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Abstract
Anemia
during pregnancy poses a significant
health concern that has been
linked to negative effects
for both the pregnant woman
and the newborn.
Objectives:
Our aims were to explore the
prevalence of anemia at the
time of delivery and its effect
on maternal and neonatal outcomes.
Methodology:
We conducted a retrospective
study by reviewing records
of 1873 pregnant women who
had given birth at Prince
Hashim Hospital in Zarqa,
Jordan. The data included
Hb levels at the time of delivery,
mode of delivery, previous
complications, and the need
for blood transfusion. Birth-related
outcomes included preterm
deliveries and the need and
indication for NICU admission.
The prevalence of anemia at
the time of delivery was 32.8%.
92.7% of newborns did not
require NICU admission, and
6.3% required admission. The
majority of mothers delivered
at full term (55.6%), with
26.8% having a blood transfusion
history. There was a significant
relationship between Hb level
and the history of blood transfusion.
Additionally, no significant
correlation was found between
Hb levels and neonatal outcomes.
These findings underscore
existing research, emphasizing
the critical management of
maternal anemia and promoting
awareness regarding anemia
screening among pregnant women,
recognizing it as a risk factor
for intrapartum and postpartum
blood transfusions.
In
conclusion, a significant
association between Hb levels
and a history of blood transfusion
emerged, with moderate anemia
correlating with a higher
frequency of blood transfusions
compared to mild anemia, and
no significance between Hb
and neonatal outcomes. This
suggests that while anemia
may have implications for
other aspects of maternal
and neonatal health, it does
not appear to be a predominant
factor influencing the need
for NICU admission. The lack
of a significant correlation
underscores the complexity
of the relationship between
maternal anemia and NICU admission,
emphasizing the need for further
exploration and understanding
of the multifaceted factors
contributing to neonatal health
outcomes.
Key
words: maternal anemia,
anemia at the time of delivery,
blood transfusion
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