Relation Ship of Maternal Haemoglobin Concentration Measured in Labour with Neonatal Outcome among Sudanese Women

Nada Elamin Abdallah Badi,Nahla Idris Abdalla Idris,Siddig Omer M Handady,Hassabelrasol Ata Almoula,Yassir Hamadalnil

doi:10.4236/ojog.2021.112015

Abstract

Objective: Data showed that maternal anaemia during pregnancy negatively affects maternal/fetal outcomes. We here attempted to re-confirm this in this specific region of Sudan, with special reference to fetal/neonatal outcome. Methodology: This cross-sectional observational study was carried out at Omdurman Maternity and Khartoum North Teaching Hospitals-Sudan from March 2018 to March 2019, with 246 pregnant women presented in labour enrolled. Maternal characteristics, haemoglobin (Hb) measured after labour initiation and fetal/neonatal outcomes were analyzed. Results: When maternal anemia was defined as Hb less than 10.0 g/dL, 80 (32.5%) had anemia and 166 had not. Anemic women (Hb; 8.3 ± 0.31), compared with non-anemic women (Hb; 11.4 ± 0.61), were significantly more likely to have low birth weight (LBW) infants (40% vs. 15.7%) and still birth (12.5% vs. 4.8%). There was a correlation between hemoglobin concentration and the followings: LBW, respiratory distress syndrome, neonatal nursery admission, still birth, early neonatal death, and low Apgar score. Conclusions: Maternal aneamia negatively affected fetal/neonatal outcomes. This data may be useful to make health policy in this area.

Highlights

Iron deficiency anemia is a globally important public health problem, for low- and middle-income countries, such as Sudan
Data showed that maternal anaemia during pregnancy negatively affects maternal/fetal outcomes
Low birth weight defined as the infant birth weight which less than 2500 gram and preterm birth was considered as gestational age under 37 weeks

Summary

Introduction

Iron deficiency anemia is a globally important public health problem, for low- and middle-income countries, such as Sudan. Pregnant women and young children are especially vulnerable [1]. According to WHO estimates, up to 50% of all women living in developing countries are anaemic. The population group with the greatest number of individuals affected is pregnant women [2] [3] [4]. Anemia that complicates pregnancy threatens the life of both the mother and the fetus and has long been considered a risk factor for LBW and low APGAR score [6]. With increased maternal morbidity and mortality, higher rates of preterm birth and low birth weight, and reduced infant survival, with potential long-term consequences for child growth and development [7] [8]

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Results

Conclusion