THE EFFECT OF MATERNAL ANEMIA ON THE ANTHROPOMETRIC MEASUREMENTS IN FULLTERM NEONATES

Nasma N Al-hajjiah; Mohammed A Almkhadree

doi:10.22159/ajpcr.2018.v11i4.25579

Authors

Nasma N Al-hajjiah Department of Pediatrics, College of Medicine, University of Al-Qadisiyah, Iraq.
Mohammed A Almkhadree Department of Maternity and Children Teaching Hospital, Al-Qadisiyah, Iraq.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i4.25579

Keywords:

Anemia, Anthropometry, Neonates, Pregnant

Abstract

Â Objective: The current study was performed to understand the effect of maternal anemia and its severity on anthropometric measurement of full-term neonates.

Methods: In this study, 254 pregnant women were involved in this study. The women with anemia were classified depending on the hemoglobin concentration into three groups of mild (10.9â€“9.0 g/dl), moderate (8.9â€“7.0 g/dl), and severe anemia (Ë‚7.0 g/dl). The anthropometric measurements of the newborns were measured including birth weight, length, and head and chest circumference. Mothers with chronic diseases, preterm neonates, postdate neonates, neonates with congenital anomalies, or critical illnesses had been excluded from the study.

Results: A total of 147 (58%) mothers had normal hemoglobin levels, and 107 (42%) mothers were anemic. The newborns were 123 males and 131 females. From the anemic mothers, 59 (55%) neonates had low weight, and 48 (45%) neonates had normal weight. In mothers with mild anemia (n=83), 40 (48%) neonates had low weight. In mothers with moderate anemia (n=21), 16 (76%) neonates had low weight. In mothers with severe anemia (n=3), all of their neonates had low weight. The current study revealed a statistically significant difference (p=0.002) in the anthropometric measurement of the full-term neonates between anemic and non-anemic mothers. There was also a statistically significant difference (p=0.001) in the anthropometric measurement of the full-termed neonates between severely and mildly anemic mothers.

Conclusion: The current study shows that maternal anemia affects the anthropometric measurements of newly delivered full-term neonates. Neonates born to anemic mothers had low birth weight and shorter length than those in neonates who were born to non-anemic mothers.

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References

Flemming A. Anemiaduring Pregnancy. Available from: http://www.netdoctor.co.uk/disease/facts/anemia pregnancy. [Last accessed 0n 2014 Jan 04].

Galloway R. Anemia preventionandcontrol: What Works. USAID, World Bank, PAHO/WHO, Micronutrient Initiative, FAO, and UNICEF; 2003.

Goodlin RC, Dobry CA, Anderson JC, Woods RE, Quaife M. Clinical signs of normal plasma volume expansion during pregnancy. Am J Obstet Gynecol 1983;145:1001-9.

Odekunle A, Jacinto S, Burnett M, Clapperton M, David Y, Denis W, et al. Anemia inpregnancy: Associations with parity, abortions and child spacing in primary health care clinic attendees in Trinidad and Tabago. Afr Health Sci 2010;10:66-70.

Rosmawti N, Nazri M, Ismail M. The rate and risk factors for anemia among pregnantmothers in Jerteh Trengganu, Malaysia. J Community Med Health Educ 2012;2:21.

Brabin L, Nicholas S, Gogate A, Karande, A, Khanna, R, Dollimore N, et al. A high prevalence of anemia among women in Mumbai, India. Food Nutr Bull 1998;19:205-9.

Viteri FE. The consequences of iron deficiency and anemia in pregnancy. Adv Exp Med Biol 1994;352:127-39.

Utpala GD, Gregory DS. Abnormal fetal growth: Intrauterine growth retardation, small for gestational age, large for gestational age. In: Davis C, editor. Pediatric Clinics of North America. Philadelphia, PA: WB Saunders; 2004. p. 640-4.

Abeysena C, Jayawardana P, de A Seneviratne R. Maternal haemoglobin level at booking visit and its effect on adverse pregnancy outcome. Aust N Z J Obstet Gynaecol 2010;50:423-7.

Thangaleela T, Vijayalakshmi P. Prevalence of anemia in pregnancy. Ind J Nutr Diet 1994;31:26-9.

Cutner A, Bead R, Harding J. Failed response to treat anemia in pregnancy; Reasons and evaluation. J Obstet Gynecol 1999;Suppl:S23-7.

UNICEF/UNU/WHO. Iron Deficiency Anemia: Assessment, Prevention, and Control. A Guide for Program Managres. Geneva, Switzerland: World Health Organization; 2001.

Zimmermann MB, Hurrell RF. Nutritional iron deficiency. Lancet 2007;370:511-20.

Malhotra M, Sharma JB, Batra S, Sharma S, Murthy NS, Arora R, et al. Maternal and perinatal outcome in varying degrees of anemia. Int J Gynaecol Obstet 2002;79:93-100.

Akinola OI, Fabamwo AO, Tayo AO, Rabiu KA, Abisowo OY, Alokha ME, et al. Maternal hemoglobin and fetal birth weight any relationship? The experience in Lagos, South Western Nigeria. Nigerian Med Pract 2008;54:50-2.

Telatar B, Comert S, Vitrinel A, Erginoz E, Akin Y. The effect of maternal anemia on anthropometric measurements of newborns. Saudi Med J 2009;30:409-12.

Akhter S, Momen MA, Rahman MM, Parveen T, Karim RK. Effect of maternal anemia on fetal outcome. Mymensingh Med J 2010;19:391-8.

Brough L, Rees GA, Crawford MA, Morton RH, Dorman EK. Effect of multiple-micronutrient supplementation on maternal nutrient status, infant birth weight and gestational age at birth in a low-income, multi-ethnic population. Br J Nutr 2010;104:437-45.

Rusia U, Madan N, Agarwal N, Sikka M, Sood SK. Effect of maternal iron deficiency anaemia on foetal outcome. Indian J Pathol Microbiol 1995;38:273-9.

Sagen N, Nilsen ST, Kim HC, BergsjÃ¸ P, Koller O. Maternal hemoglobin concentration is closely related to birth weight in normal pregnancies. Acta Obstet Gynecol Scand 1984;63:245-8.

Kozuki N, Lee AC, Katz J, Child Health Epidemiology Reference Group. Moderate to severe, but not mild, maternal anemia is associated with increased risk of small-for-gestational-age outcomes. J Nutr 2012;142:358-62.

Srinivas P, Srinivasan P. The relationship between maternal anemia and birth weight in new born. IOSR J Dent Med Sci (IOSR-JDMS) 2015;14:9-11.

Ali SM, Murad AM, Murad AM. Effect of maternal hemoglobin on anthropometric measurements of full term newly born babies. IRAQI J Med Sci 2013;11:2-6.