Urinary Infection and Anaemia in Pregnancy

Giles, Chrissie; Brown, Julie

doi:10.1136/bmj.2.5296.10

Cited by 35 publications

(4 citation statements)

References 9 publications

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“… 5 6 10 12 It is known that there is a causal relationship between infections and anaemia during pregnancy. 11 We found a significant additive effect of infection and moderate–severe anaemia on increased risk of PPH, but this was not observed for the infant outcomes.…”

Section: Discussioncontrasting

confidence: 58%

“…While untreated iron deficiency anaemia can itself lead to adverse outcomes, its negative effects may be aggravated by the presence of other risk factors such as infections during pregnancy (malaria, 10 urinary tract infection (UTI), 11 helminthic infections 12 ). Additionally, studies have suggested that induction of labour is associated with increased risk of PPH.…”

Section: Introductionmentioning

confidence: 99%

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Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India

Choudhury²,

et al. 2016

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ObjectivesTo examine the association between maternal anaemia and adverse maternal and infant outcomes, and to assess the feasibility of conducting epidemiological studies through the Indian Obstetric Surveillance System–Assam (IndOSS-Assam).DesignRetrospective cohort study using anonymised hospital records. Exposure: maternal iron deficiency anaemia; outcomes: postpartum haemorrhage (PPH), low birthweight, small-for-gestational age babies, perinatal death.Setting5 government medical colleges in Assam.Study population1007 pregnant women who delivered in the 5 medical colleges from January to June 2015.Main outcome measuresORs with 95% CIs to estimate the association between maternal iron deficiency anaemia and the adverse maternal and infant outcomes. Potential interactive roles of infections and induction of labour on the adverse outcomes were explored.Results35% (n=351) pregnant women had moderate–severe anaemia. Women with severe anaemia had a higher odds of PPH (adjusted OR (aOR) =9.45; 95% CI 2.62 to 34.05), giving birth to low birthweight (aOR=6.19; 95% CI 1.44 to 26.71) and small-for-gestational age babies (aOR=8.72; 95% CI 1.66 to 45.67), and perinatal death (aOR=16.42; 95% CI 4.38 to 61.55). Odds of PPH increased 17-fold among women with moderate–severe anaemia who underwent induction of labour, and 19-fold among women who had infection and moderate–severe anaemia.ConclusionsMaternal iron deficiency anaemia is a major public health problem in Assam. Maternal anaemia was associated with increased risks of PPH, low birthweight, small-for-gestational age babies and perinatal death. While the best approach is prevention, a large number of women present with severe anaemia late in pregnancy and there is no clear guidance on how these women should be managed during labour and delivery.

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Section: Discussioncontrasting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India

Choudhury²,

et al. 2016

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“…Giles C et al in their study observed that Urinary infection was more than twice as common in the anaemic patients as in the controls. 16 Parasitic diseases like hookworm, roundworm and malaria cause iron deficiency anaemia through the process of intestinal blood loss and through nitric oxide (NO) release and can exacerbate anaemia and adverse birth outcomes. 17,18 This is also corroborated in the present study .Getachew M et al found significant correlation between increasing hookworm parasite load and decreasing haematocrit value.…”

Section: Discussionmentioning

confidence: 99%

Anaemia in term pregnancy: influence on maternal and perinatal outcome and role of demographic factors

Miglani

Bhangadia

Kadam

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: The aim is to study maternal and perinatal outcome and various demographic factors in term pregnancy complicated with anaemia at DDU Hospital.Methods: Hospital based prospective observational analytical study. 200 pregnant women reporting to antenatal clinic or admitted to the Hospital in labour/not in labour after 36+6weeks of pregnancy were taken as study subjects. Study duration was one year between July 2017 to June 2018.Results: The prevalence of mild, moderate and severe anaemia was 25%, 56% and 19% respectively. Education status, socioeconomic status, ANC visit, interpregnancy interval were significantly associated with anemia(p<0.05). Significant association was observed between occurrence of PPH and severity of anaemia(OR 12.77; CI 2.32 to 70.12). The incidence of LBW increased with severity of anaemia. (OR-6.25;CI 2.6 to 15). There was a statistically significant difference found in prevalence of IUGR babies. The risk of Apgar score <8 increased with severity of anaemia. Perinatal mortality was observed in 8% subjects with anaemia as compared to 3% in subjects without anaemia.Conclusions: Maternal anaemia is a major public health problem. Simple steps taken to correct anaemia in female contemplating pregnancy and pregnant women can definitely have far reaching influences on maternal and perinatal morbidity.

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“…8 Asscher et al 4 in a study of specimens found that the pH was significantly greater in females than in males. As an additional factor favoring bacterial growth, the osmolality of the urine was significantly lower in females.…”

Section: Prediapo•ing Factor•mentioning

confidence: 96%

Screening for Bacteriuria in Pregnancy

Slowinski

1968

Postgraduate Medicine

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Urinary Infection and Anaemia in Pregnancy

Cited by 35 publications

References 9 publications

Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India

Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India

Anaemia in term pregnancy: influence on maternal and perinatal outcome and role of demographic factors

Screening for Bacteriuria in Pregnancy

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