Maternal Anaemia is a Risk Factor for Anaemia in Infants at 14-16 Weeks-Need for Early Initiation of Iron Supplementation
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 4
Abstract
ABSTRACT Introduction: Exclusive Breast Feeding (EBF) is recommended uniformly for all infants till six months. It is believed that since bioavailability of iron in breastmilk is high this along with the fetal iron stores will be adequate till six months. Current recommendation for iron supplementation in term infants is only from six months. However, maternal iron deficiency may reduce fetal iron stores and the infant may develop deficiency earlier. Aim: To study the prevalence of anaemia in term appropriate for gestation age exclusively breastfed infants at 14-16 weeks of age and its relationship to mothers’ haemoglobin at delivery. Materials and Methods: This observational study was done from March 2017 to July 2018. We recruited 350 Term Appropriate for Gestational Age (TAGA) infants on EBF aged 14-16 weeks. Chi-square test was used to test the association between the categorical variables. A binary logistic regression was used to calculate the odds ratio and 95% confidence interval. Results: Among the 350 infants studied 129 (36.8%) had anaemia. In the anaemia group, 34 (26.4%) out of 129 infants were significantly underweight compared to 36 (16.3%) out of 221 non-anaemic infants. There were significantly more anaemic children among the lower Socio-economic class with 10/17 (58.8%). Among the 350 mothers, 137 (39%) had anaemia at the time of delivery. The prevalence of anaemia in the infants born to anaemic mothers was 64% and among non-anaemic mothers it was 19%. There was a moderate positive correlation (0.52) between maternal Haemoglobin (Hb) at delivery and anaemia in infants at 14-16 weeks. Conclusion: The prevalence of anaemia in the infants born to anaemic mothers was significantly higher than non-anaemic mothers. Maternal anaemia should be taken as a risk factor for anaemia in EBF infants and these children should be routinely started on iron supplements in early infancy.
Authors and Affiliations
Indrani Misra, Padmasani Venkat Ramanan, Rajesh Balan
Keywords
Related Articles
- EP ID EP553341
- DOI 10.7860/JCDR/2019/40710.12747
- Views 41
- Downloads 0
Objective Acoustic Analysis and Comparison of Normal and Abnormal Voices
ABSTRACT Introduction: Acoustic analysis is commonly used to diagnose, document and treat voice disorders. Type I and Type II voices which are nearly periodic can be easily assessed with computerised acoustic analysers....
Association of Serum Free Haemoglobin in Normoglycemic and Hyperglycemic Individuals
ABSTRACT Introduction: Besides glycation induced injury, hyperglycemia in both type 1 and 2 diabetes can also increase oxidative stress leading to alterations in erythrocytic structural-functional organisation, shortenin...
In vitro Evaluation of Resin Infiltrant Case Series Penetration into White Spot Lesions of Deciduous Molars
Introduction: Caries Infiltration is a recent microinvasive restorative technique that permits treatment of non-cavitated demineralized lesions, known as White Spot Lesions (WSL). Aim: To evaluate the extent of penetrati...
Impact of Planning Target Volume Reduction on Toxicity and Outcome in Prostate Carcinoma Treated with Image Guided-Intensity Modulated Radiotherapy
ABSTRACT Introduction: Image Guided Intensity-Modulated Radiotherapy (IG-IMRT) with marker based prostate localisation could potentially reduce the Planning Target Volume (PTV), thus reducing radiation toxicity. Aim: We...
Riley-Day Syndrome in a Hispanic Infant of Non-Jewish Ashkenazi Descent
Riley-Day syndrome is an autosomal recessive sensory and autonomic neuropathy. Patients present a lack of fungiform papilla, alacrima and usually feeding difficulties. It is present almost exclusively in Ashkenazi Jewish...