Öz
Abstract
Aim:
Anemia is a common problem that complicates pregnancy. Anemia during pregnancy is associated with many fetal and maternal complications. In this study, we aimed to determine whether anemia during pregnancy has an effect on baby birth weight.
Materials and Methods:
The data of pregnant women who gave birth at 37-41 weeks of gestation in our hospital were retrospectively scanned. Among these patients, those who were followed up in the pregnancy outpatient clinic of Recep Tayyip Erdogan University Training and Research Hospital and received iron supplements throughout their pregnancy were included in the study. Pregnant women with hemoglobin values below 11 g/dl for all three trimesters were considered to have anemia. The haemoglobin levels of pregnant women in all three trimesters were used to compare the infant birth weights of anaemic and non-anemic women.
Results:
523 pregnant women who gave birth in our hospital were included in this retrospective study. The prevalence of anemia in the first, second and third trimesters of the pregnant women included in the study was determined to be 6.5%, 23.32% and 17.7%, respectively. The first trimester hemoglobin average of the pregnant women included in the study was 12.39±1.06 g/dl, the second trimester hemoglobin average was 11.44±1.04 g/dl and the third trimester hemoglobin average was 11.75±1.29 g/dl The average birth weight was 3355.09 ±427.70 g. There was no statistically significant difference in the average birth weight of newborns born to anemic and non-anemic pregnant women during all three trimesters. Conclusion:
Maternal anemia is still prevalent in Rize province. However, in those who received iron supplements during pregnancy, no effect was found on the birth weight of the newborn, even if there was maternal anemia. Our study reveals the importance of regular follow-up of pregnant women and taking iron supplements. It could be concluded that it is possible to prevent the fetal and maternal effects of anemia before they arise.
Anahtar Kelimeler
Kaynakça
- 1- World Health Organization. The global prevalence of anaemia in 2011. Geneva: WHO, 2015.
- 2- Bilgin Z, Demirci N. Gebelikte demir ve folat eksikliği anemisinde kanıta dayalı güncel yaklaşımlar. Zeynep Kamil Tıp Bülteni, 2019; 50(3), 167-174.
- 3- Smith C, Teng F, Branch E, Chu S, Joseph KS. Maternal and Perinatal Morbidity and Mortality Associated With Anemia in Pregnancy. Obstet Gynecol. 2019; 134(6):1234-1244.
- 4- Frayne J, Pinchon D. Anaemia in pregnancy. Aust J Gen Pract. 2019;48(3):125-129.
- 5- Barroso F, Allard S, Kahan BC, Connolly C, Smethurst H, Choo L, et al. Prevalence of maternal anemia and its predictors: a multi-centre study. Eur J Obstet Gynecol Reprod Biol. 2011;159(1):99-105.
- 6- Sun Y, Shen ZZ, Huang FL, Jiang Y, Wang YW, Zhang SH et al. Association of gestational anemia with pregnancy conditions and outcomes: A nested case-control study. World J Clin Cases. 2021;9(27):8008-8019.
- 7- Le CH. The Prevalence of Anemia and Moderate-Severe Anemia in the US Population (NHANES 2003-2012). PLoS One. 2016;11(11):e0166635. Published 2016 Nov 15.
- 8- Çıtıl R, Barut SY, Eğri M, Önder Y. Devlet hastanesine başvuran gebelerde anemi görülme sıklığı ve etkileyen faktörler. Çağdaş Tıp Dergisi. 2014; 4(2), 76-83.
- 9- Küçükceran H, Başer DA, Ağadayı E, Alsancak AD, Kahveci R. Ankara ili Akyurt bölgesindeki gebelerde demir eksikliği anemisi prevalansı ve demir eksikliğine sebep olan faktörler. Konuralp Medical Journal. 2018; 10(1), 13-19.
- 10- Bucak FK, Özcanarslan F, Demir M. Şanlıurfa kadın hastalıkları ve doğum hastanesine başvuran gebelerde anemi sıklığı ve ilişkili faktörler. Sağlık Akademisyenleri Dergisi. 2017;4(2), 103-109.
- 11- Güleç ÜK, Özgünen FT, Evrüke İ C,Demir SC. Gebelikte anemi. Arşiv Kaynak Tarama Dergisi. 2013; 22(3), 300-316.
- 12- Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal deaths: a systematic review. Lancet.2006;367(9516):1066–74.
- 13- Scholl TO, Hediger ML. Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr. 1994;59(2 Suppl):492-500.
- 14- Ren A, Wang J, Ye RW, Li S, Liu JM, Li Z. Low first-trimester hemoglobin and low birth weight, preterm birth and small for gestational age newborns Int J Gynaecol Obstet.2007;98:124-8.
- 15- Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr. 2000; 71(5 Suppl):1285-7.
- 16- Dündar Ö, Çiftpinar T, Tütüncü L, Ergür AR, Atay MV, Müngen E ve ark. İkinci trimester maternal hemoglobin seviyesinin doğum ağırlığı ve haftasına etkisi. Balkan Medical Journal, 2010(3), 156-160.
- 17- Uluğ U, Erzik B, Jozwiak EA, Bahçeci M. İkiz Gebeliklerde İlk Trimester Maternal Aneminin Erken Doğum Riskine ve Bebek Ağırlığına Etkisi. Journal of Clinical Obstetrics & Gynecology. 2006; 16(6), 224-228.
