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ORIGINAL ARTICLE

The effects of severe iron-deficiency anaemia on maternal and neonatal outcomes: A case–control study in an inner-city London hospital

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Abstract

This case–control study investigates the effects of severe iron-deficiency anaemia in pregnancy on maternal and neonatal outcomes in a relatively deprived inner-city population in a North London hospital. The study group comprised of 106 women with haemoglobin (Hb) < 8 g/dl at any point during pregnancy, while controls were 106 women with Hb > 11 g/dl throughout pregnancy. The study group lost an average of 80 ml more blood at delivery (p = 0.032) and had higher rates of postpartum haemorrhage than the control group (27 vs 12 patients, p = 0.012). However, anaemia did not appear to influence other maternal or neonatal outcomes; these may have been confounded by antenatal intervention with oral haematinics or blood transfusion.

Acknowledgements

The North Middlesex University Hospital supported this research. The authors would like to gratefully acknowledge the women who participated in this study.

Declaration of interest: The authors report no declarations of interest.

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