Effect of Maternal Hemogloblin on Anthropometric Measurments of Newborns
DOI:
https://doi.org/10.51253/pafmj.v73i6.8857Keywords:
Anthropometrics, Fronto-occipital circumference, Hemoglobin, Mid chest circumference, Mothers, Newborn, weightAbstract
Objective: To determine the effect of maternal hemoglobin on the anthropometric measurements of newborns.
Study design: Prospective cross-sectional study.
Place and duration of study: Neonatal and Obstetric Department of Combined Military Hospital, Quetta Pakistan, from Jan
2020 to Jun 2020.
Methodology: All newborn babies born during the study period were enrolled in the study. Anthropometric measurement of the newborn such as length, weight, fronto-occipital circumference (FOC), and mid chest circumference (MCC) were recorded. Moreover, latest maternal hemoglobin level in third trimester of pregnancy was observed.
Results: Of 357 patients, mean newborn weight, length, FOC, and MCC were 3032.8±409.3 grams, 48.16±4.57 cm, 35.26±3.77 cm, and 32.15±1.94 cm respectively. Anemia was observed in 164(45.9%) mothers [118/164 (72%) had mild whereas 46/164(28%) had moderate anemia]. Amongst 118 mild anemic mothers, mean newborn weight, length, FOC, and MCC were 2994.9±351.9 grams, 48.43±4.45 cm, 35.08±3.64 cm, and 32.01±1.47 cm respectively. While amongst 46 moderate anemic mothers, mean newborn weight, length, FOC, and MCC were 2726.17±347.51 grams, 47.54±3.02 cm, 34.09±1.38 cm, and 31.14±2.36 cm respectively. Mean weight (p<0.001), fronto-occipital circumference (p 0.035), and MCC (p<0.001) was significantly lower among anemic mothers than non-anemic mothers. A positive significant correlation of maternal hemoglobin level was observed with newborn weight (r=0.176, p 0.001) and MCC (r= 0.194, p<0.001).
Conclusion: A considerably negative impact of maternal anemia was observed on weight, FOC, and MCC of the newborn.
Downloads
Metrics
References
Garzon S, Cacciato PM, Certelli C, Salvaggio C, Magliarditi M,
Rizzo G. Iron Deficiency Anemia in Pregnancy: Novel
Approaches for an Old Problem. Oman Med J 2020; 35(5): e166.
https://doi.org/10.5001/omj.2020.108.
Mirza FG, Abdul-Kadir R, Breymann C, Fraser IS, Taher A.
Impact and management of iron deficiency and iron deficiency
anemia in women's health. Expert Rev Hematol 2018; 11(9): 727-
https://doi.org/10.1080/17474086.2018.1502081.
Mégier C, Peoc'h K, Puy V. Iron Metabolism in Normal and
Pathological Pregnancies and Fetal Consequences. Metabolites
; 12(2): 129. https://doi.org/10.3390/metabo12020129.
Frayne J, Pinchon D. Anaemia in pregnancy. Aust J Gen Pract
; 48(3): 125-129. https://doi.org/10.31128/AJGP-08-18-4664.
Zulfiqar H, Shah IU, Sheas MN, Ahmed Z, Ejaz U, Ullah I, et al.
Dietary association of iron deficiency anemia and related pregnancy outcomes. Food Sci Nutr 2021; 9(8): 4127-4133.
https://doi.org/10.1002/fsn3.2373.
WHO. Prevalence of anaemia in pregnant women (aged 15-49).
Geneva, World Health Organization, 2022.
Basu S, Kumar D, Anupurba S, Verma A, Kumar A. Effect of
maternal iron deficiency anemia on fetal neural development. J
Perinatol 2018; 38(3): 233-239.
https://doi.org/10.1038/s41372-017-0023-5.
Anthropometric Measurements of Newborn Babies
Pak Armed Forces Med J 2023; 73(6): 1851
Behal M, Vinayak R, Sharma A. Maternal anaemia and its effects
on neonatal anthropometric parameters in patients attending a
tertiary care institute of Solan, Himachal Pradesh, India. Int
J Reprod Contracept Obstet Gynecol 2018; 7(2): 553.
https://doi.org/10.18203/2320-1770.ijrcog20180171
Pacce S, Saure C, Mazza CS, Garcia S, Tomzig RG, Lopez AP, et
al. Impact of maternal nutritional status before and during
pregnancy on neonatal body composition: A cross-sectional
study. Diabetes Metab Syndr 2016; 10(Suppl-1): S7-S12.
https://doi.org/10.1016/j.dsx.2015.08.015.
Saeed A, Imran S, Humayun A. Association of maternal
nutritional status with neonatal anthropometry: a cross-sectional
study. J Pak Med Assoc 2022.
https://doi.org/10.47391/JPMA.4055
Figueiredo ACMG, Gomes-Filho IS, Batista JET, Orrico GS, Porto
ECL, Cruz Pimenta RM, et al. Maternal anemia and birth weight:
A prospective cohort study. PLoS One 2019; 14(3): e0212817.
https://doi.org/10.1371/journal.pone.0212817.
Anwar R, Razzaq K, Noor N. Impact of maternal anemia on
perinatal outcome. Pak Armed Forces Med J 2019;69(2):397-402.
Shah T, Warsi J, Laghari Z. Effect of Maternal Anemia on the
Anthropometric Indices of Newborn. J Liaquat Univ Med Health
Sci 2020; 19(03): 191-194.
Vural T, Toz E, Ozcan A, Biler A, Ileri A, Inan AH. Can anemia
predict perinatal outcomes in different stages of pregnancy? Pak
J Med Sci 2016; 32(6): 1354–1359.
https://doi.org/10.12669/pjms.326.11199
Roberts H, Bourque SL, Renaud SJ. Maternal iron homeostasis:
effect on placental development and function. Reproduction.
; 160(4): R65-R78. https://doi.org/10.1530/REP-20-0271.
Stangret A, Wnuk A, Szewczyk G, Pyzlak M, Szukiewicz D.
Maternal hemoglobin concentration and hematocrit values may
affect fetus development by influencing placental angiogenesis. J
Matern Fetal Neonatal Med 2017; 30(2): 199–204.
https://doi.org/10.3109/14767058.2016.1168395
Figueiredo ACMG, Gomes-Filho IS, Batista JET, Orrico GS, Porto
ECL, Cruz Pimenta RM, et al. Maternal anemia and birth weight:
A prospective cohort study. PLoS One 2019; 14(3): e0212817.
https://doi.org/10.1371/journal.pone.0212817.
Javid N, Pu C. Maternal stature, maternal education and child
growth in Pakistan: a cross-sectional study. AIMS Public Health
; 7(2): 380-392.
https://doi.org/10.3934/publichealth.2020032.
Shekar M, Condo J, Pate MA, Nishtar S. Maternal and child
undernutrition: progress hinges on supporting women and more
implementation research. Lancet 2021; 397(10282): 1329-1331.
https://doi.org/10.1016/S0140-6736(21)00577-8.
Kurian K, Lakiang T, Sinha RK, Kathuria N, Krishnan P, Mehra
D, et al. Scoping Review of Intervention Strategies for Improving
Coverage and Uptake of Maternal Nutrition Services in Southeast Asia. Int J Environ Res Public Health 2021; 18(24): 13292.
Downloads
Published
How to Cite
Issue
Section
