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|Title||Iron Status of Pregnant Women and their Newborns in Gaza|
Background: Iron deficiency anemia (IDA) is one of the most common public health problems among pregnant women, particularly in developing countries. The risk of iron deficiency (ID) is particularly high in women with high multigravida and short intervals period between pregnancies, with an impact on maternal and fetal morbidity and mortality. It is regarded as the most important preventable cause of perinatal complications, such as premature delivery, intrauterine growth retardation and neonatal and perinatal death. Aim: to investigate the relationship between IDA mothers and their neonatal iron status and to estimate birth weight of newborns who were born to IDA mothers. Materials and Methods: A case control prospective study was used, 92 pregnant women with IDA and their newborn babies (case group) and 92 pregnant women non IDA and their newborn babies (control group). The mean age of mothers was 28.62. Self report structured interview was designed and blood samples were obtained from both groups. Stat fax in conjunction with a recently available ELISA kit were used for assessment of ferritin, and chemistry profile (serum iron, total iron binding capacity (TIBC) and transferrin saturation (%saturation). Cell-DYN was used for complete blood count (CBC) . SPSS version 19 was used as the tool for statistical analysis. Results: The results of the present study showed significant difference in the mean value of parity, educational levels, interval period between pregnancies, nutritional dietary status, the iron supplements, among pregnant mothers and weight of newborns of previous delivery. There were a significant positive associations between hemoglobin, serum iron, TIBC, transferrin saturation of IDA of pregnant women and their newborns. Also there were significant positive associations between hematocrit (HCT), serum iron, TIBC of non IDA of pregnant women and their newborns. There were significant differences in the mean values of serum ferritin, hemoglobin (HB) and HCT among newborns of IDA mothers and non IDA mothers ( 74.6±30.8 vs. 99.8±31.4 ng/ml, p=0.001; 14.83±1.7 vs. 15.32±1.49 g/dl, p=0.039; 44.7±5.58 vs. 47.34±4.67 %, p=0.001, receptively). In contrast, There were no significant difference in the mean values of serum iron, TIBC, % saturation (84.64±57.57 vs. 83.55±55.33 µg/dl, p=0.896; 283±92.81 vs. 264±131.44 µg/dl, p=0.250; 30.80±20.57 vs. 33.11±15.51 %, p=0.392, respectively). The study also showed that maternal ID affects iron status in their newborn and predispose them to IDA. Conclusion: The study contributed in highlighting the role of the dietary intake of pregnant mothers, establishing new strategies for ensuring that mothers take iron supplementation regularly and administration of iron for newborns of ID mothers after delivery.
|Publisher||the islamic university|
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