title: Maternal hemoglobin at 27-29 weeks' gestation and severity of pre-eclampsia.
abstract: OBJECTIVE
  To examine the relationship between maternal hemoglobin concentration (Hb) at 27-29 weeks' gestation and severity of pre-eclampsia (PE).
  
  
  METHODS
  This was a retrospective study of maternal Hb at 27-29 week in 497 pregnancies that developed PE and 497 healthy controls with normal pregnancy outcomes. Multiple regression analysis was used to examine the association between HB and maternal characteristics and severity of PE classified according to gestation at delivery, birth weight and prevalence of abnormal peripartum maternal creatinine, aspartate transaminase and platelet count.
  
  
  RESULTS
  There was no significant difference in median Hb between the PE and control groups. Multiple regression analysis in the PE group showed that significant prediction for Hb was provided by Afro-Caribbean race, gestation at delivery, maternal platelet count <2.5th percentile and birth weight, but not serum creatinine or aspartate transaminase above the 97.5th percentile. Increased Hb was observed in both small and large for gestational age neonates.
  
  
  CONCLUSIONS
  In PE, Hb at 27-29 weeks is influenced by birth weight, maternal characteristics and platelet count.
authors.affiliation: a Maternal Hypertension Unit , King's College Hospital , London , UK .
authors.forename: Mark
authors.initials: M
authors.lastname: Cordina
authors.forename: Sadia
authors.initials: S
authors.lastname: Bhatti
authors.forename: Marianna
authors.initials: M
authors.lastname: Fernandez
authors.forename: Argyro
authors.initials: A
authors.lastname: Syngelaki
authors.forename: Kypros H
authors.initials: KH
authors.lastname: Nicolaides
authors.forename: Nikos A
authors.initials: NA
authors.lastname: Kametas
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D001724:Birth Weight / Q000502:physiology; D016022:Case-Control Studies; D005260:Female; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007231:Infant, Newborn; D011225:Pre-Eclampsia / Q000097:blood* / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011262:Pregnancy Trimester, Second / Q000097:blood*; D011263:Pregnancy Trimester, Third / Q000097:blood*; D011296:Prenatal Diagnosis; D012189:Retrospective Studies; D012720:Severity of Illness Index
chemical_list: D015415:Biomarkers; D006454:Hemoglobins
keywords: Hemoglobin; pre-eclampsia; pregnancy