Necmi ARSLAN, Mehmet Halis TANRIVERDİ, HAMZA ASLANHAN, Banu DANE

Gebelikteki aneminin doğum şekli ve yeni doğan üzerine etkileri

Amaç: Çalışmamızın amacı gebelikteki aneminin doğum şekli ve yeni doğan (YD) üzerine etkilerini değerlendirmektir. Yöntemler: Haziran-Ekim 2009 arasında doğum yapan 307 gebede hemoglobin (Hb), hematokrit (Hct) değerleri ve doğum şekli retrospektif olarak değerlendirildi. Ayrıca 1.dakika ve 5.dakika apgar skorları, doğum ağırlıkları ve yeni doğanların kordon kanından elde edilen Hb, Hct ve bilirubin değerleri kaydedildi. Gebeler, Hb değeri 11,1 g/ dl ve üzerinde olanlar anemik olmayan ve 11g/dl altında olanlar ise anemik olmak üzere iki gruba ayrılarak sınıflandırıldı. Ayrıca Hb değeri 10,111 g/dl, 9,1-10 g/dl ve 9 g/dlnin altında olanlar şeklinde anemik grup kendi içinde 3 gruba ayrıldı. Bulgular: Çalışmaya alınan gebelerin 146sı anemik iken, 161i anemik değildi. Düşük doğum ağırlıklı bebek oranları anemik gebelerde anlamlı olarak daha yüksekti (p=0,029). Anemik gebelerin yeni doğanlarında Hb (P=0,026) ve Hct P=0,006) değerlerinin anlamlı olarak daha düşüktü. Düşük doğum ağırlığı sıklığı, anne Hb de- ğeri 10g/dl ve altında olduğunda anlamlı olarak artmaktaydı (%62,5 duyarlılık, %74,7 özgüllük). Sonuç: Anemik gebelerin yeni doğanlarında düşük do- ğum ağırlığı ile düşük Hb ve Hct değerleri daha sık görülmektedir. Bu nedenle gebelik esnasında anemi muhtemel olumsuz sonuçları nedeniyle taranmalı ve tedavi edilmelidir.

The effects of anemia in pregnancy on the mode of delivery and newborn

Objective: The aim of this study is to evaluate the effects of anemia in pregnancy on the mode of delivery and newborn. Methods: Between June and October 2009, 307 pregnant women were evaluated in terms of hemoglobin (Hb) and hematocrit (Hct) values, and delivery mode retrospectively. And also, the first and fifth minute Apgar scores, birth weight, and the values of Hb, Hct, and bilirubin, which obtained from the cord blood of neonates, were analyzed. Pregnant women were divided into two groups and classified as: hemoglobin value under 11.1 g / dl as anemic and the others as non-anemic group. In addition, the anemic group were divided into three group in terms of hemoglobin value, as follows: Group 1: 10.1 -11 mg/dl, group 2: 9.1 - 10 mg/dl, and group 3: <9 mg/dl. Results: In the study, 146 pregnants were anemic, while the 161 were non-anemic. The rate of low birth weight neonates was significantly higher in anemic pregnant women (p=0.029). The values of Hb (p=0.026) and Htc (p=0.006) were found to be lower in the anemic pregnant neonates. The incidence of low birth weight was significant increased when the maternal Hb value was smaller than 10g/dl (62.5% sensitivity, 74.7% specificity). Conclusion: It is observed that the low birth weight and the low values of Hb and Hct were more common in anemic pregnant neonates. Therefore, anemia should be screened and treated during the pregnancy due to the potential negative consequences.

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