The Effect of Third Trimester Maternal Hemoglobin Value on Fetal Weight and Birth Week

Year 2022, Volume: 5 Issue: 2, 62 - 67, 30.06.2022

Musa Büyük , Kamuran Suman , Zafer Bütün , Murat Suman

https://doi.org/10.55517/mrr.1089438

Abstract

Introduction: To study the effect of maternal anemia on the week of birth and the weight of the baby. Material and Methods: Hemoglobin levels of 1114 patients who delivered at three centers between August 1 and October 30, 2019, were evaluated. Patient age, mode of delivery, gravidity and parity, hemogram parameters, week of birth, and birth weight were recorded. Births before 37 weeks' gestation were classified as preterm and babies with a birth weight of less than 2500 g were classified as low birth weight babies. Results: A significant difference was found between groups in birth weight scores (p <0.05). When the babies of pregnant women with a hemoglobin value of <9 g/dl were examined, it was found that the birth weight was significantly lower. On the other hand, when evaluating the week of birth and the mode of delivery, a significant difference was found. Conclusion: Hemoglobin levels below 9 during pregnancy have been observed to cause low birth weight in babies.

Keywords

Birth Weight, Week of Birth, Pregnancy, Hemoglobin Level

Üçüncü Trimester Maternal Hemoglobin Değerinin Fetal Ağırlık ve Doğum Haftası Üzerine Etkisi

Abstract

Giriş: Maternal aneminin doğum haftası ve bebeğin ağırlığı üzerindeki etkisini incelemek. Materyal ve Metod: 1 Ağustos-30 Ekim 2019 tarihleri arasında üç merkezde doğum yapan 1114 hastanın hemoglobin düzeyleri değerlendirildi. Hasta yaşı, doğum şekli, gravide ve parite, hemogram parametreleri, doğum haftası ve doğum ağırlığı kaydedildi. 37. gebelik haftasından önceki doğumlar preterm, 2500 gr'ın altındaki bebekler düşük doğum ağırlıklı bebekler olarak sınıflandırıldı. Bulgular: Doğum ağırlığı skorlarında gruplar arasında anlamlı fark bulundu (p<0.05). Hemoglobin değeri <9 g/dl olan gebelerin bebekleri incelendiğinde, doğum ağırlığının anlamlı olarak daha düşük olduğu tespit edildi. Öte yandan doğum haftası ve doğum şekli değerlendirildiğinde anlamlı bir fark bulundu. Sonuç: Gebelikte 9'un altındaki hemoglobin düzeylerinin bebeklerde düşük doğum ağırlığına neden olduğu gözlemlenmiştir.

Keywords

Doğum Ağırlığı, Doğum Haftası, Gebelik, Hemoglobin Düzeyi

References

• Sak ME, Özkul Ö, Evsen MS, Sibel S, Evliyaoglu O. Gebelik anemisinin perinatal sonuçlara etkisi. Dicle Tıp Dergisi. 2009;36(1):39-42.
• Obstetricians ACo, Gynecologists. Anemia in Pregnancy: ACOG Practice Bulletin, Number 233. Obstetrics and gynecology. 2021;138(2): e55-e64.
• Lone FW, Qureshi RN, Emanuel F. Maternal anaemia and its impact on perinatal outcome. Tropical medicine & international health. 2004;9(4):486-90.
• Bakhtiar UJ, Khan Y, Nasar R. Relationship between maternal hemoglobin and perinatal outcome. Age. 2007; 25:24.
• Levy A, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery. European journal of obstetrics & gynecology and reproductive biology. 2005;122(2):182-6.
• Choi JW, Im MW, Pai SH. Serum transferrin receptor concentrations during normal pregnancy. Clinical Chemistry. 2000;46(5):725-7.
• Scanlon KS, Yip R, Schieve LA, Cogswell ME. High and low hemoglobin levels during pregnancy: differential risks for preterm birth and small for gestational age. Obstetrics & Gynecology. 2000;96(5):741-8.
• Young I, Parker HM, Rangan A, Prvan T, Cook RL, Donges CE, et al. Association between haem and non-haem iron intake and serum ferritin in healthy young women. Nutrients. 2018;10(1):81.
• Paiva ADA, Rondó PH, Pagliusi RA, Latorre MDR, Cardoso MA, Gondim SS. Relationship between the iron status of pregnant women and their newborns. Revista de Saúde Pública. 2007; 41:321-7.
• Pavord S, Daru J, Prasannan N, Robinson S, Stanworth S, Girling J, et al. UK guidelines on the management of iron deficiency in pregnancy. Br J Haematol. 2020.
• Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 2006;367(9516):1066-74.
• Kidanto HL, Mogren I, Lindmark G, Massawe S, Nystrom L. Risks for preterm delivery and low birth weight are independently increased by severity of maternal anaemia. South African Medical Journal. 2009;99(2):98-102.
• Rani KU, Gupta J, Gupta R, Aggarwal KC. Maternal anaemia and its severity: an independent risk factor for preterm delivery and adverse neonatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014;3(2):325-30.