Published: Dec 18, 2024
  
 
     
  Keywords:
maternal anemia, Apgar score at 1 minute < 7, pregnancy outcomes, fetal outcomes
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
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    Home / Archives / Vol. 20  No. 2 (2567) : July - December / Research Article  
 
  Pregnancy outcomes of maternal anemia in term pregnancy
  
   
   
     
 
Chalit Vongyuttakrai
Department of obstetrics and gynecology, Nakharaphiban Hospital, Department of Medical Services, Bangkok Metropolitan Administration
Jiraporn Leungmettakul
Department of obstetrics and gynecology, Charoenkrung Pracharak Hospital, Department of Medical Services, Bangkok Metropolitan Administration

Abstract

Objective : To determine pregnancy outcomes and fetal outcomes in maternal anemia. 


Materials and Methods : A retrospective cohort study was conducted in pregnant women who delivered at Charoenkrung Pracharak Hospital from January 1st,2020 to December 31st,2020. A total of 220 term singleton pregnant women were enrolled. 44 pregnant women with anemia during pregnancy (study group), and 176 pregnant women without anemia during pregnancy (control group) were compared in 1:4 ratio. The pregnancy outcomes between two groups were compared.


Results : Pregnant women with anemia significantly increased the risk of primary cesarean section, Apgar score at 1 minute < 7, low birth weight, NICU admission. Regression analysis for anemia at various time during pregnancy still detected pregnant women with anemia at first visit, third trimester, and day of delivery significantly increased the risk of primary cesarean section. The rate of Apgar score at 1 minute  < 7 was significantly higher only in pregnant women with anemia at first visit (adjusted RR 5.91, 95%CI 1.82-19.11) and at delivery day (adjusted RR 3.56, 95%CI 1.12-11.34). Moreover, there was significantly higher rate of NICU admission in maternal anemia at first ANC and at the day of delivery compared to non-anemic mother. In contrast, the rate of low birth weight significantly increased only in pregnant women with anemia at third trimester (adjusted RR 6.80, 95%CI 1.43-32.29). No significant differences in other pregnancy outcomes found.


Conclusion : Maternal anemia during pregnancy significantly increased the risk of Apgar score at 1 minute < 7, low birth weight, NICU admission and risk for primary cesarean section.

  
     
     
     
 
    How to Cite  
     
  Vongyuttakrai, C., & Leungmettakul , J. . (2024). Pregnancy outcomes of maternal anemia in term pregnancy . Journal of Charoenkrung Pracharak Hospital, 20(2), 20–34. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/268746  
     

 
 
     
     
 
    Issue  
     
  Vol. 20 No.2 (2567): July - December  

 
 
     
     
 
    Section  
     
  Research Article  

 
 
     
     
     

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