Skip to content
2000
  1. Home
  2. A-Z Publications
  3. New Emirates Medical Journal
  4. Volume 5, Issue 1
  5. Article
Volume 5, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882
file format pdf download PDF
side by side viewer icon HTML

Abstract

Objective

Estimate the proportion and outcomes of blood transfusion in iron deficiency anemia in a specialist maternal hospital in Dubai, United Arab Emirates (UAE).

Methods

In a cross-sectional study, data were collected from 177 pregnant inpatients and delivered outpatients with haemoglobin less than 12g/dL at the hospital in Dubai (UAE) between the 1st of February 2018 to 31st of January 2019. Sociodemographic factors were age, parity (number of birth to a live neonate or gestational age more than 24 weeks), and ethnicity. The outcome variable is blood transfusion. Different variables such as age, parity, nationality, gestational age at diagnosis, most severe haemoglobin reading, serum ferritin, haemoglobin electrophoresis, treatment, gestational age at delivery, mode of delivery, postpartum haemorrhage, neonatal birthweight, neonatal haemoglobin were tested using frequencies and means (standard deviation), chi-square and sample T-test was used.

Results

One hundred and seventy-seven ladies had anemia, and one hundred and twenty-two (68%) had iron deficiency anemia (ferritin<30ng/dL). 52.5% (N=93) had moderate to severe anemia, and only 7.3% (N=13) received a blood transfusion. Anaemia was mostly diagnosed in the first trimester (40.7%; N=72) and second trimester (38.4%; N=68). 11 (6.2%) ladies had hemoglobinopathies such as beta-thalassemia, 138 (78%) ladies didn’t have hemoglobin electrophoresis reading. 37.9% (N=67) of vaginally delivered ladies and 4.5% (N=8) of cesarean section-delivered ladies had a postpartum hemorrhage. The majority of anemic antenatal and postnatal were Emiratis (74.6%; N=132), and a greater number fell in the middle age group between 30-39 (58.2%; N=103). The larger part had normal neonatal birthweight (76.8%; N=136) and only had a low neonatal birthweight (18.1%; N=32). 105 (59.3%) of neonates had abnormal hemoglobin readings.

Conclusion

This is the first study in the UAE that assess both maternal and fetal outcome due to iron deficiency anemia in pregnant ladies. The prevalence of blood transfusion increased as iron deficiency anaemia was more severe. We endorse health practitioners to regularly measure serum haemoglobin, to treat anaemia early in pregnancy to avoid the need for blood transfusion.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/nemj/10.2174/0250688204666230718142018
2024-01-01
2025-04-23

  • From This Site

    /content/journals/nemj/10.2174/0250688204666230718142018
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
The full text of this item is not currently available.

