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

Year 2014, Volume: 41 Issue: 1, 138 - 143, 01.03.2014
https://doi.org/10.5798/diclemedj.0921.2014.01.0388

Abstract

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:

References

  • William F. Kern, MD. Hemotology PDQ, 1.Baskı, Istanbul, Istanbul Medikal yayıncılık , 2005;1-15.
  • Tunalı A. Kan Hastalıkları. İç Hastalıkları, Bursa: Güneş Ki- tabevi. 1990;7:699–716.
  • Günalp S, Tuncer S. Kadın hastalıkları ve doğum tanı ve te- davi. Ankara, Pelikan yayıncılık,2004:273-291.
  • Rush D. Nutrition and maternal mortality in the developing world. Am J Clin Nutr 2000;72:212-240.
  • World Health Organization (WHO). Essential Care Practice Guide: Pregnancy, Childbirth and Newborn Care. Draft. 2000
  • Milman N, Bergholt T, Byg KE, et al. Iron status and iron balance during pregnancy. A critical reappraisal of iron supplementation. Acta Obstet Gynecol Scand 1999;78:749- 757.
  • Nelson-Piercy C. Handbook of obstetric medicine. Martin Dunitz LTD.2003:250-268
  • WB Sounders, High-Risk Pregnancies. İn: Behrman RE, Kliegman RM Jenson HB, eds. Nelson Textbook of Pediat- rics, 16th edn. Philedelphia, 2000 :540
  • Gayer B, Feedman Ma, Strabino DM, et al. Annual summary of vital statistics: trends in the health of Americans during the 20th century. Pediatrics 2000;106:1307-1317.
  • Rasmussen KM. Is there a causal relationship between iron deficiency or iron-deficiency anemia and weight at birth, length of gestation and perinatal mortality? J Nutr 2001;131:590-603.
  • Allen HL. Anemia and iron deficiency; effects on pregnancy outcome. Am J Clin Nutr 2000;71(suppl):1280-1284.
  • Scholl TO, ReillyT. Anemia, iron and pregnancy outcome. J Nutr 2000; 1300:443-447
  • Cunningham FG, Bont NF, Leveno KS, et al. Maternal Ad- aptations to Pregnancy. Williams Obstetrics 21st edition. USA: Th McGrow-Hill Companies. 2001;8:167–200.
  • Souminen P, Punnone K, Rajamaki A, Irjala K. Evaluation of new immunoenzymometric assay for measuring soluble transferrin receptor to detect iron deficiency in anemic pa- tients. Clinical Chemistry, 1997;43:1641–1646.
  • Benoist B, McLean E, Egli I, Cogswell M. WHO Library Cataloguing-in-Publication Data Worldwide prevalence of anaemia 1993–2005. WHO Global Database on Anaemia, 2008.
  • Hurell R, Bothwell T, Cook JD, et al. SUSTAIN Task Force. The usefulness of elemental iron for cereal flour fortifica- tion: a SUSTAIN task force report. Nutr Rev 2002;60:391– 406.
  • Malhotra M, Sharms JB, Murthy NS, Aroro R. Maternal and perinatal outcome in varying depress of anemia. Int J Gynecol Obstet 2002;79:93–100.
  • Zhang Q, Li Z, Ananth CV Prevalence and risk factors for anaemia in pregnant women: a population-based prospec- tive cohort study in China. Paediatr Perinat Epidemiol 2009;23:282-291.
  • Choi JW, Kim CS, Pai SH. Erythropoietic activity and soluble transferrin receptor level in neonates and maternal blood. Acta Paediatr 2000;89:675-679.
  • Tekinalp GT, Oran O, Gürek B, Saraçel M. Relationship between maternal and neonatal iron stores. Turk J Pediatr 1996;38:439–445.
  • Milman N, Iboen KK, Christensen JM, Serum ferritin and iron status in mothers and newborn infants. Acta Obstet Gy- necol Scand 1987;66:2005-2024.
  • Thararaj VK, Sostry G, Reddy V, Relation between mater- nal and cord serum ferritin. Indian Pediatr 1986;23:29–32.
  • Kilbride J, Baker TG, Parapia LA, Khoury SA. Anemia dur- ing pregnancy as a risk factor for iron-deficiency anemia in infancy, a case-control study in Jordon. Int J Epidemiol 1999;28:461-468.
  • Okuyama T, Tawoda T, Furuya H, Villec CA. The role of transferrin and ferritin in the fetal-maternal-placental unit. Am J Obstet Gynecol 1985;152:344–350.
  • Harthoorn-Loothuizen EJ, Lindemono J, Longenhuijsen MAC. Does Iron deficient erythnopoiesis in pregnancy influence fetal iron supply. Acta Obstet Gynecol Scand 2001;80:392-396.
  • Allen LH. Biological mechanisms that might under lay iron’s effects on fetal growth and preterm birth. J Nutr 2001;131:581-589.
  • Singla PN, Tyapi M, Kunar A, Dash D, Shonkar R. Fetal growth in maternal anemia. J Trop Pediatr 1997;43:89–92.
  • Ster JP, Maternal hemoglobin concentration and birth weight Am J Clin Nutr 2000;71:12855–12875.
  • Sak ME, Özkul Ö, Evsen MS, Sak S, Evliyaoğlu O. Ge- belik anemisinin perinatal sonuçlara etkisi. Dicle Med J 2009;36:39-42.

