M. Erdar SAK, Özgür ÖZKUL, Mehmet Sıdık EVSEN, Sibel SAK, Osman EVLİYAOĞLU

Gebelik anemisinin perinatal sonuçlara etkisi

Gebelikte tedavi edilmemiş aneminin yenidoğanda komplikasyonlar ile ilişkili olabileceği bildirilmektedir. Çalışmamızın amacı gebelikte maternal anemi tespit edilen hastalardaki perinatal sonuçları değerlendirmektir. Çalışmaya ikinci trimesterde hemoglobin (Hb) düzeyi 8 g/dl’nin altında olan 29 anemik gebe kadın (Grup 1) ile Hb düzeyi 10 g/dl’nin üzerinde olan 30 gebe kadın (Grup 2) dahil edildi. Her iki grup için preterm doğum, intrauterin gelişme geriliği (IUGG) ve yeni doğan ünitesine sevkedilme oranları incelendi. Grup 1 de ortalama Hb konsantrasyonu 7.2±0.4 gr/dl, Grup 2 de 12.1±0.9 olarak saptandı (P0.05), yeni doğan ünitesine sevk oranı anemik grupta anlamlı yüksek bulundu (sırasıyla %44.8 ve %166, P=0.019). Gebelik anemisinin antenatal takipler sırasında belirlenmesi ve tedavisi perinatal komplikasyonların azaltılması bakımından önemlidir. Maternal aneminin perinatal sonuçlara etkileri açısından daha ileri çalışmalara ihtiyaç vardır.

The effects of gestational anemia on perinatal outcomes

Untreated anemia during pregnancy is reported to be associated with fetal complications. The aim of present study was to investigate perinatal outcomes associated with maternal anemia during pregnancy. Twenty-nine pregnant women with second trimester hemoglobin (Hb) levels under 8 g/dL (Group 1) and 30 over 10 g/dL (Group 2) were included. The ratios of preterm birth, intrauterine growth restriction (IUGR) and admission to neonatal intensive care unit (NICU) were recorded. Preterm birth ratio was 34,4% in Group 1 and 13.3% in Group 2 (P=0.05). There was no significant difference in IUGR between two groups (P>0.05). Neonatal care unit admissions were significantly higher in Group 1 compared with Group 2 (44.8% vs. 16.6%, respectively, P=0.019). Diagnosis and treatment of maternal anemia during pregnancy is important to minimize the perinatal complications. Further studies are necessary to evaluate the association of maternal anemia and perinatal outcomes more clearly.

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