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Association of maternal iron status with birthweight at third trimester in pregnant women

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충북대학교 동물의학연구소 (Research Institute of Veterinary Medicine, Chungbuk National University)
초록

To investigate the association between maternal iron status at the third trimester and fetal birthweight, maternal serum iron, ferritin, total iron-binding capacity (TIBC), and complete blood count values were measured at 36-weeks gestation. Delivery database on mothers who delivered babies at Chungbuk National University Hospital between January 2008 and March 2013 was extracted. A total of 353 uncomplicated term babies were analyzed using hierarchical regression and ANCOVA. Maternal age (standardized regression coefficient β=0.115, P<0.05), height (β=0.108, P<0.05), BMI (β=0.210, P<0.001), and gestational age (β=0.298, P<0.001) were significantly associated with birthweight. However, birthweight was not associated with maternal iron parameters. After adjusting for maternal age, height, BMI, and gestational age, babies born to mothers with lower mean values of hemoglobin, hematocrit, and serum ferritin were heavier than those born to mothers with higher values. Babies born to lower hemoglobin (11 g/dL) mothers were heavier than those born to higher hemoglobin (12 g/dL) mothers. However, birthweight was not significantly different between mothers with 10 g/dL or 13 g/dL of hemoglobin. Comparing birthweight according to 30 ug/dL of serum iron, 360 ug/dL of TIBC, 15 ng/mL of serum ferritin, and 10% transferrin saturation, babies born to mothers of the lower group were heavier than those born to mothers of the higher group. Therefore, maternal serum iron status at the third trimester seems to not be associated with birthweight.

목차
Introduction
 Materials and Methods
  연구대상
  연구방법
 Results
  연구대상의 임상적 특징
  임부 혈청 철분상태와 태아 출생 체중의 연관성
  임부의 혈색소, 적혈구용적률, 혈청철, 총철결합능, 혈청 페리틴, 트렌스페린포화도에 따른 출생 체중의 차이
 Discussion
 References
저자
  • Young-Ok Shin(Department of obstetrics and gynecology, Chungbuk National University Hospital)
  • Hyeonkyeong Yeon(Department of obstetrics and gynecology, Chungbuk National University Hospital)
  • Oh-Young Lee(Department of obstetrics and gynecology, Chungbuk National University Hospital)
  • Eugene Kim(Department of obstetrics and gynecology, Chungbuk National University Hospital)
  • Kyu-Sang Kyeong(Department of obstetrics and gynecology, Chungbuk National University Hospital)
  • Eun-Hwan Jeong(Department of obstetrics and gynecology, Chungbuk National University Hospital, and Chungbuk National University College of Medicine) Corresponding author