The relationship of hemoglobin and hematocrit in the first and second half of pregnancy with pregnancy outcome

Findings:

Preeclampsia was linked to low hemoglobin levels during the first half of pregnancy (p = 0). 024). Furthermore, preterm premature rupture of membranes was linked to low hemoglobin levels during the second half of pregnancy (p = 0). 01). Additionally, preeclampsia was more likely to develop in mothers with lower blood dilution due to a physiological pregnancy process (p = 0). 04).

Materials and Methods:

520 Iranian pregnant women supported by health centers in Isfahan, Iran, between the ages of 15 and 45 were enrolled in a prospective cohort study using the quota sampling method. 36 conditions related to maternal and infant outcomes made up the exclusion criteria. During the 6th–11th and 26th–30th weeks of pregnancy, respectively, eligible mothers’ hemoglobin and hematocrit levels were assessed. They were observed until delivery, and information about the success of their pregnancy was gathered.

How is anemia treated in pregnancy?

Treatment for anemia during pregnancy depends on the severity. If you have:

  • Mild to moderate anemia: Your provider will usually treat it with a daily prenatal vitamin or iron supplement. This gives your body healthy amounts of iron, vitamin B12 and folic acid.
  • Severe anemia: You may need a blood transfusion.
  • Who is at risk for anemia during pregnancy?

    Pregnant women are more likely to develop anemia if they:

  • Are strict vegetarians or vegans. They are at greater risk of having a vitamin B12 deficiency.
  • Have celiac disease or Crohns disease, or have had weight loss surgery where the stomach or part of the stomach has been removed
  • Pregnant women are more likely to develop iron deficiency anemia if they:

  • Have 2 pregnancies close together
  • Are pregnant with twins or more
  • Have vomiting often because of morning sickness
  • Are not getting enough iron from their diet and prenatal vitamins
  • Had heavy periods before pregnancy
  • You can get several kinds of anemia during pregnancy. The cause varies based on the type.

  • Anemia of pregnancy. During pregnancy, the volume of blood increases. This means more iron and vitamins are needed to make more red blood cells. If you dont have enough iron, it can cause anemia. Its not considered abnormal unless your red blood cell count falls too low.
  • Iron-deficiency anemia. During pregnancy, your baby uses your red blood cells for growth and development, especially in the last 3 months of pregnancy. If you have extra red blood cells stored in your bone marrow before you get pregnant, your body can use those stores during pregnancy. Women who dont have enough iron stores can get iron-deficiency anemia. This is the most common type of anemia in pregnancy. Good nutrition before getting pregnant is important to help build up these stores.
  • Vitamin B-12 deficiency. Vitamin B-12 is important in making red blood cells and protein. Eating food that comes from animals, such as milk, eggs, meats, and poultry, can prevent vitamin B-12 deficiency. Women who dont eat any foods that come from animals (vegans) are most likely to get vitamin B-12 deficiency. Strict vegans often need to get vitamin B-12 shots during pregnancy.
  • Folate deficiency. Folate (folic acid) is a B vitamin that works with iron to help with cell growth. If you dont get enough folate during pregnancy, you could get iron deficiency. Folic acid helps cut the risk of having a baby with certain birth defects of the brain and spinal cord if its taken before getting pregnant and in early pregnancy.
  • HEMATOLOGICAL CHANGES IN PREGNANCY

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