Anaemia in twin pregnancy

Area of Science:

• Obstetrics and Gynecology
• Hematology
• Maternal-Fetal Medicine

Background:

• Twin pregnancies present unique physiological challenges.
• Nutritional deficiencies can impact maternal and fetal health.

Purpose of the Study:

• To investigate hematological parameters in twin pregnancies.
• To assess the incidence of anemia and specific nutrient deficiencies.

Main Methods:

• Analysis of 123 twin pregnancies.
• Included records analysis and detailed serial hematological assessments.
• Sternal marrow aspirates and peripheral blood films were examined.

Main Results:

• Elevated incidence of low hemoglobin levels compared to singleton pregnancies.
• Iron and folic acid deficiency were frequently observed in bone marrow aspirates.
• Deficiencies were not consistently detected in peripheral blood films.

Conclusions:

• Twin pregnancy is associated with a higher risk of anemia.
• Subclinical iron and folic acid deficiencies are common.
• Routine prophylactic haematinic supplementation is not advised for twin pregnancies.