Arslan, Necmi Siirt Merkez Kooperatif Aile Sağlığı Merkezi, Türkiye , Tanrıverdi, Mehmet Halis Dicle Üniversitesi - Tıp Fak - Aile Hekimliği AD, Türkiye , Aslanhan, Hamza Palu Devlet Hastanesi, Türkiye , Dane, Banu Bezmialem University - Faculty of Medicine - Department of Gynecology and Obstetrics, Turkey

The effects of anemia in pregnancy on the mode of delivery and newborn

26959

Objective: The aim of this study is to evaluate the effects of anemia in pregnancy on the mode of delivery and new-born. Methods: Between June and October 2009, 307 pregnant women were evaluated in terms of hemoglobin (Hb) and hematocrit (Hct) values, and delivery mode retrospectively. And also, the first and fifth minute Apgar scores, birth weight, and the values of Hb, Hct, and bilirubin, which obtained from the cord blood of neonates, were analyzed. Pregnant women were divided into two groups and classified as: hemoglobin value under 11.1 g / dl as anemic and the others as non-anemic group. In addition, the anemic group were divided into three group in terms of hemoglobin value, as follows: Group 1: 10.1 -11 mg/dl, group 2: 9.1 - 10 mg/dl, and group 3: 9 mg/dl. Results: In the study, 146 pregnants were anemic, while the 161 were non-anemic. The rate of low birth weight neonates was significantly higher in anemic pregnant women (p=0.029). The values of Hb (p=0.026) and Htc (p=0.006) were found to be lower in the anemic pregnant’ neonates. The incidence of low birth weight was significant increased when the maternal Hb value was smaller than 10g/dl (62.5% sensitivity, 74.7% specificity). Conclusion: It is observed that the low birth weight and the low values of Hb and Hct were more common in anemic pregnant neonates. Therefore, anemia should be screened and treated during the pregnancy due to the potential negative consequences.

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Pregnancy , anemia , hemoglobine , hematocrit , low birth weight

Dicle Medical Journal

143