4.2 Article

Prevalence of anemia in pregnant women and its effect on neonatal outcomes in Northeast India

Journal

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume 27, Issue 9, Pages 887-891

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/14767058.2013.845161

Keywords

Low birth weight; maternal anemia; prematurity

Ask authors/readers for more resources

Objectives: To determine the prevalence of anemia in pregnant women and characterize its effect on neonatal outcome in Northeast India. Patients and methods: Four hundred and seventy mothers and their newborn infants during a one month period were included. The association between maternal hemoglobin (Hb) at delivery and neonatal outcomes were determined. Results: Anemia (Hb<110 g/L) was present in 421 (89.6%) mothers with 35 (8.3%) having severe anemia(Hb<70 g/L). After adjusting for maternal and neonatal variables, each 10 g/L decrease in maternal Hb was associated with 0.18 week decrease in gestational length (p = 0.003) and 21 g decrease in birth weight (p = 0.093). Severe maternal anemia was associated with 0.63week (95% CI, 0.03-1.23week) shorter gestation, 481 g (95% CI, 305-658 g) lower birth weight and 89% increased risk of small-for-gestation (OR 1.89, 95% CI, 1.25-2.86) in the offspring, compared with those born to mothers without anemia (p<0.001). Conclusion: Maternal anemia was highly prevalentin this population. Lower gestational age and birth weight, and increased risk of small-for-gestation were associated with maternal anemia, especially when maternal Hb was <80 g/L. Maternal anemia needs urgent attention to improve neonatal outcome in this population.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Obstetrics & Gynecology

Neonatal hypoglycemia algorithms improve hospital outcomes

Erin A. Plummer, Ivana Ninkovic, Anna Rees, Raghavendra Rao, Catherine M. Bendel, Erin C. Stepka

Summary: This study examined the implementation of hypoglycemia algorithms for managing neonatal hypoglycemia and found that this approach improved short-term outcomes and reduced hospital costs.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE (2022)

Article Pediatrics

The Impact of Erythropoietin on Short- and Long-Term Kidney-Related Outcomes in Neonates of Extremely Low Gestational Age. Results of a Multicenter, Double-Blind, Placebo-Controlled Randomized Clinical Trial

David J. Askenazi, Patrick J. Heagerty, Robert H. Schmicker, Patrick Brophy, Sandra E. Juul, Stuart L. Goldstein, Sangeeta Hingorani

Summary: ELGANs have high rates of in-hospital AKI and kidney-related problems at 22-26 months of cGA. Recombinant erythropoietin may protect ELGANs against long-term elevated SBP but does not appear to protect from AKI, low eGFR, albuminuria, or elevated DBP at 22-26 months of cGA.

JOURNAL OF PEDIATRICS (2021)

Review Neurosciences

Perinatal iron deficiency as an early risk factor for schizophrenia

Andrea M. Maxwell, Raghavendra B. Rao

Summary: The growing evidence suggests that prenatal iron deficiency may serve as an important mechanism underlying the early risk factor for schizophrenia. Prenatal iron deficiency can impact neurodevelopment processes and be associated with an increased risk of developing schizophrenia in adulthood.

NUTRITIONAL NEUROSCIENCE (2022)

Article Pediatrics

Gestational age, sex, and time affect urine biomarker concentrations in extremely low gestational age neonates

David J. Askenazi, Patrick J. Heagerty, Robert H. Schmicker, Patrick Brophy, Sandra E. Juul, Sangeeta Hingorani, Stuart L. Goldstein

Summary: Our understanding of normative concentrations of urine biomarkers in premature neonates is limited. Gestational age and sex have an impact on urine biomarker concentrations. Some biomarkers increase over time, while others decrease. Most biomarkers differ by gestational age at 27 weeks PMA, but are similar by 34 weeks PMA. Epo treatment does not affect urine biomarkers.

