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Maternal hemoglobin concentrations across pregnancy and maternal and child health: a systematic review and meta-analysis.


ABSTRACT: Maternal anemia is a well-recognized global health problem; however, there remain questions on specific hemoglobin (Hb) thresholds that predict health risk or protection for mother and child. We conducted a systematic review and meta-analysis to examine the associations of maternal Hb concentrations with a range of maternal and infant health outcomes, accounting for the timing of measurement (preconception, and first, second, and third trimesters), etiology of anemia, and cutoff category. The systematic review included 272 studies and the meta-analysis included 95 studies. Low maternal Hb (<110 g/L) was associated with poor birth outcomes (low birth weight, preterm birth, small-for-gestational-age (SGA), stillbirth, and perinatal and neonatal mortality) and adverse maternal outcomes (postp

SUBMITTER: Young MF 

PROVIDER: S-EPMC6767572 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature