Document Detail


Third trimester iron status and pregnancy outcome in non-anaemic women; pregnancy unfavourably affected by maternal iron excess.
MedLine Citation:
PMID:  10920115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective observational study was performed on 488 women with haemoglobin >/=10 g/dl at booking to examine the relationship between serum ferritin concentration quartiles at 28-30 weeks gestation with maternal characteristics, pregnancy complications and infant outcome. While there was no difference in the maternal characteristics or gestational age, the infant size decreased significantly and progressively from the lowest to the highest quartile. Despite a significant difference in the incidence of multiparous women, there was no difference in the incidence of most complications except for prelabour rupture of the membranes and infant admission to the neonatal unit. Compared with the other three quartiles, the highest quartile was associated with increased risk for preterm delivery and neonatal asphyxia, while the lowest quartile was associated with decreased risk of pre-eclampsia, prelabour rupture of the membranes, and infant admission to the neonatal unit. Overall, ferritin quartiles were correlated with other parameters of iron status and red cell indices, and ferritin concentration was inversely correlated with infant birthweight. Our findings suggested that maternal ferritin concentration is primarily a reflection of maternal iron status, and a high level is associated with unfavourable outcome. The rationale of routine iron supplementation in non-anaemic women needs to be re-examined.
Authors:
T T Lao; K F Tam; L Y Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  15     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-09-06     Completed Date:  2000-09-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1843-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, The University of Hong Kong, Tsan Yuk Hospital, People's Republic of China. laotth@hkucc.hku.hk
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MeSH Terms
Descriptor/Qualifier:
Adult
Anemia
Birth Weight
Body Weight
Female
Ferritins / blood
Fetal Membranes, Premature Rupture / epidemiology,  metabolism
Humans
Incidence
Infant, Newborn
Iron / blood*
Obstetric Labor, Premature / epidemiology,  metabolism
Pre-Eclampsia / blood,  epidemiology
Pregnancy
Pregnancy Outcome*
Pregnancy Trimester, Third / metabolism*
Prospective Studies
Regression Analysis
Transferrin / analysis
Chemical
Reg. No./Substance:
11096-37-0/Transferrin; 7439-89-6/Iron; 9007-73-2/Ferritins

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


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