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

Year 2014, Volume: 41 Issue: 1, 138 - 143, 01.03.2014
https://doi.org/10.5798/diclemedj.0921.2014.01.0388

Abstract

Amaç: Çalışmamızın amacı gebelikteki aneminin doğum şekli ve yeni doğan (YD) üzerine etkilerini değerlendirmektir. Yöntemler: Haziran-Ekim 2009 arasında doğum yapan 307 gebede hemoglobin (Hb), hematokrit (Hct) değerleri ve doğum şekli retrospektif olarak değerlendirildi. Ayrıca 1.dakika ve 5.dakika apgar skorları, doğum ağırlıkları ve yeni doğanların kordon kanından elde edilen Hb, Hct ve bilirubin değerleri kaydedildi. Gebeler, Hb değeri 11,1 g/dl ve üzerinde olanlar anemik olmayan ve 11g/dl altında olanlar ise anemik olmak üzere iki gruba ayrılarak sınıflandırıldı. Ayrıca Hb değeri 10,1–11 g/dl, 9,1-10 g/dl ve 9 g/dl\'nin altında olanlar şeklinde anemik grup kendi içinde 3 gruba ayrıldı. Bulgular: Çalışmaya alınan gebelerin 146\'sı anemik iken, 161\'i anemik değildi. Düşük doğum ağırlıklı bebek oranları anemik gebelerde anlamlı olarak daha yüksekti (p=0,029). Anemik gebelerin yeni doğanlarında Hb (P=0,026) ve Hct P=0,006) değerlerinin anlamlı olarak daha düşüktü. Düşük doğum ağırlığı sıklığı, anne Hb değeri 10g/dl ve altında olduğunda anlamlı olarak artmaktaydı (%62,5 duyarlılık, %74,7 özgüllük). Sonuç: Anemik gebelerin yeni doğanlarında düşük doğum ağırlığı ile düşük Hb ve Hct değerleri daha sık görülmektedir. Bu nedenle gebelik esnasında anemi muhtemel olumsuz sonuçları nedeniyle taranmalı ve tedavi edilmelidir.

References

  • William F. Kern, MD. Hemotology PDQ, 1.Baskı, Istanbul, Istanbul Medikal yayıncılık , 2005;1-15.
  • Tunalı A. Kan Hastalıkları. İç Hastalıkları, Bursa: Güneş Ki- tabevi. 1990;7:699–716.
  • Günalp S, Tuncer S. Kadın hastalıkları ve doğum tanı ve te- davi. Ankara, Pelikan yayıncılık,2004:273-291.
  • Rush D. Nutrition and maternal mortality in the developing world. Am J Clin Nutr 2000;72:212-240.
  • World Health Organization (WHO). Essential Care Practice Guide: Pregnancy, Childbirth and Newborn Care. Draft. 2000
  • Milman N, Bergholt T, Byg KE, et al. Iron status and iron balance during pregnancy. A critical reappraisal of iron supplementation. Acta Obstet Gynecol Scand 1999;78:749- 757.
  • Nelson-Piercy C. Handbook of obstetric medicine. Martin Dunitz LTD.2003:250-268
  • WB Sounders, High-Risk Pregnancies. İn: Behrman RE, Kliegman RM Jenson HB, eds. Nelson Textbook of Pediat- rics, 16th edn. Philedelphia, 2000 :540
  • Gayer B, Feedman Ma, Strabino DM, et al. Annual summary of vital statistics: trends in the health of Americans during the 20th century. Pediatrics 2000;106:1307-1317.
  • Rasmussen KM. Is there a causal relationship between iron deficiency or iron-deficiency anemia and weight at birth, length of gestation and perinatal mortality? J Nutr 2001;131:590-603.
  • Allen HL. Anemia and iron deficiency; effects on pregnancy outcome. Am J Clin Nutr 2000;71(suppl):1280-1284.
  • Scholl TO, ReillyT. Anemia, iron and pregnancy outcome. J Nutr 2000; 1300:443-447
  • Cunningham FG, Bont NF, Leveno KS, et al. Maternal Ad- aptations to Pregnancy. Williams Obstetrics 21st edition. USA: Th McGrow-Hill Companies. 2001;8:167–200.
  • Souminen P, Punnone K, Rajamaki A, Irjala K. Evaluation of new immunoenzymometric assay for measuring soluble transferrin receptor to detect iron deficiency in anemic pa- tients. Clinical Chemistry, 1997;43:1641–1646.
  • Benoist B, McLean E, Egli I, Cogswell M. WHO Library Cataloguing-in-Publication Data Worldwide prevalence of anaemia 1993–2005. WHO Global Database on Anaemia, 2008.
  • Hurell R, Bothwell T, Cook JD, et al. SUSTAIN Task Force. The usefulness of elemental iron for cereal flour fortifica- tion: a SUSTAIN task force report. Nutr Rev 2002;60:391– 406.
  • Malhotra M, Sharms JB, Murthy NS, Aroro R. Maternal and perinatal outcome in varying depress of anemia. Int J Gynecol Obstet 2002;79:93–100.
  • Zhang Q, Li Z, Ananth CV Prevalence and risk factors for anaemia in pregnant women: a population-based prospec- tive cohort study in China. Paediatr Perinat Epidemiol 2009;23:282-291.
  • Choi JW, Kim CS, Pai SH. Erythropoietic activity and soluble transferrin receptor level in neonates and maternal blood. Acta Paediatr 2000;89:675-679.
  • Tekinalp GT, Oran O, Gürek B, Saraçel M. Relationship between maternal and neonatal iron stores. Turk J Pediatr 1996;38:439–445.
  • Milman N, Iboen KK, Christensen JM, Serum ferritin and iron status in mothers and newborn infants. Acta Obstet Gy- necol Scand 1987;66:2005-2024.
  • Thararaj VK, Sostry G, Reddy V, Relation between mater- nal and cord serum ferritin. Indian Pediatr 1986;23:29–32.
  • Kilbride J, Baker TG, Parapia LA, Khoury SA. Anemia dur- ing pregnancy as a risk factor for iron-deficiency anemia in infancy, a case-control study in Jordon. Int J Epidemiol 1999;28:461-468.
  • Okuyama T, Tawoda T, Furuya H, Villec CA. The role of transferrin and ferritin in the fetal-maternal-placental unit. Am J Obstet Gynecol 1985;152:344–350.
  • Harthoorn-Loothuizen EJ, Lindemono J, Longenhuijsen MAC. Does Iron deficient erythnopoiesis in pregnancy influence fetal iron supply. Acta Obstet Gynecol Scand 2001;80:392-396.
  • Allen LH. Biological mechanisms that might under lay iron’s effects on fetal growth and preterm birth. J Nutr 2001;131:581-589.
  • Singla PN, Tyapi M, Kunar A, Dash D, Shonkar R. Fetal growth in maternal anemia. J Trop Pediatr 1997;43:89–92.
  • Ster JP, Maternal hemoglobin concentration and birth weight Am J Clin Nutr 2000;71:12855–12875.
  • Sak ME, Özkul Ö, Evsen MS, Sak S, Evliyaoğlu O. Ge- belik anemisinin perinatal sonuçlara etkisi. Dicle Med J 2009;36:39-42.
There are 29 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Necmi Arslan This is me

