Amaç: Çaliçmamizin amací gebelikte mevcut oían aneminin ve yenidoganda etkilerini degerlendirmekti.Gereç ve Yöntem: Klinigimizde dogum yapan 307 gebenin hemoglobin (Hb), hematokrit (Hct) degerleri ve yenidoganlarin kordon kaninda bakilan Hb, Hct, bilirübin degerleri ile dogum §ekli, yenidogan kilosu, Apgar skorlarmí belirledik. Gebeler Hb degerinin 11,1 mg/dL ve üzerinde anemik olmayan, Hb degeri 11 mg/dL altmda oían anemik grup olmak üzere iki grupta degerlendirildi. Ayrica Hb degerinin >11,1 mg/dL, 11-10,1 mg/dL arasinda, iO-9,1mg/dLarasinda ve <9 mg/dL olmasi §eklinde dort grup olu §turuldu.
Bulgular:Çali §maya 146 anemik, 161 anemik olmayan olgu dahil edildi. Anemik gebelerin düfük dogum agirhkli bebek dogurma oraní anlamli olarak yüksek idi (%11,6'ya kar §ilik % 4,3, p=0,029). Dü §ük dogum agirligi sikliginin anne Hb degeri 10 g/dL ve altmda oldugunda anlamli olarak arttigí saptandi (p=0,0045). Anemik gebelerin kordon kam Hb (17,49±2,4 g/dL'ye kar §ilik 18,1 ± 2,4; p=0,026) ve Hct (%53,3±7,4'e kar §ilik %55,6±7,2; p=0,006) degerleri anlamli olarak dü §ük bulundu. Çikarimlar: Gebelikteki anemi yenidoganm dü §ük dogum kilosu ile dogma riskini artirmakta ve Hb ve Hct degerlerini azaltmaktadir.Anemi taranmali ve dogum öncesinde tedavi edilmelidir. (Turk PedAr § 2013; 48:195-9) Anahtar sözcükler: Anemi, dü §ük dogum agirligí, hemoglobin, yenidogan Sumtnary Aim: In this study we aimed to evaluate the effect of maternal anemia on the newborn. Material and Method: We determined hemoglobin (Hb) and hematocrit (Hct) levels of 307 pregnant women who delivered in our clinic and Hb, Hct, bilirubin levels in the cord blood, mode of delivery and Apgar scores of their newborns. The pregnant women were evaluated in two groups according to their Hb levels with the ones with a Hb value above 11.1 mg/dl as the nonanemic group and the ones with a Hb value below 11 mg/dl as the anemic group. We also created four groups with Hb levels >11.1 mg/dl, between 11 and 10.1 mg/dl, between 10 and 9.1 mg/dl and <9 mg/dl.
Results:We included 146 anemic and 161 nonanemic patients in the study. The rate of delivery of babies with low birth weight was significantly higher in the anemic group (11.6% vs. 4.3%, p=0.029). The rate of low birth weight was significantly higher in the patients with a Hb level of <10 mg/dl (62.5 % sensitivity 74.7% specificity). The cord blood Hb (17.49±2.4 g/dl vs. 18.1 ±2.4; p=0.026) and Hct levels (53.3±7.4 % vs. 55.6± 7.2 %; p=0.006) in the anemic group were significantly lower. Conclusions: Anemia in pregnancy increases the risk of low birth weight and lowers the levels of Hb and Hct of the newbom. Anemia should be screened and treated before delivery (TurkArch Ped2013; 48; 195-9)