References

  1. GuptaA. GadipudiA. Iron deficiency anemia in pregnancy: Developed versus developing countries.Hematology201861101109
     [Google Scholar]
  2. LoneF.W. QureshiR.N. EmanuelF. Maternal anaemia and its impact on perinatal outcome.Trop. Med. Int. Health20049448649010.1111/j.1365‑3156.2004.01222.x15078267
     [Google Scholar]
  3. MalhotraM. SharmaJ.B. BatraS. SharmaS. MurthyN.S. AroraR. Maternal and perinatal outcome in varying degrees of anemia.Int. J. Gynaecol. Obstet.20027929310010.1016/S0020‑7292(02)00225‑412427391
     [Google Scholar]
  4. SinghR. GuptaM. SainiV. Pregnant women with severe anemia reporting in labor: Prevalence, socio-demographic and obstetric determinants.Int. J. Community Med. Public Health20196270110710.18203/2394‑6040.ijcmph20190194
     [Google Scholar]
  5. RahmatiS. DelpishehA. ParizadN. SayhmiriK. Maternal anemia and pregnancy outcomes: A systematic review and meta-analysis.Int. J. Pediatr.201643133233342
     [Google Scholar]
  6. NairM. ChoudhuryM.K. ChoudhuryS.S. KakotyS.D. SarmaU.C. WebsterP. KnightM. Association between maternal anaemia and pregnancy outcomes: A cohort study in Assam, India.BMJ Glob. Health201611e00002610.1136/bmjgh‑2015‑00002628588921
     [Google Scholar]
  7. KalaJ. Comparative study of maternal and fetal outcome in nutritional anemia through the course of pregnancy.IOSR J. Dent. Med. Sci.20181783743
     [Google Scholar]
  8. SchollT.O. HedigerM.L. Anemia and iron-deficiency anemia: Compilation of data on pregnancy outcome.Am. J. Clin. Nutr.1994592492S501S10.1093/ajcn/59.2.492S8304287
     [Google Scholar]
  9. AchebeM.M. Gafter-GviliA. How I treat anemia in pregnancy: Iron, cobalamin, and folate.Blood2017129894094910.1182/blood‑2016‑08‑67224628034892
     [Google Scholar]
  10. World Health OrganizationDivision of family health and safe motherhood programme, division of health protection and promotion, nutrition programme.The prevalence of anemia in women: A tabulation of available information.2nd ed.19922251
     [Google Scholar]
  11. AhmedA. NasirH. ShafiqQ. NaeemB. GhelaniY. ShaikhR. The Effect of Anemia on Pregnancy and Fetal Outcome: GMC Hospital, Ajman, UAE.Gulf Med. J.20154817682
     [Google Scholar]
  12. AllenL.H. Anemia and iron deficiency: Effects on pregnancy outcome.Am. J. Clin. Nutr.20007151280S1284S10.1093/ajcn/71.5.1280s10799402
     [Google Scholar]
  13. PavordS. MyersB. RobinsonS. AllardS. StrongJ. OppenheimerC. UK guidelines on the management of iron deficiency in pregnancy.Br. J. Haematol.2012156558860010.1111/j.1365‑2141.2011.09012.x22512001
     [Google Scholar]
  14. World Health OrganizationIron deficiency anaemia: Assessment, prevention and control.A guide for programme managers.2001
     [Google Scholar]
  15. de las Nieves LopezM.A. Matas CobosA.M. Sarria GonzalezF. Dominguez LomeñaM.J. Palomo HernandezA.M. Gil GinesE. Serna JuanS. Ampuero AmpueroJ. Marin FernandezA. Vazquez de la VillaA. Red blood cell transfusion after a global strategy for early detection and treatment of iron deficiency anemia: Three-year results of a prospective observational study.Transfusion20185861399140710.1111/trf.1458229582437
     [Google Scholar]
  16. ImeldaB. 2 - Reference ranges and normal values.Dacie and Lewis Practical Haematology BainB. LaffanM. BatesI. Elsevier20171281710.1016/C2014‑0‑01046‑5
     [Google Scholar]
  17. HoyerJ.D. HoffmanD.R. The Thalassemia and hemoglobinopathy syndromes.Clin. Lab. Med.20022866895
     [Google Scholar]
  18. CochranW.G. Sampling Techniques.3rd ed.New YorkJohn Wiley & Sons1977
     [Google Scholar]
  19. IBM CorpIBM SPSS Statistics for Windows, Released 2016. Version 24.0Armonk, NY2016
     [Google Scholar]
  20. GalloV EggerM McCormackV FarmerPB IoannidisJPA Kirsch-VoldersM MatulloG PhillipsD SchoketB StrombergU VermeulenR WildC PortaM VineisP STrengthening the reporting of observational studies in epidemiology - molecular epidemiology (STROBE-ME): An extension of the STROBE statement.PLOS Med. J.2011810e100111710.1371/journal.pmed.1001117
     [Google Scholar]
