[Hemoglobin--an obstetric risk factor].
The relationship between haemoglobin values (14th to 30th week of gestation), pregnancy outcome and perinatal morbidity was investigated in a prospective study. Subsequently, haemoglobin values, blood pressure, proteinuria and perinatal risk factors, together with the foetal cardiotocogram were abstracted from the obstetrician's records. Preterm birth (25%), intrauterine growth retardation (7.6%) gestational hypertension (31.5%) and low birth weight babies (10.3%) were seen significantly more often in women with haemoglobin > or = 13 g/dl in the 2nd trimester (14-30 wk). We observed a high perinatal morbidity from RDS (9.3%) and newborn hyperviscosity (23.9%) in women with a high haemoglobin level. These results were in agreement with the hypothesis, that a higher blood viscosity or a lack of haemodilution are risk factors for poor placental perfusion.
Abt. Gynäkologie und Geburtshilfe Stadtkrankenhaus Rüsselsheim.
L
L
Heilmann
B
B
Hojnacki
B
B
Herrle
G
G
von Tempelhoff
A
A
Kriechbaum
D000293:Adolescent; D000328:Adult; D001238:Asphyxia Neonatorum / Q000097:blood; D001810:Blood Volume / Q000502:physiology; D005260:Female; D005317:Fetal Growth Retardation / Q000097:blood*; D006400:Hematocrit; D006452:Hemoglobinometry; D006801:Humans; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange / Q000502:physiology*; D008875:Middle Aged; D007752:Obstetric Labor, Premature / Q000097:blood*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000097:blood*; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D012127:Respiratory Distress Syndrome, Newborn / Q000097:blood; D012307:Risk Factors
Das Hämoglobin--ein geburtshilflicher Risikofaktor.