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Maternal hematological status and risk of low birth weight and preterm delivery in Nepal.
Acta Obstet Gynecol Scand. 2001 May; 80(5):402-8.AO

Abstract

BACKGROUND

Our aim was to investigate associations between maternal characteristics, with emphasis on hematological status, and risk of low birth weight and preterm delivery among pregnant Nepali women.

METHODS

In a case-control study, 1400 pregnant women attending Patan Hospital, Kathmandu, Nepal for antenatal care and delivery in the period 1994 to 1996 were included. Women with twin pregnancies (n=15) and those delivering infants with congenital malformations (n=13) were excluded from the study. Maternal characteristics including hematocrit values were recorded at the first antenatal visit. Main outcome measures included birth weight, gestation at delivery, Apgar score, mode of delivery, and perinatal death. Linear and logistic regression models were used to analyze data.

RESULTS

Severe anemia (hematocrit < or =24%) was associated with a significantly increased risk of low birth weight (<2500 g) and preterm delivery (<37 weeks gestation). High hematocrit values (> or =40%) did not increase the risk of low birth weight or preterm delivery. The risk of low Apgar score or operative deliveries was significantly increased in women with severe anemia in the first trimester. Teenagers, women with short height or low body mass index, and those belonging to the ethnic group Brahmins, had significantly higher risks of delivering low birth weight infants.

CONCLUSIONS

Severe maternal anemia, particularly in the first trimester, was significantly associated with adverse pregnancy outcome. Low maternal age, height or body mass index also increased the risk of low birth weight. Improvements in the nutritional status of young Nepali women could contribute to improved health among their infants.

Authors+Show Affiliations

Centre for International Health and the Section for Medical Statistics, Armauer Hansens Building, University of Bergen, Bergen, Norway.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11328215

Citation

Bondevik, G T., et al. "Maternal Hematological Status and Risk of Low Birth Weight and Preterm Delivery in Nepal." Acta Obstetricia Et Gynecologica Scandinavica, vol. 80, no. 5, 2001, pp. 402-8.
Bondevik GT, Lie RT, Ulstein M, et al. Maternal hematological status and risk of low birth weight and preterm delivery in Nepal. Acta Obstet Gynecol Scand. 2001;80(5):402-8.
Bondevik, G. T., Lie, R. T., Ulstein, M., & Kvåle, G. (2001). Maternal hematological status and risk of low birth weight and preterm delivery in Nepal. Acta Obstetricia Et Gynecologica Scandinavica, 80(5), 402-8.
Bondevik GT, et al. Maternal Hematological Status and Risk of Low Birth Weight and Preterm Delivery in Nepal. Acta Obstet Gynecol Scand. 2001;80(5):402-8. PubMed PMID: 11328215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal hematological status and risk of low birth weight and preterm delivery in Nepal. AU - Bondevik,G T, AU - Lie,R T, AU - Ulstein,M, AU - Kvåle,G, PY - 2001/5/1/pubmed PY - 2001/6/22/medline PY - 2001/5/1/entrez SP - 402 EP - 8 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 80 IS - 5 N2 - BACKGROUND: Our aim was to investigate associations between maternal characteristics, with emphasis on hematological status, and risk of low birth weight and preterm delivery among pregnant Nepali women. METHODS: In a case-control study, 1400 pregnant women attending Patan Hospital, Kathmandu, Nepal for antenatal care and delivery in the period 1994 to 1996 were included. Women with twin pregnancies (n=15) and those delivering infants with congenital malformations (n=13) were excluded from the study. Maternal characteristics including hematocrit values were recorded at the first antenatal visit. Main outcome measures included birth weight, gestation at delivery, Apgar score, mode of delivery, and perinatal death. Linear and logistic regression models were used to analyze data. RESULTS: Severe anemia (hematocrit < or =24%) was associated with a significantly increased risk of low birth weight (<2500 g) and preterm delivery (<37 weeks gestation). High hematocrit values (> or =40%) did not increase the risk of low birth weight or preterm delivery. The risk of low Apgar score or operative deliveries was significantly increased in women with severe anemia in the first trimester. Teenagers, women with short height or low body mass index, and those belonging to the ethnic group Brahmins, had significantly higher risks of delivering low birth weight infants. CONCLUSIONS: Severe maternal anemia, particularly in the first trimester, was significantly associated with adverse pregnancy outcome. Low maternal age, height or body mass index also increased the risk of low birth weight. Improvements in the nutritional status of young Nepali women could contribute to improved health among their infants. SN - 0001-6349 UR - https://www.unboundmedicine.com/medline/citation/11328215/Maternal_hematological_status_and_risk_of_low_birth_weight_and_preterm_delivery_in_Nepal_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=11328215.ui DB - PRIME DP - Unbound Medicine ER -