The relationship between hemoglobin level in the first trimester of pregnancy and preterm delivery

Abstract

Background and Aim: Anemia is the most prevalent nutritional deficiency in the world, affecting almost 30% of people worldwide, especially the pregnant women. On the other hand preterm birth is responsible for 2/3 of the infant mortality rate; therefore we performed this study to find the relationship between hemoglobin level in the first trimester of pregnancy and preterm delivery. Material and Methods: This descriptive-analytical study was performed in the years 1392 – 1393 in Qazvin Province. 3000 pregnant women (age range:18 - 40 years), with gestational age of less than 12 weeks were selected from 5 medical health centers. 284 participants were excluded because of IUFD, anomalies, abortion, lack of cooperation or referral to other centers for follow up or performance of lab. tests. The first trimester Hb was recorded in a questionaire for every subject and cases were observed for spontaneous preterm delivery (less than 37 weeks).Using SPSS16 software, data were analyzed by chi -square test, T- test and logestic regression. Results: In this study the prevalence rates of anemia and preterm birth were 22.2% and 19.9% (542 cases) respectively. Mean gestational age was 38.28 ± 3.56 and the rate of preterm birth in the subjects with normal Hb level was 19.3%, and 21.9% in the patients with anemia. which revealed a significant relationship between maternal anemia and preterm birth (p <0.008). Also the relative risk for preterm delivery in anemic women was 1.117, CI: 95% (1.09 – 1.46) (P=0.046). Conclusion: This study demonstrated the relationship between maternal anemia in the first trimester and preterm birth. Therefore, preconception evaluation and anemia treatment in the women of childbearing age is recommended.

Authors and Affiliations

MD H Pakniat, MD N Soofizadeh, MD T Dabbaghi Ghale

Keywords

Related Articles

Effects of vitamin D supplementation and resistance training on insulin resistance, lipid profile and body fat percentage in T2D men with vitamin D deficiency.

Background and Aim: The aim of this study was to investigate the effects of vitamin D supplementation during progressive resistance training on insulin resistance, blood lipids and body fat percentage in T2D men with vit...

The effect of endurance activity on miR-499 and sox6 genes expression in fast and slow twitch skeletal muscles

Background and Aim: Endurance activity can affect function and also factors involved in skeletal muscle transcription. The aim of this study was to investigate the effects of an endurance activity program on the Sox6 gen...

Evaluation of the status of ethical leadership among educational managers of Kurdistan University of Medical sciences from the viewpoint of managers and faculty members

Background and Aim: One of the most important characteristics of a leader is the ability to understand the ethical concepts and standards of management. The aim of this study was to evaluate the status of ethical leaders...

The effect of twelve weeks of aerobic training on serum levels of interleukin-6, vaspin and serum amyloid A in postmenopausal women with metabolic syndrome

Background and Aim: Increase in some inflammatory factors secreted by the adipose tissue can have predisposing effect on the development of metabolic syndrome. This study aimed to assess the effect of 12 weeks of aerobic...

The effect of Licophar on prevention of oral mucositis caused by chemotherapy in cancer patients

Background and Aim: Oral mucositis is a common and debilitating complication that can occur after administration of certain chemotherapy drugs. Yet, no preventive therapy has been recommended for this complication. This...

Download PDF file
  • EP ID EP281298
  • DOI -
  • Views 109
  • Downloads 0

How To Cite

MD H Pakniat, MD N Soofizadeh, MD T Dabbaghi Ghale (2016). The relationship between hemoglobin level in the first trimester of pregnancy and preterm delivery. مجله علمي دانشگاه علوم پزشكي كردستان, 21(85), 60-68. https://europub.co.uk/articles/-A-281298