Öz
Abstract
Aim:
Anemia is a common problem that complicates pregnancy. Anemia during pregnancy is associated with many fetal and maternal complications. In this study, we aimed to determine whether anemia during pregnancy has an effect on baby birth weight.
Materials and Methods:
The data of pregnant women who gave birth at 37-41 weeks of gestation in our hospital were retrospectively scanned. Among these patients, those who were followed up in the pregnancy outpatient clinic of Recep Tayyip Erdogan University Training and Research Hospital and received iron supplements throughout their pregnancy were included in the study. Pregnant women with hemoglobin values below 11 g/dl for all three trimesters were considered to have anemia. The haemoglobin levels of pregnant women in all three trimesters were used to compare the infant birth weights of anaemic and non-anemic women.
Results:
523 pregnant women who gave birth in our hospital were included in this retrospective study. The prevalence of anemia in the first, second and third trimesters of the pregnant women included in the study was determined to be 6.5%, 23.32% and 17.7%, respectively. The first trimester hemoglobin average of the pregnant women included in the study was 12.39±1.06 g/dl, the second trimester hemoglobin average was 11.44±1.04 g/dl and the third trimester hemoglobin average was 11.75±1.29 g/dl The average birth weight was 3355.09 ±427.70 g. There was no statistically significant difference in the average birth weight of newborns born to anemic and non-anemic pregnant women during all three trimesters. Conclusion:
Maternal anemia is still prevalent in Rize province. However, in those who received iron supplements during pregnancy, no effect was found on the birth weight of the newborn, even if there was maternal anemia. Our study reveals the importance of regular follow-up of pregnant women and taking iron supplements. It could be concluded that it is possible to prevent the fetal and maternal effects of anemia before they arise.
Anahtar Kelimeler
Kaynakça
- 1- World Health Organization. The global prevalence of anaemia in 2011. Geneva: WHO, 2015.
- 2- Bilgin Z, Demirci N. Gebelikte demir ve folat eksikliği anemisinde kanıta dayalı güncel yaklaşımlar. Zeynep Kamil Tıp Bülteni, 2019; 50(3), 167-174.
- 3- Smith C, Teng F, Branch E, Chu S, Joseph KS. Maternal and Perinatal Morbidity and Mortality Associated With Anemia in Pregnancy. Obstet Gynecol. 2019; 134(6):1234-1244.
- 4- Frayne J, Pinchon D. Anaemia in pregnancy. Aust J Gen Pract. 2019;48(3):125-129.
- 5- Barroso F, Allard S, Kahan BC, Connolly C, Smethurst H, Choo L, et al. Prevalence of maternal anemia and its predictors: a multi-centre study. Eur J Obstet Gynecol Reprod Biol. 2011;159(1):99-105.
- 6- Sun Y, Shen ZZ, Huang FL, Jiang Y, Wang YW, Zhang SH et al. Association of gestational anemia with pregnancy conditions and outcomes: A nested case-control study. World J Clin Cases. 2021;9(27):8008-8019.
- 7- Le CH. The Prevalence of Anemia and Moderate-Severe Anemia in the US Population (NHANES 2003-2012). PLoS One. 2016;11(11):e0166635. Published 2016 Nov 15.
- 8- Çıtıl R, Barut SY, Eğri M, Önder Y. Devlet hastanesine başvuran gebelerde anemi görülme sıklığı ve etkileyen faktörler. Çağdaş Tıp Dergisi. 2014; 4(2), 76-83.
- 9- Küçükceran H, Başer DA, Ağadayı E, Alsancak AD, Kahveci R. Ankara ili Akyurt bölgesindeki gebelerde demir eksikliği anemisi prevalansı ve demir eksikliğine sebep olan faktörler. Konuralp Medical Journal. 2018; 10(1), 13-19.
- 10- Bucak FK, Özcanarslan F, Demir M. Şanlıurfa kadın hastalıkları ve doğum hastanesine başvuran gebelerde anemi sıklığı ve ilişkili faktörler. Sağlık Akademisyenleri Dergisi. 2017;4(2), 103-109.
- 11- Güleç ÜK, Özgünen FT, Evrüke İ C,Demir SC. Gebelikte anemi. Arşiv Kaynak Tarama Dergisi. 2013; 22(3), 300-316.
- 12- Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal deaths: a systematic review. Lancet.2006;367(9516):1066–74.
- 13- Scholl TO, Hediger ML. Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr. 1994;59(2 Suppl):492-500.
- 14- Ren A, Wang J, Ye RW, Li S, Liu JM, Li Z. Low first-trimester hemoglobin and low birth weight, preterm birth and small for gestational age newborns Int J Gynaecol Obstet.2007;98:124-8.
- 15- Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr. 2000; 71(5 Suppl):1285-7.
- 16- Dündar Ö, Çiftpinar T, Tütüncü L, Ergür AR, Atay MV, Müngen E ve ark. İkinci trimester maternal hemoglobin seviyesinin doğum ağırlığı ve haftasına etkisi. Balkan Medical Journal, 2010(3), 156-160.
- 17- Uluğ U, Erzik B, Jozwiak EA, Bahçeci M. İkiz Gebeliklerde İlk Trimester Maternal Aneminin Erken Doğum Riskine ve Bebek Ağırlığına Etkisi. Journal of Clinical Obstetrics & Gynecology. 2006; 16(6), 224-228.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri (Diğer) |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Mart 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 1 Sayı: 1 |
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