Effects of Maternal Anemia on Perinatal Outcomes

Öz

Aim: The aim of our study is to examine the relationship between anemia and adverse perinatal outcomes of pregnant women with anemia who delivered at our hospital and to attract attention to the importance of maternal anemia.Material And Methods: The low risk pregnant women who delivered at Obstetrics and Gynecology Clinic, Kırsehir Ahi Evran University Training and Research Hospital between January 1st 2017 and December 31th 2017 were included in the study and data was analyzed retrospectively. Pregnant women, whose hemoglobin levels were below 11 g /dl both during labor and at 2nd trimester constituted the study group. Every 5th laboring women recorded in the medical records at the same time interval whose hemoglobin level was 11 g /dl or above during labor and at 2nd trimester constituted the control group and randomization was achieved. Both of the groups were compared in terms of obstetric and neonatal outcomes.Results: 554 pregnant women 257 in study group and 297 in control group were included in the study. There was no statistically significant correlation between maternal hemoglobin level, age and parity. There was no statistically significant difference between the groups in terms of age, parity, mean birth weight, rate of low birth weight, 1st and 5th minutes Apgar scores, rate of intrauterine growth restriction, preterm labor. p>0,05 . Although cesarean delivery rate was significantly higher in anemic group p=0,035 , there was no statistically difference in primary cesarean section rate between two groups p>0,05 . Fetal distres was the most frequent primary cesarean indication in anemic group whereas cephalopelvic dissociation and failure to progress in labor in the control group.Conclusion: Mild anemia is not associated with adverse perinatal outcomes according to the results of our study.

Anahtar Kelimeler

• Pregnancy,anemia,perinatal outcome

Maternal Aneminin Perinatal Sonuçlara Etkisi

Öz

Amaç: Çalışmamızın amacı hastanemizde doğum yapan anemisi olan gebelerde anemi ile kötü perinatal sonuçlar arasındaki ilişkiyi incelemek ve maternal aneminin önemine dikkat çekmektir.Gereç ve Yöntemler: Çalışmaya 1 Ocak 2017 -31 Aralık 2017 tarihleri arasında Kırşehir Ahi Evran Üniversitesi Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği’nde doğum yapan düşük riskli gebeler dahil edildi ve veriler retrospektif olarak değerlendirildi. Çalışma grubu, doğum için başvuru anındaki hemoglobin düzeyi ile 2. trimestırda bakılmış hemoglobin düzeyi 0,05 . Anemik grupta sezaryenle doğum oranı istatistiksel olarak anlamlı derecede yüksek bulunmasına rağmen p=0,035 , primer sezaryen oranları arasında fark bulunamadı p>0, 05 . Anemik grupta en sık primer sezaryen endikasyonu fetal distress iken kontrol grubunda ise ilerlemeyen eylem ve sefalopelvik uyumsuzluk olarak saptandı.Sonuç: Bizim çalışmamıza göre gebelerde hafif anemi kötü perinatal sonuçlara yol açmamaktadır.

Anahtar Kelimeler

• Gebelik,anemi,perinatal sonuçlar

Kaynakça

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