Correlation of different obstetrical factors with hemoglobin level in pregnant females.

Abstract

Objectives: To assess the correlation of different obstetrical factors with the hemoglobin level in multiparous pregnant females in Taif KSA. Anemia in pregnancy is a multifactorial phenomenon, among which obstetrical factors like parity, previous H/O abortions, inter pregnancy interval, mode of delivery etc are frequently associated. Study Design: Observational study. Setting: Outpatient department in King Faisal Hospital (KFH), Taif, Saudi Arabia. Period: 1st June 2018 and 31st August 2018. Material & Methods: Conducted in 200 pregnant women by random sampling technique. Hemoglobin value and all patient’s data was noted. All data was fed to SPSS version 23.0 and statistically analyzed using chi square test for qualitative and student’s t test for quantitative data. Results: The study was conducted in 200 patients that showed that there was no statistically significant association of increasing parity, inter pregnancy interval, mode of delivery (NVD or Cesarean section) & history of anemia and PPH in preceding pregnancy with the Hemoglobin level. While history of previous abortion is associated and a risk factor for anemia in pregnancy, 50% with history of 01 previous abortion had anemia while 100% of the cases with history of 02 previous abortions had moderate anemia. (Table-II). This association was observed statistically significant with p value of 0.001. Conclusion: This study concluded that anemia is a predictable as well as preventable entity. Obstetrical factors may be the contributory factors of anemia in pregnancy. Health education awareness programs, regular antenatal visits and iron supplements can be helpful to improve heath of pregnant women.

Interbirth interval and maternal anaemia in 21 sub-Saharan African countries: A fractional-polynomial analysis

“…Our finding is consistent with the previous studies that indicated that a short interbirth interval increases the risk of anemia [7,8,11,[24][25][26][27][28]. In contrast, some studies showed that a short interbirth interval has no association with maternal anaemia [9,10,12,13]. The majority of the previous studies modelled interbirth interval as a categorical variable in regression cannot capture the nonlinear relationship between interbirth interval and many perinatal outcomes and may produce a biased estimate of the association [38,39].…”

“…However, the results of previous studies were inconsistent. Some studies found that the short interbirth interval is associated with increased maternal anaemia [7,8,11], while others found little evidence for a relationship between short interbirth interval and maternal anaemia [9,10,12,13]. Although the biological mechanisms by which short interbirth intervals may lead to maternal anaemia have not been fully elucidated [14], it has been suggested that micronutrient depletion may partially explain associations between a short interbirth interval and maternal anaemia [15].…”

“…Although most previous studies have focused on associations between short interbirth intervals and maternal anemia, they have shown conflicting results [7][8][9][10][11][12][13][24][25][26][27][28][29]. Almost all previous studies examined its association by treating interbirth interval as categorical, most often as dichotomous, despite the inherent continuity of this exposure and the lack of evidence for specific discrete exposure thresholds [8,[24][25][26]30].…”