Document Detail


Anaemia in the first but not in the second or third trimester is a risk factor for low birth weight.
MedLine Citation:
PMID:  12765667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess pregnancy outcome in women with anaemia during pregnancy. METHODS: The study design involved a retrospective chart review of all women registering for prenatal care in the area of Kuopio University Hospital between 1990 and 2000. A haemoglobin concentration below 100g/l was used as a cutoff for anaemia and affected women (N=597) were stratified by the trimester at which anaemia was diagnosed. Multiple regression analysis was used to compare obstetric outcomes in the study groups and in non-anaemic women (N=22,202). RESULTS: The frequency of anaemia was 2.6%, with 0.3% occurring in the first trimester. After controlling for confounding factors, anaemia detected in the first trimester was associated with low-birth-weight infants (OR=3.14, 95% CI: 1.35-7.28) whereas the mid- and third-trimester anaemia groups showed no significantly different outcomes when compared with the non-anaemic women. First trimester anaemia was not significantly associated with small birth weight for gestational age (OR=0.98, 95% CI: 0.41-2.17) or with premature delivery <37 weeks (OR=1.80, 95% CI: 0.72-4.49). CONCLUSIONS: Maternal anaemia detected in the first trimester is associated with low birth weight.
Authors:
Henna Hämäläinen; Katja Hakkarainen; Seppo Heinonen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  22     ISSN:  0261-5614     ISO Abbreviation:  Clin Nutr     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-05-26     Completed Date:  2003-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  271-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Kuopio University Hospital, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anemia / blood*,  epidemiology
Female
Finland / epidemiology
Hemoglobins / analysis
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature
Pregnancy / blood*
Pregnancy Complications*
Pregnancy Outcome*
Pregnancy Trimester, First / blood
Pregnancy Trimester, Second / blood
Pregnancy Trimester, Third / blood
Retrospective Studies
Risk Factors
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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