Maternal hematological status and risk of low birth weight and preterm delivery in Nepal

Bondevik, Gunnar Tschudi; Lie, Rolv Terje; Ulstein, Magnar; Kvåle, Gunnar

doi:10.1034/j.1600-0412.2001.080005402.x

Cited by 82 publications

(68 citation statements)

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“…28 Physiological plasma volume expansion might be necessary and even beneficial during pregnancy, 33 but, as we found, severe anemia might have adverse effects as found by others. [34][35][36][37] We found an association between severe anemia and LBW when assessing Hb in the third trimester of pregnancy. Villar and Belizan 38 found that negative factors for fetus' growth around the 30th week of gestation resulted in a disproportionately growth-retarded infant.…”

Section: Discussionmentioning

confidence: 92%

Maternal Anemia in Benin: Prevalence, Risk Factors, and Association with Low Birth Weight

Bodeau-Livinec¹,

Briand²,

Berger³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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Section: Discussionmentioning

confidence: 92%

Maternal Anemia in Benin: Prevalence, Risk Factors, and Association with Low Birth Weight

Bodeau-Livinec¹,

Briand²,

Berger³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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“…However, a number of studies have revealed an increased risk of low birth weight (7)(8)(9)12,36), preterm birth (7,8,36) and stillbirth (10,11) associated with anemia in pregnancy. The results of past studies greatly depend on the definition of anemia, the time when hemoglobin was measured and potential confounders used for adjustment.…”

Section: Discussionmentioning

confidence: 99%

Anemia in pregnancy and its association with pregnancy outcomes in the Arctic Russian town of Monchegorsk, 1973–2002

Chumak

Grijbovski

2010

International Journal of Circumpolar Health

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Objectives. The purpose of this study was to determine the prevalence of anemia in pregnancy in Monchegorsk, north-west Russia, and to analyse its association with birth weight and the risk of stillbirth and preterm birth. Study design. A registry study based on the Kola Birth Registry. Methods. A total of 24,525 women who gave birth in Monchegorsk between 1973 and 2002 and who had data on anemia in pregnancy in the Kola Birth Registry (KBR) were included in the study. For these women, data on maternal anemia, age, occupation, marital status, parity, smoking, alcohol, gestational age, birth weight, stillbirth and year of delivery were obtained from the KBR. Linear regression was used to study the effect of maternal anemia on birth weight. Logistic regression was used to estimate the effect of anemia on the risks of stillbirth and preterm birth, with adjustment for the above-mentioned characteristics. Crude and adjusted odds ratios (OR) were calculated. Results. The prevalence of anemia increased from 43.7% in the 1970s to 89.8% in the beginning of the 2000s. Infants born to women with anemia were 48 grams (95% CI 36, 59) heavier than infants of non-anemic women. Women with anemia in pregnancy were less likely to have stillbirths (OR=0.68; 95% CI 0.52, 0.89) and preterm births (OR=0.66; 95% CI 0.58, 0.75) after adjustment for potential confounders. Conclusion. The prevalence of anemia in pregnant women as defined by the KBR more than doubled during the 30-year period. Positive associations with birth weight and negative associations with the risk of stillbirth and live preterm birth were observed.

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“…7 Morbidity pattern is in accordance with studies done in Bangladesh 8 and Netherlands 9 but different than one study. 10 Repeated pregnancy is also contributing factor for poor nutritional status of the mother. All these factors deplete the micronutrient stores of the mother, to the extent that she becomes anaemic even in the first trimester.…”

Section: Discussionmentioning

confidence: 99%

A study of morbidity and drug utilization pattern in indoor patients of high risk pregnancy at tertiary care hospital

Patel

Joshi

Patel

2013

Int J Reprod Contracept Obstet Gynecol

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Background: Pregnancy represents a special physiological state during which the use of drug is of growing concern due to risk of teratogenicity. High risk pregnancy is common threat to mother and foetus. Therefore, our aim was to study the drug utilization and morbidity pattern in high risk pregnancy in hospitalized pregnant women. Methods: An observational, prospective study was carried out in 250 patients for 6 months in the tertiary care hospital. Protocol was approved by the Institutional Review Board (IRB). The data were collected in a pre-designed proforma. Data were analysed by using SPSS version 20.0 Software. Results: Among 250 patients, 19 (7.6%), 218 (87.2%) and 13 (5.2%) were of less than 20, 20 to 30 and more than 30 years of age respectively. About 68.8% women had complained of abdominal pain and 67.6% had weakness followed by headache / body ache (47.2%), oedema (26.4%) and vomiting (18.8%). Iron (91.2%) and calcium (84.5%) were the commonest drugs prescribed followed by folic acid (59.6%), protein powder (54.8%), vitamin C (46.8%) and isoxsuprine (26.6%). As per FDA Drug Risk Category, Category-A (82.21%) was most frequently prescribed followed by Category-B (15.64%) and Category-C (2.15%). Percentage of drugs prescribed by generic name and from essential drug list was 62.80% and 80.79%. Conclusion: Iron, Calcium and Folic acid were most commonly prescribed drugs. There is lesser number of drugs prescribed by generic name suggesting need for sincere efforts to improve situation. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 372-378

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Maternal hematological status and risk of low birth weight and preterm delivery in Nepal

Cited by 82 publications

References 20 publications

Maternal Anemia in Benin: Prevalence, Risk Factors, and Association with Low Birth Weight

Maternal Anemia in Benin: Prevalence, Risk Factors, and Association with Low Birth Weight

Anemia in pregnancy and its association with pregnancy outcomes in the Arctic Russian town of Monchegorsk, 1973–2002

A study of morbidity and drug utilization pattern in indoor patients of high risk pregnancy at tertiary care hospital

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