  21. AdamI. KhamisA.H. ElbashirM.I. Prevalence and risk factors for anaemia in pregnant women of eastern Sudan.Trans. R. Soc. Trop. Med. Hyg.2005991073974310.1016/j.trstmh.2005.02.00816024057
     [Google Scholar]
  22. Abu-OufN.M. JanM.M. The impact of maternal iron deficiency and iron deficiency anemia on child’s health.Saudi Med. J.201536214614910.15537/smj.2015.2.1028925719576
     [Google Scholar]
  23. Morales-BorgesR. Anemia in pregnancy and parenteral iron therapy.J. Blood Disord. Transfus.20134617110.4172/2155‑9864.S1.002
     [Google Scholar]
  24. BakerW.F. LeeR. 9 - Iron deficiency, folate, and vitamin B12 deficiency in pregnancy, obstetrics, and gynecology.Hematological Complications in Obstetrics, Pregnancy and Gynecology.Cambridge University Press200626930910.1017/CBO9780511526978.010
     [Google Scholar]
  25. NazirG NazS AliS AzizS MalikS QariI IrumS The neglected female health problem in developing countries.JAMC201123(2).
     [Google Scholar]
  26. FarehO.I. RizkD.E.E. ThomasL. BergB. Obstetric impact of anaemia in pregnant women in United Arab Emirates.J. Obstet. Gynaecol.200525544044410.1080/0144361050016045116183576
     [Google Scholar]
  27. NahumG.G. StanislawH. Hemoglobin, altitude and birth weight: Does maternal anemia during pregnancy influence fetal growth?J. Reprod. Med.200449429730515134157
     [Google Scholar]
  28. HemminkiE. RimpeläU. Iron supplementation, maternal packed cell volume, and fetal growth.Arch. Dis. Child.1991664 Spec No42242510.1136/adc.66.4_Spec_No.4222025036
     [Google Scholar]
  29. MurphyJ.F. NewcombeR.G. O’RiordanJ. ColesE.C. PearsonJ.F. Relation of haemoglobin levels in first and second trimesters to outcome of pregnancy.Lancet1986327848899299510.1016/S0140‑6736(86)91269‑92871331
     [Google Scholar]
  30. PreziosiP. PrualA. GalanP. DaoudaH. BoureimaH. HercbergS. Effect of iron supplementation on the iron status of pregnant women: Consequences for newborns.Am. J. Clin. Nutr.19976651178118210.1093/ajcn/66.5.11789356536
     [Google Scholar]
  31. AgrawalR.M.D. TripathiA.M. AgarwalK.N. Cord blood haemoglobin, iron and ferritin status in maternal anaemia.Acta. Paediatr.198372454554810.1111/j.1651‑2227.1983.tb09768.x6624429
     [Google Scholar]
  32. LaoT.T. LoongP.L. ChinR.K.H. LamC.W.K. LamY.M. Relationship between newborn and maternal iron status and haematological indices.Neonatology199160530330710.1159/0002434211790254
     [Google Scholar]
  33. HokamaT. TakenakaS. HirayamaK. YaraA. YoshidaK. ItokazuK. KinjhoR. YabuE. Iron status of newborns born to iron deficient anaemic mothers.J. Trop. Pediatr.1996422757710.1093/tropej/42.2.758984218
     [Google Scholar]
  34. BartonD.P.J. JoyM.T. LappinT.R.J. AfrasiabiM. MorelJ.G. O’RiordanJ. MurphyJ.F. O’HerlihyC. Maternal erythropoietin in singleton pregnancies: A randomized trial on the effect of oral hematinic supplementation.Am. J. Obstet. Gynecol.1994170389690110.1016/S0002‑9378(94)70305‑18141223
     [Google Scholar]
  35. De BenazeC. GalanP. WainerR. HercbergS. [Prevention of iron-deficiency anemia in pregnancy using early iron supplementation: A controlled trial].Rev. Epidemiol. Sante Publique19893721091182672177
     [Google Scholar]
  36. MilmanN. AggerA.O. NielsenO.J. Iron status markers and serum erythropoietin in 120 mothers and newborn infants: Effect of iron supplementation in normal pregnancy.Acta Obstet. Gynecol. Scand.199473320020410.3109/000163494090234398122498
     [Google Scholar]
/content/journals/nemj/10.2174/0250688204666230718142018
Loading
Blood Transfusion for Iron Deficiency Anaemia in Antenatal and Postnatal in Maternal Specialist Hospital, 2018-2019: An Analytical Cross-sectional Study
NEW Emirates Medical J 5, e180723218856 (2024); https://doi.org/10.2174/0250688204666230718142018
/content/journals/nemj/10.2174/0250688204666230718142018
/content/journals/nemj/10.2174/0250688204666230718142018
Loading

Data & Media loading...


  • Article Type:     Research Article
Keyword(s): Antenatal; Blood transfusion; Iron deficiency anemia; Postnatal; Pregnancy; Serum haemoglobin

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test