غلظت هموگلوبین خون و پیامدهای بارداری در زنان باردار نوجوان

Maternal hemoglobin level and birth outcomesin pregnant adolescentsalizadeh l.1, salehi l.2, ramzi m.31ardabil branch, islamic azad university of medical sciences, ardabil, iran2alborz university of medical sciences, karaj, iran3shiraz university of medical sciences, shiraz, iranabstractbackground and objectivesstudies on the relationship between maternal hemoglobin (hb) level and adverse pregnancy outcomes have been inconsistent. the aim of this study was to examine the birth outcomes in pregnant adolescents as high risk mothers. materials and methodsin this cross sectional study, 312 healthy pregnant women with ga=37-40 weeks were selected by random sampling. after their medical records were taken and clinical investigation done, hb tests were conducted. after birth, the correlation between the levels of hb concentration during pregnancy and birth outcomes was estimated. statistical analyses were performed with spss software using t-test, chi-square, and anova. resultsthe prevalence rate of anemia was 23.2 %. the average birth weight was 3197.8 ± 398.25 g and it was higher in mothers with hb=10.5-12.5 g/dl than others (10.5 > hb > 12.5 g/dl) (p < 0.01). apgar score less than 8 was higher in the anemic group. conclusionsour findings demonstrated that abnormal hb concentrations increased the risk of adverse birth outcomes in pregnant adolescents. thus, the intensive care is recommended for them.