The relation between maternal and umbilical cord ferritin levels and developing anemia

Yıl 2009, Cilt: 40 Sayı: 4, 209 - 216, 01.05.2009

İbrahim Şilfeler Dilek Benk Şilfeler Burcu Artunç Fügen Pekün

Öz

In this study, we aimed to establish a significant correlation between umbilical cord ferritin levels and the age when physiologic anemia develops in a nursing child. Randomly selected 86 cases underwent vaginal labor or cesarean section between 37-42 gestational weeks admitted to Okmeydanı Training andResearh Hospital between 15.11.2008-31.12.2008 were included in the study. In our study, we have classified cases according to the Hemoglobin levels of fourth month CBC as group 1 which Hb levels are < 11gr/dl and group 2 >'3f 11gr/dl. Regarding all cases, the mean hemoglobin level of babies at 4th months was 10,88 ± 0,850. Regarding Group I, the mean hemoglobin level of babies at 4th months was 10,32 ± 0,549 and regarding Group II, the mean hemoglobin level of babies at 4th months was 11,60 ± 0,563. The mean hematocrit level of all cases was in average 32,85 ± 3,211. The mean hematocrit level of babies at 4th months was 30,99 ± 2,476 in group I and 35,79 ± 2,371 in group II respectively. There was no significant difference between the groups (p>0,05). We have searched if the difference between these groups cord cord blood Hb values are remarkable or not and p values was found 0.05).The umbilical cord ferritin levels of the babies who developed anemia at 4th months were significantly lower than the umbilical cordferritin levels of the babies with no anemia. There was no significant correlation between maternal iron stores, umbilical cord ferritin levels and anemia at 4th months; neverthless, maternal iron stores affect the iron level in the maternal milk during lactation period. This shows the importance of the maternal iron supplementation during pregnancy.

Anahtar Kelimeler

Infant, Anemia, Ferritins, Pregnancy

Anne ve kordon kan ferritin düzeyleri ile anemi gelişimi arasındaki ilişki

Öz

Bu çalışmada sütçocukluğu fizyolojik anemi gelişme yaşı ile kordon kanındaki ferritin düzeyi arasında anlamlı bir ilişki saptamayı amaçladık. 15/11/2008 - 31/12/2008 tarihleri arasında hastanemize başvuran travaydaki 37-42 gestasyon haftaları arasındaki gebelerden rastgele yöntemle 86 olgu çalışmaya alındı. Çalışmamıza aldığımız olgular 4. ay hemogram sonuçlarında hemoglobin değeri llgr/dl 'nin altında olan bebekler Grup 1, hemoglobin değeri llgr/dl veya daha yüksek olarak bulunan bebekler ise Grup 2 olarak sınıflandırıldı. Tüm olgular içinde 4. ay bebek kanı ortalama hemoglobin değeri 10,88 ± 0,850 idi. Grup 1 'de 4.ay bebek kanı ortalama hemoglobin değeri 10,32 ± 0,549 iken Grup 2'de 11,60 ± 0,563 olarak bulundu. Tüm olgular içinde 4.ay bebek kanı ortalama hemotökrit değeri 32,85 ± 3,211 idi. Grup 1 'de 4. ay bebek kanı ortalama hemoglobin 30,99 ± 2,476 iken Grup 2'de 35,29 ± 2,371 olarak bulundu. Bu iki parametreler arasında istatistiksel olarak anlamlı bir fark yoktur (p>0,05). Grup 1 ile Grup 2 kordon kanı ferritin değerleri arasında anlamlı bir fark olup olmadığı araştırılmış ve p değeri 0,05). 4. ayda anemi gelişen bebeklerin kordon kanlarındaki ferritin değerleri, anemi gelişmemiş olan bebeklerin ferritin düzeylerine göre istatistiksel olarak anlamlı bir farkla düşük saptanmıştır. Her ne kadar çalışmamızda annenin demir depoları ile kordon kanı ferritin değerleri ve 4. ay anemi gelişimi arasında ilişki tespit edilemese de, annenin demir deposu emzirme döneminde anne sütündeki demir düzeyini etkilemektedir. Bu da annenin demir kullanımının önemini bir kez daha ortaya koymaktadır.

Anahtar Kelimeler

Süt çocuğu, Anemi, Ferritin, Gebelik

Kaynakça

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