title: A study on the effects of low haemoglobin on postnatal women.
abstract: OBJECTIVE
  to assess the effect of low haemoglobin (Hb) on the mental and physical health of postnatal women.
  
  
  METHODS
  survey conducted between May 1991 and February 1992.
  
  
  METHODS
  maternity unit in district general hospital in the UK.
  
  
  METHODS
  1010 postnatal women who had delivered a live baby, did not stay in hospital for seven or more days postnatally, whose baby was not admitted to the neonatal unit and who did not have a current psychiatric disorder.
  
  
  METHODS
  Hb levels at 'booking', 34 weeks gestation, three days and six weeks post delivery; the Edinburgh Postnatal Depression Scale (EPDS) and a self-completion questionnaire at ten days, four weeks and six weeks post delivery.
  
  
  RESULTS
  women with a low Hb are more likely to be under 25 years of age, primiparous, be anaemic at 34 weeks gestation, not to have had a normal delivery, have had a blood loss greater than 250 ml and to have had heavy lochia postnatally. Low Hb levels were not associated with high EPDS scores. Low Hb levels were related to reports of low energy, breathlessness, faintness/dizziness, painful perineal sutures and tingling in fingers and toes at ten days post delivery. Whilst tiredness persisted to six weeks post delivery the other symptoms disappeared.
  
  
  CONCLUSIONS
  in order to reduce the incidence of postnatal anaemia a review of policies for testing is recommended so that the incidence of physical problems in the first six weeks can be reduced. There is a need for further research into the causes and potential alleviation of tiredness.
authors.forename: J A
authors.initials: JA
authors.lastname: Paterson
authors.forename: J
authors.initials: J
authors.lastname: Davis
authors.forename: M
authors.initials: M
authors.lastname: Gregory
authors.forename: S J
authors.initials: SJ
authors.lastname: Holt
authors.forename: A
authors.initials: A
authors.lastname: Pachulski
authors.forename: D E
authors.initials: DE
authors.lastname: Stamford
authors.forename: J B
authors.initials: JB
authors.lastname: Wothers
authors.forename: A
authors.initials: A
authors.lastname: Jarrett
mesh_terms: D000293:Adolescent; D000328:Adult; D000740:Anemia / Q000097:blood* / Q000150:complications*; D003625:Data Collection; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D015994:Incidence; D011247:Pregnancy; D011446:Prospective Studies; D011644:Puerperal Disorders / Q000097:blood* / Q000150:complications*; D012720:Severity of Illness Index
chemical_list: D006454:Hemoglobins