Maternal haemoglobin level at booking visit and its effect on adverse pregnancy outcome.
作者： Chrishantha ABEYSENA , Pushpa JAYAWARDANA , Rohini De A. SENEVIRATNE
DOI: 10.1111/J.1479-828X.2010.01220.X
关键词: Confounding 、 Miscarriage 、 Obstetrics 、 Logistic regression 、 Low birth weight 、 Prospective cohort study 、 Small for gestational age 、 Medicine 、 Eclampsia 、 Pediatrics 、 Pregnancy
摘要: Aims: To determine the effect of maternal haemoglobin levels at booking visit on pregnancy outcome.Methods: A prospective study was carried out two Medical Officer Health areas in a district Sri Lanka, including817 pregnant mothers who were followed up until delivery. Maternal level measured according tospecified standard protocols. The reliability and accuracy measurements assessed werefound to be satisfactory. Pregnancy outcome defined terms miscarriage, morbidities, preterm birth(PTB), low birth weight (LBW) small for gestational age (SGA) infants. Potential confounding factors eachpregnancy also assessed. Multiple logistic regression applied results expressed as oddsratios (OR) 95% confidence intervals (95% CI).Results: prevalence anaemia (Hb 13.9 g⁄dL had significantadverse association with morbidities (OR 3.0; CI 1.03–8.90) LBW 3.95; 1.30–12.0)compared reference range.Conclusions: Although during not adversely associated any outcomes, Hblevel >13.9 LBW.Key words : anaemia, eclampsia, haemoglobin, weight, preterm.
kln.ac.lk
sci-hub.se 参考文章(17)
Chrishantha ABEYSENA, Pushpa JAYAWARDANA, Rohini DE A SENEVIRATNE, Maternal sleep deprivation is a risk factor for small for gestational age: a cohort study. Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 49, pp. 382- 387 ,(2009) , 10.1111/J.1479-828X.2009.01010.X
SM Ziauddin Hyder, Lars-Åke Persson, Mushtaque Chowdhury, Bo Lönnerdal, Eva-Charlotte Ekström, Anaemia and iron deficiency during pregnancy in rural Bangladesh Public Health Nutrition. ,vol. 7, pp. 1065- 1070 ,(2004) , 10.1079/PHN2004645
Mark A Klebanoff, Patricia H Shiono, Heinz W Berendes, George G Rhoads, Facts and Artifacts About Anemia and Preterm Delivery JAMA: The Journal of the American Medical Association. ,vol. 262, pp. 511- 515 ,(1989) , 10.1001/JAMA.1989.03430040083030
J.F. Murphy, R.G. Newcombe, J. O'Riordan, E.C. Coles, J.F. Pearson, RELATION OF HAEMOGLOBIN LEVELS IN FIRST AND SECOND TRIMESTERS TO OUTCOME OF PREGNANCY The Lancet. ,vol. 327, pp. 992- 995 ,(1986) , 10.1016/S0140-6736(86)91269-9
H HAMALAINEN, Anaemia in the first but not in the second or third trimester is a risk factor for low birth weight. Clinical Nutrition. ,vol. 22, pp. 271- 275 ,(2003) , 10.1016/S0261-5614(02)00209-1
X. Xiong, P. Buekens, W.D. Fraser, Z. Guo, Anemia during pregnancy in a Chinese population. International Journal of Gynecology & Obstetrics. ,vol. 83, pp. 159- 164 ,(2003) , 10.1016/S0020-7292(03)00214-5
ZONG MENG LU, ROBERT L. GOLDENBERG, SUZANNE P. CLIVER, GARY CUTTER, MARY BLANKSON, The relationship between maternal hematocrit and pregnancy outcome. Obstetrics & Gynecology. ,vol. 77, pp. 190- 194 ,(1991) , 10.1097/00006250-199102000-00005
Amalia Levy, Drora Fraser, Miriam Katz, Moshe Mazor, Eyal Sheiner, Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery European Journal of Obstetrics & Gynecology and Reproductive Biology. ,vol. 122, pp. 182- 186 ,(2005) , 10.1016/J.EJOGRB.2005.02.015
Kelley S Scanlon, Ray Yip, Laura A Schieve, Mary E Cogswell, High and low hemoglobin levels during pregnancy: differential risks for preterm birth and small for gestational age. Obstetrics & Gynecology. ,vol. 96, pp. 741- 748 ,(2000) , 10.1016/S0029-7844(00)00982-0
Tanya Marchant, Joanna Armstrong Schellenberg, Rose Nathan, Salim Abdulla, Oscar Mukasa, Hassan Mshinda, Christian Lengeler, Anaemia in Pregnancy and Infant Mortality in Tanzania. Tropical Medicine & International Health. ,vol. 9, pp. 262- 266 ,(2004) , 10.1046/J.1365-3156.2003.01178.X