Mehmet Halis Tanrıverdi This is me

Hamza Aslanhan This is me

Banu Dane This is me

Publication Date March 1, 2014
Submission Date March 2, 2015
Published in Issue Year 2014 Volume: 41 Issue: 1

Cite

APA Arslan, N., Tanrıverdi, M. H., Aslanhan, H., Dane, B. (2014). The effects of anemia in pregnancy on the mode of delivery and newborn. Dicle Medical Journal, 41(1), 138-143. https://doi.org/10.5798/diclemedj.0921.2014.01.0388
AMA Arslan N, Tanrıverdi MH, Aslanhan H, Dane B. The effects of anemia in pregnancy on the mode of delivery and newborn. diclemedj. March 2014;41(1):138-143. doi:10.5798/diclemedj.0921.2014.01.0388
Chicago Arslan, Necmi, Mehmet Halis Tanrıverdi, Hamza Aslanhan, and Banu Dane. “The Effects of Anemia in Pregnancy on the Mode of Delivery and Newborn”. Dicle Medical Journal 41, no. 1 (March 2014): 138-43. https://doi.org/10.5798/diclemedj.0921.2014.01.0388.
EndNote Arslan N, Tanrıverdi MH, Aslanhan H, Dane B (March 1, 2014) The effects of anemia in pregnancy on the mode of delivery and newborn. Dicle Medical Journal 41 1 138–143.
IEEE N. Arslan, M. H. Tanrıverdi, H. Aslanhan, and B. Dane, “The effects of anemia in pregnancy on the mode of delivery and newborn”, diclemedj, vol. 41, no. 1, pp. 138–143, 2014, doi: 10.5798/diclemedj.0921.2014.01.0388.
ISNAD Arslan, Necmi et al. “The Effects of Anemia in Pregnancy on the Mode of Delivery and Newborn”. Dicle Medical Journal 41/1 (March 2014), 138-143. https://doi.org/10.5798/diclemedj.0921.2014.01.0388.
JAMA Arslan N, Tanrıverdi MH, Aslanhan H, Dane B. The effects of anemia in pregnancy on the mode of delivery and newborn. diclemedj. 2014;41:138–143.
MLA Arslan, Necmi et al. “The Effects of Anemia in Pregnancy on the Mode of Delivery and Newborn”. Dicle Medical Journal, vol. 41, no. 1, 2014, pp. 138-43, doi:10.5798/diclemedj.0921.2014.01.0388.
Vancouver Arslan N, Tanrıverdi MH, Aslanhan H, Dane B. The effects of anemia in pregnancy on the mode of delivery and newborn. diclemedj. 2014;41(1):138-43.