PEDIATRIC RESEARCH (2022)

Correction Pediatrics

Gestational age, sex, and time affect urine biomarker concentrations in extremely low gestational age neonates (Nov, 10.1038/s41390-021-01814-x, 2021)

David J. Askenazi, Brian A. Halloran, Patrick J. Heagerty, Robert H. Schmicker, Patrick Brophy, Sandra E. Juul, Sangeeta Hingorani, Stuart L. Goldsteinon

PEDIATRIC RESEARCH (2022)

Article Physiology

Multiomic profiling of iron-deficient infant monkeys reveals alterations in neurologically important biochemicals in serum and cerebrospinal fluid before the onset of anemia

Brian J. Sandri, Jonathan Kim, Gabriele R. Lubach, Eric F. Lock, Candace Guerrero, LeeAnn Higgins, Todd W. Markowski, Pamela J. Kling, Michael K. Georgieff, Christopher L. Coe, Raghavendra B. Rao

Summary: The study demonstrates the adverse effects of iron deficiency on infant brain health, but sensitive biomarkers of this condition are lacking in humans. Using a nonhuman primate model, the researchers identified changes in protein and metabolite profiles that indicate metabolic dysfunction and disrupted synaptogenesis in the brain. These changes can potentially serve as measurable biomarkers in both the pre-anemic and anemic stages of iron deficiency.

AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY (2022)

Article Pediatrics

Study Protocol: Multimodal Longitudinal Assessment of Infant Brain Organization and Recovery in Perinatal Brain Injury

Catarina Saiote, Ellen Sutter, Annette Xenopoulos-Oddsson, Raghavendra Rao, Michael Georgieff, Kyle Rudser, Colleen Peyton, Douglas Dean, Ryan M. McAdams, Bernadette Gillick

Summary: This protocol aims to study brain development and motor function in infants following perinatal brain injury through multimodal longitudinal assessment, including measuring CST functional and structural integrity noninvasively. By assessing the association between cortical excitability, integrity, and motor function, it helps identify bioindicators of motor outcome and neuroplasticity.

PEDIATRIC PHYSICAL THERAPY (2022)

Article Pediatrics

Iron supplementation and the risk of bronchopulmonary dysplasia in extremely low gestational age newborns

Melissa R. Garcia, Bryan A. Comstock, Ravi M. Patel, Veeral N. Tolia, Cassandra D. Josephson, Michael K. Georgieff, Raghavendra Rao, Sarah E. Monsell, Sandra E. Juul, Kaashif A. Ahmad

Summary: This study aimed to investigate the relationship between iron exposure and the development of bronchopulmonary dysplasia (BPD). The study found that lower volume of red blood cell transfusions in the first 28 days after birth and higher enteral iron exposure in the first 28 days after birth were associated with lower rates of BPD.

PEDIATRIC RESEARCH (2023)

Article Endocrinology & Metabolism

Female and male C57BL/6J offspring exposed to maternal obesogenic diet develop altered hypothalamic energy metabolism in adulthood

Debra Kulhanek, Juan E. Abrahante Llorens, Lauren Buckley, Ivan Tkac, Raghavendra Rao, Megan E. Paulsen

Summary: Maternal obesity is strongly associated with offspring obesity and metabolic disease. This study explored the potential hypothalamic mechanisms explaining this link. It was found that adult offspring exposed to a maternal obesogenic diet had increased fat mass, decreased glucose tolerance, decreased insulin sensitivity, and altered hormone levels. Additionally, there were changes in energy intake, activity, and hypothalamic neurochemical profile. These findings suggest that altered hypothalamic function may contribute to obesity development.

AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM (2022)

Article Developmental Biology

Intranasal Insulin Attenuates the Long-term Adverse Effects of Neonatal Hyperglycemia on the Hippocampus in Rats

Lauren McClure Yauch, Kathleen Ennis-Czerniak, William H. I. I. I. I. Frey, Ivan Tkac, Raghavendra B. Rao

Summary: Hyperglycemia due to relative hypoinsulinism is common in extremely preterm infants and is associated with long-term cognitive impairment mediated by the hippocampus. This study found that intranasal insulin administration improved hippocampal development in neonatal hyperglycemia, reducing oxidative stress and abnormal synaptogenesis. These findings suggest that insulin treatment may be beneficial in preventing cognitive impairment in preterm infants with hyperglycemia.

DEVELOPMENTAL NEUROSCIENCE (2022)

Article Nutrition & Dietetics

Reticulocyte Hemoglobin Equivalent has Comparable Predictive Accuracy as Conventional Serum Iron Indices for Predicting Iron Deficiency and Anemia in a Nonhuman Primate model of Infantile Iron Deficiency

Raghavendra B. Rao, Gabriele R. Lubach, Kathleen M. Ennis-Czerniak, Eric F. Lock, Pamela J. Kling, Michael K. Georgieff, Christopher L. Coe

Summary: This study investigated the predictive accuracy of red blood cell indices, RET-He, and iron indices for assessing the risk of iron deficiency and iron deficiency anemia (IDA) in a nonhuman primate model. They found that RET-He can be used as a hematological parameter to screen for infantile iron deficiency and IDA.

JOURNAL OF NUTRITION (2023)

Article Multidisciplinary Sciences

Tandem mass tag proteomic and untargeted metabolomic profiling reveals altered serum and CSF biochemical datasets in iron deficient monkeys

Brian J. Sandri, Jonathan Kim, Gabriele R. Lubach, Eric F. Lock, Candace Guerrero, LeeAnn Higgins, Todd W. Markowski, Pamela J. Kling, Michael K. Georgieff, Christopher L. Coe, Raghavendra B. Rao

Summary: Early-life iron deficiency anemia (IDA) has adverse effects on various tissues, including the brain. However, a sensitive biomarker for iron-dependent brain health is currently lacking. Proteomic and metabolomic analysis identified potential serum and CSF biomarkers associated with ID-induced metabolic dysfunction.

DATA IN BRIEF (2022)

Article Biophysics

Neonatal hyperbilirubinemia differentially alters the neurochemical profiles of the developing cerebellum and hippocampus in a preterm Gunn rat model

Katherine M. Satrom, Raghavendra B. Rao, Ivan Tkac

Summary: Neonatal hyperbilirubinemia can cause brain injury in specific regions such as the cerebellum and hippocampus in newborn infants. Extremely preterm infants are more susceptible to bilirubin neurotoxicity, but the exact mechanism and extent of the injury are not well understood. A study using a preterm rat model found that the cerebellum is more severely affected by hyperbilirubinemia than the hippocampus, with significant morphological changes and alterations in neurochemical profiles.

NMR IN BIOMEDICINE (2023)

Article Cell & Tissue Engineering

Nonhematopoietic Umbilical Cord Blood Stem Cell Administration Improves Long-term Neurodevelopment After Periventricular-Intraventricular Hemorrhage in Neonatal Rats

Raghavendra B. Rao, Maple L. Shiao, Kathleen M. Ennis-Czerniak, Walter C. Low

Summary: The administration of human nonhematopoietic umbilical cord blood-derived stem cells (nh-UCBSCs) in neonatal rats with periventricular-intraventricular hemorrhage (PIVH) reduced the severity of brain injury and improved motor and behavioral function.

CELL TRANSPLANTATION (2023)

Article Public, Environmental & Occupational Health

Smokeless tobacco exposure and fetal iron status: An analytical study

Swathi Sunil Rao, Rutuja Agadi, Sukanya Shetty, Raghavendra Rao, Rathika D. Shenoy

Summary: The cord serum ferritin and fetal iron status were compared in newborns with and without maternal occupational smokeless tobacco exposure. It was found that fetal nicotine absorption exacerbated fetal iron depletion.

INDIAN JOURNAL OF COMMUNITY MEDICINE (2022)

No Data Available