiency [13]. Evidences indicate that maternal anemia aggravates maternal mortality and prenatal problems [14].…”

Section: Journal Of Nutritional Disorders and Therapymentioning

confidence: 99%

Epidemiology of Malnutrition among Pregnant Women and Associated Factors in Central Refit Valley of Ethiopia, 2016

Mariyam¹,

Dibaba²

2018

J Nutr Disorders Ther

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Background: Pregnancy strongly depends on the health and nutritional status of women. High proportion of pregnant women affected with poor nutrition which leads them to unhealthy and distress condition. Nutritional problem alongside difficulty of ecological exacerbates public health problem. Determining the extent of problems and predicting marked health indicator require extensive studies to improve pregnant women health to reduce maternal in lowland distracts.Objective: This study aimed to determine the magnitude of malnutrition among pregnant women and associated factors in the central rift valley of Ethiopia, 2016. Methods:Community based cross-sectional study design was conducted using quantitative data collection method. Study area was selected using Handy ® GPS system. Systematic sampling was used to select 616 pregnant women. Nutritional status of study participants were identified using MUAC tape, Height and Weight measured using stand standard height and weight digital scale. Blood sample was taken using Hb 301 Microcuvettes and determined hemoglobin level with HemoCue Hb 301® Analyzer. Hb level was adjusted for Altitude and trimesters. The collected data was entered and analyzed by SPPS version 20. Result:The prevalence of malnutrition among pregnant women was 31.8%. MUAC <21 cm had significant association with Hemoglobin <11 g/dl accounted for 42%. MUAC (AOR, 2.39; 95%CI (1.7, 3.5), Height (AOR, 3.55; 95%CI (2.14, 5.87), ANC services dissatisfaction (AOR, 1.66; 95%CI (1.18, 2.34) and utilized family planning method (AOR, 0.55, 95%CI (0.38, 0.81) were factors associated with maternal malnutrition. Moreover, hypertension 3.9%, severe anemia 0.8%, observed edema 1.9%, and reported infections 4.4 were prevalence in the study population. Conclusion:Maternal malnutrition is highly prevalent in the study area. Anemia, short stature, MUAC<21 cm, ANC service dissatisfaction, not utilizing family planning, teen age pregnancy were the most occurring maternal malnutrition. Integrated programs works are needed to feel the gap for women focused intervention specifically for ecological affected districts.

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Maternal Anaemia and Neonatal Outcome: A Prospective Study on Urban Pregnant Women

Abstract: Maternal haemoglobin has a positive relationship with the neonatal measures of weight, length and head circumference.

Cited by 28 publications

References 15 publications

Effect of maternal anaemia on birth weight of term babies

Effect of maternal anaemia on birth weight of term babies

The effect of first trimester hemoglobin levels on pregnancy outcomes

Epidemiology of Malnutrition among Pregnant Women and Associated Factors in Central Refit Valley of Ethiopia, 2016

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