Iranian Journal of Blood and Cancer
Iranian Journal of Blood and Cancer
Medical Sciences
http://ijbc.ir
1
admin
2008-4595
2008-4609
8
10.61186/ijbc
14
2008-4595
13
en
jalali
1393
8
1
gregorian
2014
11
1
7
1
online
1
fulltext
en
The Correlation between Infants’ Birth Weight and Apgar Score and Maternal Hemoglobin Concentration
Pediatric Hematology & Oncology
Pediatric Hematology & Oncology
پژوهشي
Original Article
Background: Various studies have come to contradictory results regarding the relationship between maternal
hemoglobin (Hb) level and adverse pregnancy outcomes. The present study aimed to investigate the birth outcomes
among pregnant women who had normal hemoglobin levels in the first trimester of their pregnancy.
Patients and Methods: In this prospective study, 108 healthy pregnant women with gestational age of 10-14 weeks
and Hb≥11g/dl were selected through cluster random sampling and were followed up until delivery. Mothers’ Hb
concentration was measured at the end of the first, second, and third trimesters. Then, the relationship between
maternal Hb concentration and infants’ birth weight and Apgar score was investigated.
Results: The incidence rates of anemia in the second and third trimesters were 12.8% and 27.9%, respectively.
Moreover, 16.27% of the newborns had low birth weight and 17.4% had Apgar scores of less than 8. The results
revealed a significant relationship between birth weight and maternal Hb level in the second (P=0.02), and the third
trimester (P=0.03). Also, the rate of birth of infants with Apgar scores<8 significantly increased among women with
Hb<10.5g/dl or Hb>13.2g/dl in the second trimester (P<0.001).
Conclusion: According to the present study’s findings, maternal Hb level is suggested to be controlled during the
second and third trimesters of pregnancy in addition to the first trimester. In this way, necessary care and treatment
measures can be taken based on the women’s hemodynamic status which might reduce the low birth weight and
low Apgar score among infants.
Key words: Hemoglobin, birth outcomes, pregnancy.
Hemoglobin, birth outcomes, pregnancy.
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http://ijbc.ir/browse.php?a_code=A-10-9-17&slc_lang=en&sid=1
Alizadeh
L
10031947532846002647
10031947532846002647
No
Akbarzade
M
10031947532846002648
10031947532846002648
Yes
Ramzi
M
10031947532846002649
10031947532846002649
No
Zare
N
10031947532846002650
10031947532846002650
No