Below What Hemoglobin Concentration in Pregnancy is there an Increased Risk of Maternal or Fetal Adverse Effects?
Journal Title: Journal of Woman’s Reproductive Health - Year 2015, Vol 1, Issue 1
Abstract
Objectives: To identify the lowest hemoglobin concentration (Hb) associated with increased risk of materno-fetal complications. Material and methods: This cohort study was conducted in the Yaoundé University Teaching Hospital, Cameroon, from March 1st, 2011 to February 28th, 2013. Maternal and fetal outcomes among anemic women (AW) and non-anemic women (NW) were compared. Two hundred and twelve AW (booking Hb <10g/dl) without any chronic diseases, carrying singletons and 212 similar NW (Hb ≥11g/dl) were followed up. Main variables were booking and 36 weeks Hb, complications observed and birth weight (BW). Data were analyzed using SPSS 18.0. Fisher exact test and t-test were used for comparison. Level of significance was P<0.05. Results: Mean booking Hb was 8.9 ± 1.1 g/dl among AW against 11.7 ± 0.6 g/dl among NW (P<0.001). Complications of anemia in pregnancy in our series (low BW (RR 7, 95%CI 1.6-30.4), pre-eclampsia (RR 3.3, 95%CI 0.9-11.9) and premature delivery (RR 3, 95%CI 0.6-14.6)) occurred frequently when mean 36 weeks Hb was <9g/dl. Conclusion: Complications were significantly observed when mean Hb was persistently <9g/dl.
Authors and Affiliations
NKWABONG Elie, FOMULU Joseph Nelson
Live Pregnancy in Non Communicating Horn of Unicornuate Uterus with Placenta Percreta: A Case Report and Review
Objective: Mullerian anomalies of the female genital tract are rare and unicornuate uterus is one such variant: it may present with a rudimentary horn with or without a communication. Pregnancy is rare in a non communic...
Comparing Uterine Electromyography & Tocodynamometer to Intrauterine Pressure Catheter for Monitoring Labor
Objective The tocodynamometer (TOCO) has poor sensitivity and specificity in monitoring uterine contractions, especially in obese patients. The intrauterine pressure catheter (IUPC) can be used to monitor adequacy of con...
The Relationship Between Postpartum Depression and Beliefs About Motherhood and Perfectionism During Pregnancy
Postpartum depression is a common mood disorder following childbirth. Depression occurring at this crucial stage in a child’s life is known to have far reaching and potentially damaging consequences for the mother, the b...
Horizontal Inequities in the uptake of Hospital Delivery and the Role of Social Determinants in China
Objectives: To measure the horizontal inequity in the uptake of hospital delivery and quantify the contribution of various social determinants of health (SDH) to such inequity in China from 1993-2008 Methods: With four...
Effect of 8 Weeks Exercise on Irisin in Obese Women
Background The prevalence of obesity and type 2 diabetes is escalating at an alarming rate in many developed as well as developing countries. Irisin is a novel muscle and adipose drived chemokine that is, proteolytically...