Article citationsMore>>

Goldenberg, R.L., Tamura, T., DuBard, M., Johnston, K.E., Copper, R.L. and Neggers, Y. (1996) Plasma Ferritin and Pregnancy Outcome. American Journal of Obstetrics and Gynecology, 175, 1356-1359.
https://doi.org/10.1016/S0002-9378(96)70054-6

has been cited by the following article:

• TITLE: Significance of Initial Maternal Hemoglobin Concentration during Pregnancy in Birth Weight and Preterm Delivery in Sri Lanka

  AUTHORS: Athambawa Mohamed Razmy

  KEYWORDS: Anemia, Hemoglobin Concentration, Low Birth Weight, Preterm Delivery, Relative Risk

  JOURNAL NAME: Open Access Library Journal, Vol.3 No.12, December 1, 2016

  ABSTRACT: Objective: The study was conducted to investigate the influence of initial hemoglobin (Hb) concentration of Sri Lankan pregnant mothers on baby’s birth weight and preterm delivery. Methods: For this retrospective study, 3867 primigravid pregnant women in Sri Lanka were followed till they deliver the baby. Sampling method was cluster sampling where all the pregnant mothers giving singleton birth in the selected 15 health division were followed for three years. Mothers’ initial Hb concentration, weight gain during the pregnancy and neonatal outcomes were assessed. Results: Severe iron deficiency anemia at the initial stage of pregnancy had 3.9 - 14.4 folder higher relative risk of low birth weight (LBW) and 3.0 - 8.1 folder higher relative risk of preterm delivery at 95% confidence interval. The minimum incidence of preterm delivery and maximum weight gain of mothers occurs in association with an initial Hb concentration of 105 - 125 g/L. Conclusion: The excess level of initial iron content at pregnancy does not contribute for any adverse effect on pregnancy outcome as like in the later part of pregnancy and therefore supplement of iron during the initial pregnancy for mothers can be carried out regardless of whether the mother is anemic.