ASSOCIATION BETWEEN MATERNAL AND NEONATAL HEMOGLOBIN IN A TERTIARY CARE CENTRE OF KUMAON REGION IN UTTARAKHAND

Main Article Content

Vijay Pandey

Keywords

.

Abstract

Background - Iron Deficiency Anaemia (IDA) is one of the most frequently observed nutritional deficiency diseases in the world during pregnancy and it is often a contributory cause of maternal death. It can be specifically defined by the increase in hemoglobin concentration post iron therapy. Aim-To study the association between maternal hemoglobin with neonatal hemoglobin in a tertiary care centre in Kumaon region of Uttarakhand.


Materials and Methods- This is a Prospective Observational Study conducted at Labor room and operation theatre of Dr. Susheela Tiwari Government Hospital, Haldwani, Uttarakhand from January 2020 to September 2021.


Results- There was a significant positive correlation between maternal hemoglobin and baby's hemoglobin (p value <0.001), baby retic count (p value <0.001), RBC , MCH (p value <0.001), MCV (p value <0.001) and MCHC (p value <0.001).

Abstract 70 | pdf Downloads 37

References

1. Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014;19(2):164-174.
2. Miller JL. Iron deficiency anemia: a common and curable disease. Cold Spring Harb Perspect Med. 2013;3(7):a011866.
3. Khaskheli MN, Baloch S, Sheeba A, Baloch S, Khaskheli FK. Iron deficiency anaemia is still a major killer of pregnant women. Pak J Med Sci. 2016;32(3):630-634.
4. WHO Global Anaemia estimates, 2021 Edition: Anemia in women and children. Available from: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children
5. Marahatta R. Study of anaemia in pregnancy and its outcome in Nepal medical college teaching hospital, Kathmandu, Nepal. Nepal Med Coll J. 2007;9:270–4.
6. Kalaivani K. Prevalence and consequences of anaemia in pregnancy. Indian J Med Res. 2009; 130:627–33.
7. World Health Organization. Geneva: WHO; 2015. [accessed on October 20, 2016]. The global prevalence of anaemia in 2011. Available from: http://www.who.int/nutrition/publications/ micronutrients/global_prevalence_anaemia_2011/en/
8. Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. Lancet Glob Health. 2013 Jul; 1(1):e16-25.
9. Milman N, Bergholt T, Eriksen L, Byg KE, Graudal N, Pedersen P, et al. Iron prophylaxis during pregnancy -- how much iron is needed? A randomized dose- response study of 20-80 mg ferrous iron daily in pregnant women. Acta Obstet Gynecol Scand. 2005 Mar;84(3):238-47.
10. Vivek RG, Halappanavar AB, Viveki PR, Halki SB, Maled VS, Deshpande PS. Prevalence of Anaemia and Its Epidemiological Determinants in Pregnant Women. Al Ameen J Med Sci. 2012; 12(3)
11. Allen, Lindsay H. Anemia and iron deficiency: effects on pregnancy outcome. The American Journal of Clinical Nutrition 2000; 71(5), 1280S–1284S.
12. Rodriguez-Bernal C, Rebagliato, Ballester. Maternal nutrition and fetal growth: the role of iron status and intake during pregnancy. Nutrition and Dietary Supplements. 2012;4:25-37
13. Bakacak M, Avci F, Ercan O, Köstü B, Serin S, Kiran G, Bostanci MS, Bakacak Z. The effect of maternal hemoglobin concentration on fetal birth weight according to trimesters. J Matern Fetal Neonatal Med. 2015;28(17):2106-10.
14. Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr. 2000 May;71(5 Suppl):1285S-7S.
15. Sagen N, Nilsen ST, Kim HC, Bergsjø P, Koller O. Maternal hemoglobin concentration is closely related to birth weight in normal pregnancies. Acta Obstet Gynecol Scand. 1984;63(3):245-8.
16. 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 Aug;98(2):124-8.
17. Timilsina S, Karki S, Gautam A, Bhusal P, Paudel G, Sharma D. Correlation between maternal and umbilical cord blood in pregnant women of Pokhara Valley: a cross sectional study. BMC Pregnancy Childbirth. 2018 Mar 21;18(1):70.
18. Lee S, Guillet R, Cooper EM, Westerman M, Orlando M, Kent T, et al. Prevalence of anemia and associations between neonatal iron status, hepcidin, and maternal iron status among neonates born to pregnant adolescents. Pediatr Res. 2016 Jan;79(1-1):42-8.
19. Bernhardt GV, Jhancy M, Shivappa P, Bernhard K, Pinto JR. T. Relationship between Maternal and Cord Blood Iron Status in Women and their New Born Pairs. Biomed Pharmacol J. 2021;14(1).
20. Hack M, Flannery DJ, Schluchter M, Cartar L, Borawski E, Klein N. Outcomes in young adulthood for very-low-birthweight infants. N Engl J Med 2002;346:149–57.
21. Sekhavat L, Davar R, Hosseinidezoki S. Relationship between maternal hemoglobin concentration and neonatal birth weight. Hematology. 2011 Nov;16(6):373-6
22. Paramahamsa RRK, Chakravarthi GK. Study on relationship between maternal haemoglobin and the early neonatal outcome in term babies. Int J Contemp Pediatr. 2019 Sep;6(5)