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Effect of maternal anemia on the status of iron stores in infants: A cohort study
Arvind K Shukla1, Shitanshu Srivastava1,2, Garima Verma1
1Department of Pediatrics, Era Lucknow Medical College, Lucknow, Uttar Pradesh, India.
Insights
Maternal iron deficiency anemia negatively impacts infant iron stores and hemoglobin levels at birth and 14 weeks. Early interventions are crucial for infant iron status.
Area of Science:
- Pediatrics
- Maternal-Fetal Medicine
- Nutritional Science
Background:
- Iron deficiency anemia in pregnant women poses risks to infant iron reserves.
- Maternal anemia can lead to anemia in infants later in life.
- Understanding the impact of maternal anemia on infant iron status is critical for early intervention.
Purpose of the Study:
- To compare hemoglobin and iron store status in infants born to anemic versus non-anemic mothers.
- To determine the correlation between maternal and infant iron status.
- To assess infant iron status at birth and 14 weeks postpartum.
Main Methods:
- A cohort study involving 180 mother-infant pairs, divided into anemic and non-anemic maternal groups.
- Hemoglobin and ferritin levels measured in infant cord blood at birth and at 14 weeks.
- Statistical analysis using Chi-square and t-tests to compare groups and assess correlations.
Main Results:
- Infants of anemic mothers had significantly lower hemoglobin and ferritin levels at birth and 14 weeks compared to infants of non-anemic mothers.
- Significant correlation observed between maternal and infant hemoglobin and ferritin levels.
- Infant iron status at 14 weeks remained significantly lower in the group born to anemic mothers.
Conclusions:
- Maternal iron deficiency anemia adversely affects infant iron status.
- Infants born to anemic mothers exhibit poorer iron reserves.
- Timely and appropriate interventions are necessary to address maternal iron deficiency and its impact on infants.
Background:
Iron deficiency anemia in pregnant women may affect the iron reserves of their infants and lead to anemia later. The objective of the study was to compare hemoglobin and iron store status of infants born to anemic and non-anemic mothers and to determine any correlation.
Materials And Methods:
A cohort study was conducted in the Department of Pediatrics of a Teaching hospital after obtaining ethical approval and written informed consent from all participants. Total 180 mother-infant pairs were enrolled in the study were divided into two groups; Group I: 90 term infants born to anemic mothers (Hb <11 g/dl), Group II: 90 term infants born to non-anemic mothers (Hb >11 g/dl). Hemoglobin and ferritin levels were assessed in cord blood at birth and at 14 weeks after birth in the infants of both groups. Data was analyzed using SPSS 20.0; Chi-square test and t-test were applied to test for statistical significance.
Results:
The final sample size was 85 for Group I and 78 for Group II. For Group I, mean hemoglobin and ferritin levels in the cord blood of infants at birth were 16.33 ± 1.19 and 135.40 ± 25.94, respectively. For Group II, Mean hemoglobin and ferritin levels in the cord blood of infants at birth were 17.62 ± 1.35 and 160.45 ± 28.50, respectively; differences were statistically significant. At 14 weeks, the mean Hb and ferritin was 11.24 ± 1.03 and 55.92 ± 10.44 in Group I and 13.18 ± 0.82 and 63.56 ± 10.15 in Group II; the differences were statistically significant. A significant correlation between maternal and infant hemoglobin and ferritin levels was observed at birth and 14 weeks after birth.
Conclusion:
Maternal iron deficiency may have an effect on the iron status of their infants. Thus, timely appropriate interventions are necessary.
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