Anemia during pregnancy and the postpartum period is commonly caused by iron deficiency and is a significant worldwide issue with severe consequences for both mother and developing fetus. From a worldwide perspective, iron-deficiency anemia (IDA) during pregnancy is highest in the Asia-Pacific region; however, there has been little guidance in this region for safe and effective treatment. An expert panel was convened to develop a concise and informative set of recommendations for the treatment of IDA in pregnant and postpartum women in the Asia-Pacific region. This manuscript provides these recommendations and aims to reduce the morbidity and mortality associated with IDA in pregnant and postpartum women in the Asia-Pacific region. The consensus recommendations define anemia as a hemoglobin (Hb) level -10.5 g/dL during pregnancy and -10 g/dL during the postpartum period, and provide cut-off Hb levels to
Objective: To determine association of GNK-PIMS score vs Newmann Peacock score with success of external cephalic version (ECV).
Materials and methods:This comparative cross-sectional analysis was carried out at MCH center Unit I, PIMS, Islamabad, from 1st January 2006 to 31st December 2009. Characteristics of 166 breech versions performed during study period were integrated into both Newmann Peacock score and GNK-PIMS score. Association of the two scoring systems with success of ECV was determined using Student t-test, correlation coefficient, Chi-square test and Cox and Snell test. The individual characteristics of two scores were also evaluated by stepwise linear regression model.
Results:The success rate of ECV was 49.9%. Newman Peacock score had weaker correlation with success of ECV (r = 0.234, p = 0.001) than GNK-PIMS score (r = 0.716, p = 0.000). The success rate was 6.3% at a score of <3 and 60% at >8 with Newmann Peacock score while that with GNK-PIMS score was nil at a score of <3 and 100% at >8. All individual parameters of the GNK-PIMS score had significant association with success of ECV compared to only three variables of Newman Peacock score.
Conclusion:GNK-PIMS score is stronger predictor of ECV success than Newman Peacock score. Larger randomized controlled trials should be conducted based on this scoring system.
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