THE RELATIONSHIP BETWEEN MATERNAL HEMOGLOBIN. AND HEMATOCRIT LEVELS WITH NEONATAL PREGNANCY COMPLICATION AT BIRTH

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HAJIAN K.O.; ASNAFI N.

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Journal: DANESHVAR MEDICINE Year:2006 | Volume:13 | Issue:64 Page(s): 33-38

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Title

THE RELATIONSHIP BETWEEN MATERNAL HEMOGLOBIN. AND HEMATOCRIT LEVELS WITH NEONATAL PREGNANCY COMPLICATION AT BIRTH

Author(s)

HAJIAN K.O. | ASNAFI N. | Issue Writer Certificate

Keywords

HEMOGLOBINQ3

HEMATOCRITQ3

LOW BIRTH WEIGHTQ3

PRE-MATURITYQ3

NEED FOR SPECIAL CARESQ3

PREGNANT WOMENQ3

Abstract

Background and Objectives: Severe maternal anemia is accompanied with increasing the risk of LOW BIRTH WEIGHT (LBW), still birth, spontaneous abortion and preterm delivery. This study was aimed to determine the association between maternal HEMOGLOBIN and HEMATOCRIT levels with neonatal pregnancy complications at birth via logistic regression model.Material & Method: A cross-sectional study was conducted with 903 women who were admitted -to Babol Yahyanejat hospital for delivery in 2004. Mothers with twin delivery, diabetes, severe bleeding before and during delivery and mothers with apparent congenital neonates were excluded. The standard blood examination was carried out before delivery for measuring maternal HEMOGLOBIN and HEMATOCRIT levels. The data related to maternal age, sex of infant, residence area, maternal education, number of pregnancy, parity, number of visits for prenatal cares, type of delivery and the neonatal pregnancy outcomes (LBW, preterm, the need for special care and apgar score in the first minute) were collected by using questionnaires and hospital charts. In statistical analysis, the multiple logistic regression model was used to determine the adjusted odds ratio of the effect of low and high HEMOGLOBIN and HEMATOCRIT (versus moderate) levels on the risk of pregnancy outcomes. The odds ratio and its 95% confidence interval were estimated after adjusting the effect of maternal age, maternal education, residence area, number of pregnancy, sex of infant and the number of prenatal visits.Results: The maternal HEMATOCRIT in 15.4 percent of subjects was 33 or less. 58.8% of subjects were 33-40 and 25.8% were more than 40 years old. The maternal HEMOGLOBIN level in 6.4% of subjects was less than 10.5. In 61.9% of subjects it was 10.5 to 13, while in 31.7% it amounted to more than 13. The prevalence of LBW was 10.17%. Further more, the PRE-MATURITY was 14.5% in neonates with maternal Hb of less than 10.5. These rates were almost two times greater than those subjects with Hb of 10.5-13. The adjusted odds ratio of HEMATOCRIT of less than 34, compared to HEMATOCRIT of 34-40, on the risk of LBW was 1.4 times (95%CI: 6.65-2.99). On the other hand, the adjusted odds ratio for the risk of PRE-MATURITY was 1.25 times (95% CI: 0.62-2.64). However, the adjusted OR for the risk of NEED FOR SPECIAL CARES was 1.57 times (95%CI: 0.72-3.4). It was 1.65 times (95% CI: 0.72-3.4) for the effect of Hb less than 10.5 (compared to Hb of 10.5-13) on the risk of LBW. This effect was 2.37 times (95%CI: 1.01-5.57) on the risk of special - cares and hospitalization it was 1.57 times (95%CI: 0.57-4.38). Conclusion: It can be concluded that the low and high HEMATOCRIT levels in PREGNANT WOMEN increase the risk of PRE-MATURITY and LBW. Thus, it may require further considerations in prenatal management of PREGNANT WOMEN.

Cites

PREVALENCE OF IRON DEFICIENCY ANEMIA AMONG IRANIAN PREGNANT WOMEN, A SYSTEMATIC REVIEW AND META-ANALYSIS

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APA: Copy

HAJIAN, K.O., & ASNAFI, N.. (2006). THE RELATIONSHIP BETWEEN MATERNAL HEMOGLOBIN. AND HEMATOCRIT LEVELS WITH NEONATAL PREGNANCY COMPLICATION AT BIRTH. DANESHVAR MEDICINE, 13(64), 33-38. SID. https://sid.ir/paper/30930/en

Vancouver: Copy

HAJIAN K.O., ASNAFI N.. THE RELATIONSHIP BETWEEN MATERNAL HEMOGLOBIN. AND HEMATOCRIT LEVELS WITH NEONATAL PREGNANCY COMPLICATION AT BIRTH. DANESHVAR MEDICINE[Internet]. 2006;13(64):33-38. Available from: https://sid.ir/paper/30930/en

IEEE: Copy

K.O. HAJIAN, and N. ASNAFI, “THE RELATIONSHIP BETWEEN MATERNAL HEMOGLOBIN. AND HEMATOCRIT LEVELS WITH NEONATAL PREGNANCY COMPLICATION AT BIRTH,” DANESHVAR MEDICINE, vol. 13, no. 64, pp. 33–38, 2006, [Online]. Available: https://sid.ir/paper/30930/en

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