Does maternal anemia affect the newborn?

Abstract

Aim: In this study we aimed to evaluate the effect of maternal anemia on the newborn Material and Method: We determined hemoglobin Hb hematocrit Hct levels of 307 pregnant women who delivered in our clinic and Hb Hct bilirubin levels in the cord blood mode of delivery and Apgar scores of their newborns The pregnant women were evaluated in two groups according to their Hb levels with the ones with a Hb value above 11 1 mg dl as the nonanemic group and a Hb value below 11mg dl as the anemic group We also created four groups with Hb levels ge;11 1 mg dl between 11 10 1 mg dl between 10 9 1mg dl and le;9 mg dl Results: We We included 146 anemic and 161 nonanemic patients in the study The rate of delivery of babies with low birth weight was significantly higher in the anemic group 11 6 vs 4 3 P=0 029 The rate of low birth weight was significantly higher in the patients with Hb level lt;10 mg dl 62 5 sensitivity 74 7 specificity The cord blood Hb 17 49 plusmn;2 4 g dl vs 18 1 plusmn;2 4; P=0 026 and Hct level 53 3 plusmn;7 4 vs 55 6 plusmn;7 2 ; P=0 006 in the anemic group were significantly lower Conclusions: Anemia in pregnancy increases the risk of low birth weight and lowers the levels of Hb and Hct of the newborn Anemia should be screened and treated before delivery Turk Arch Ped 2013; 48: 195 199

Keywords

• Anemia, hemoglobin, low birth weight, newborn

Annede anemi yenidoğanı etkiler mi?

Öz

Amaç: Çalışmamızın amacı gebelikte mevcut olan aneminin ve yenidoğanda etkilerini değerlendirmekti.

Gereç ve Yöntem: Kliniğimizde doğum yapan 307 gebenin hemoglobin Hb hematokrit Hct değerleri ve yenidoğanların kordon kanında bakılan Hb Hct bilirübin değerleri ile doğum şekli yenidoğan kilosu Apgar skorlarını belirledik Gebeler Hb değerinin 11 1 mg dL ve üzerinde anemik olmayan Hb değeri 11 mg dL altında olan anemik grup olmak üzere iki grupta değerlendirildi Ayrıca Hb değerinin ge;11 1 mg dL 11 10 1 mg dL arasında 10 9 1mg dL arasında ve le;9 mg dL olması şeklinde dört grup oluşturuldu.

Bulgular: Çalışmaya 146 anemik 161 anemik olmayan olgu dahil edildi Anemik gebelerin düşük doğum ağırlıklı bebek doğurma oranı anlamlı olarak yüksek idi 11 6 rsquo;ya karşılık 4 3 p=0 029 Düşük doğum ağırlığı sıklığının anne Hb değeri 10 g dL ve altında olduğunda anlamlı olarak arttığı saptandı p=0 0045 Anemik gebelerin kordon kanı Hb 17 49 plusmn;2 4 g dL rsquo;ye karşılık 18 1 plusmn; 2 4; p=0 026 ve Hct 53 3 plusmn;7 4 rsquo;e karşılık 55 6 plusmn;7 2; p=0 006 değerleri anlamlı olarak düşük bulundu

Çıkarımlar: Gebelikteki anemi yenidoğanın düşük doğum kilosu ile doğma riskini artırmakta ve Hb ve Hct değerlerini azaltmaktadır Anemi taranmalı ve doğum öncesinde tedavi edilmelidir.

Anahtar Kelimeler

• Anemi
• düşük doğum ağırlığı
• hemoglobin
• yenidoğan

Kaynakça

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