Banu DANE, Gonca BATMAZ, Necmi ARSLAN, Cem DANE

Annede anemi yenidoğanı etkiler mi?

Amaç: Çalışmamızın amacı gebelikte mevcut olan aneminin ve yenidoğanda etkilerini değerlendirmekti. Gereç ve Yöntem: Kliniğimizde doğum yapan 307 gebenin hemoglobin (Hb), hematokrit (Hct) değerleri ve yenidoğanların kordon kanında bakılan Hb, Hct, bilirübin değerleri ile doğum şekli, yenidoğan kilosu, Apgar skorlarını belirledik. Gebeler Hb değerinin 11,1 mg/dL ve üzerinde anemik olmayan, Hb değeri 11 mg/dL altında olan anemik grup olmak üzere iki grupta değerlendirildi. Ayrıca Hb değerinin ≥11,1 mg/dL, 11-10,1 mg/dL arasında, 10-9,1mg/dL arasında ve ≤9 mg/dL olması şeklinde dört grup oluşturuldu. Bulgular: Çalışmaya 146 anemik, 161 anemik olmayan olgu dahil edildi. Anemik gebelerin düşük doğum ağırlıklı bebek doğurma oranı anlamlı olarak yüksek idi (%11,6ya karşılık % 4,3, p=0,029). Düşük doğum ağırlığı sıklığının anne Hb değeri 10 g/dL ve altında olduğunda anlamlı olarak arttığı saptandı (p=0,0045) . Anemik gebelerin kordon kanı Hb (17,49±2,4 g/dLye karşılık 18,1± 2,4; p=0,026) ve Hct (%53,3±7,4e karşılık %55,6±7,2; p=0,006) değerleri anlamlı olarak düşük bulundu. Çıkarımlar: Gebelikteki anemi yenidoğanın düşük doğum kilosu ile doğma riskini artırmakta ve Hb ve Hct değerlerini azaltmaktadır. Anemi taranmalı ve doğum öncesinde tedavi edilmelidir.

Does maternal anemia affect the newborn?

Aim: In this study, we aimed to evaluate the effect of maternal anemia on the newborn. Material and Method: We determined hemoglobin (Hb) and hematocrit (Hct) levels of 307 pregnant women who delivered in our clinic and Hb, Hct, bilirubin levels in the cord blood, mode of delivery and Apgar scores of their newborns. The pregnant women were evaluated in two groups according to their Hb levels with the ones with a Hb value above 11.1 mg/dl as the nonanemic group and the ones with a Hb value below 11mg/dl as the anemic group. We also created four groups with Hb levels ≥11.1 mg/dl, between 11 and 10.1 mg/dl, between 10 and 9.1mg/dl and ≤9 mg/dl. Results: We included 146 anemic and 161 nonanemic patients in the study. The rate of delivery of babies with low birth weight was significantly higher in the anemic group (11.6% vs. 4.3%, p=0.029). The rate of low birth weight was significantly higher in the patients with a Hb level of

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