The Correlation between Hemoglobin Concentration during Pregnancy with the Maternal and Neonatal Outcome
DOI:
https://doi.org/10.3889/oamjms.2019.150Keywords:
Hemoglobins concentration, Anemia during pregnancy, Maternal, Neonatal outcomeAbstract
BACKGROUND: The prevalence of anaemia is higher among women, including pregnant women. The estimation was about 24.8% of the population in the world suffering anaemia. Anaemia during pregnancy is a big problem because it can contribute morbidity and mortality, either in mother or newborn. The impacts of anaemia during pregnancy included post-partum haemorrhage, low birth weight (LBW), preterm delivery, and low Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score.
AIM: This study aimed to determine the correlation between haemoglobin concentration during pregnancy and the outcome of mothers and newborns.
METHODS: It was a cohort study that included 200 pregnant women in second or third trimester at antenatal care of Sundari General Hospital Outpatient Clinic on February until September 2018. The participants were interviewed using a questionnaire, and their blood was checked to measure haemoglobin concentration using portable Easy Touch Hemoglobinometer. In the next three until six months, the following investigation was conducted to assess the maternal and neonatal outcome.
RESULTS: The result of this study showed among the maternal outcome, only antepartum haemoglobin concentration had a statistically significant correlation with the haemoglobin concentration during pregnancy (p < 0.05), meanwhile, among the neonatal outcome. LBW was the only factor that statistically significantly correlated to the haemoglobin concentration during pregnancy (p < 0.05).
CONCLUSION: We can conclude that once anaemia occurs in pregnant women, then the women kept suffering from anaemia with its correlation was statistically significant.
Keywords : hemoglobin concentration, anemia during pregnancy, maternal, neonatal outcome
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Vanamala VG, Rachel A, Pakyanadhan S. Incidence and outcome of anemia in pregnant women: a study in a tertiary care centre. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018; 7(2):462-6. https://doi.org/10.18203/2320-1770.ijrcog20180155
Noronha JA, Al Khasawneh E, Seshan V, Ramasubramaniam S, Raman S. Anemia in pregnancy-consequences and challenges: a review of literature. Journal of South Asian Federation of Obstetrics and Gynecology. 2012; 4(1):64-70. https://doi.org/10.5005/jp-journals-10006-1177
Maka SS, Tondare SB, Tondare MB. Study of impact of anemia on pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017; 6(11):4847-50. https://doi.org/10.18203/2320-1770.ijrcog20174692
Lestari S, Fujiati II, Keumalasari D, Daulay M, Martina SJ, Syarifah S. The prevalence of anemia in pregnant women and its associated risk factors in North Sumatera, Indonesia. IOP Conference Series: Earth and Environmental Science. 2018; 125(1): 012195). https://doi.org/10.1088/1755-1315/125/1/012195
Kumar KJ, Asha N, Murthy DS, Sujatha MS, Manjunath VG. Maternal anemia in various trimesters and its effect on newborn weight and maturity: an observational study. International journal of preventive medicine. 2013; 4(2):193-9. PMid:23543625 PMCid:PMC3604852
Abu-Ouf NM, Jan MM. The impact of maternal iron deficiency and iron deficiency anemia on child's health. Saudi medical journal. 2015; 36(2):146-9. https://doi.org/10.15537/smj.2015.2.10289 PMid:25719576 PMCid:PMC4375689
Sukrat B, Wilasrusmee C, Siribumrungwong B, McEvoy M, Okascharoen C, Attia J, Thakkinstian A. Hemoglobin concentration and pregnancy outcomes: a systematic review and meta-analysis. BioMed research international. 2013; 2013.
Sharma JB, Shankar M. Anemia in pregnancy. JIMSA. 2010; 23(4):253-60.
Steer P, Alam MA, Wadsworth J, Welch A. Relation between maternal haemoglobin concentration and birth weight in different ethnic groups. BmJ. 1995; 310(6978):489-91. https://doi.org/10.1136/bmj.310.6978.489 PMid:7888886 PMCid:PMC2548871
Allen LH. Anemia and iron deficiency: effects on pregnancy outcome–. The American journal of clinical nutrition. 2000; 71(5):1280S-4S. https://doi.org/10.1093/ajcn/71.5.1280s PMid:10799402
Vural T, Toz E, Ozcan A, Biler A, Ileri A, Inan AH. Can anemia predict perinatal outcomes in different stages of pregnancy? Pakistan journal of medical sciences. 2016; 32(6):1354-1359. https://doi.org/10.12669/pjms.326.11199 PMid:28083025 PMCid:PMC5216281
Frass KA. Postpartum hemorrhage is related to the hemoglobin levels at labor: Observational study. Alexandria Journal of Medicine. 2015; 51(4):333-7. https://doi.org/10.1016/j.ajme.2014.12.002
Kavle JA, Stoltzfus RJ, Witter F, Tielsch JM, Khalfan SS, Caulfield LE. Association between anaemia during pregnancy and blood loss at and after delivery among women with vaginal births in Pemba Island, Zanzibar, Tanzania. Journal of health, population, and nutrition. 2008; 26(2):232-240. PMid:18686556 PMCid:PMC2740668
Rush D. Nutrition and maternal mortality in the developing world–. The American journal of clinical nutrition. 2000; 72(1):212S-40S. https://doi.org/10.1093/ajcn/72.1.212S PMid:10871588
Chowdhury S, Rahman M, Moniruddin AB. Anemia in pregnancy. Medicine Today. 2014; 26(1):49-52. https://doi.org/10.3329/medtoday.v26i1.21314
Rahmati S, Delpishe A, Azami M, Ahmadi MR, Sayehmiri K. Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis. International Journal of Reproductive BioMedicine. 2017; 15(3):125-134. https://doi.org/10.29252/ijrm.15.3.125 PMid:28580444 PMCid:PMC5447828
Scholl TO, Reilly T. Anemia, iron and pregnancy outcome. The Journal of nutrition. 2000; 130(2):443S-7S. https://doi.org/10.1093/jn/130.2.443S PMid:10721924
Stephen G, Mgongo M, Hussein Hashim T, Katanga J, Stray-Pedersen B, Msuya SE. Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia. 2018:1-9. https://doi.org/10.1155/2018/1846280 PMid:29854446 PMCid:PMC5954959
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Copyright (c) 2019 Sarma Nursani Lumbanraja, Muhammad Rizki Yaznil, Dewi Indah Sari Siregar, Adriani Sakina
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