Title
Maternal Altitude-Corrected Hemoglobin and at Term Neonatal Anthropometry at 3400 m of Altitude
Date Issued
01 September 2020
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Mary Ann Liebert Inc.
Abstract
Introduction: Fetal growth is prominent in the last trimester of pregnancy. The development of the fetus depends on the nutrient consumption and oxygen delivery of the pregnant woman. Therefore, maternal anemia has an inverse relationship with fetal growth. Consequently, the newborn has lower anthropometric measurements. Residing in places of a high altitude increases the level of hemoglobin (Hb); as a result, the World Health Organization (WHO) recommends adjusting the value of Hb in maternal blood at 3400-m altitude by reducing 2.4 g/dL to obtain the corrected Hb (HbCorr). Objective: To determine if the relationship of maternal HbCorr for high altitude is related to term neonatal anthropometry at 3400-m altitude. Material and Methods: We performed a retrospective cohort study and evaluated the neonatal anthropometric variables (weight, ponderal index, head circumference [HC], and HC for birthweight index) in 308 exposed pregnant women (HbCorr <11 g/dL) and 600 unexposed pregnant women (HbCorr ≥11 g/dL). We obtained absolute relative frequencies and measures of central tendency. Besides, we compared the qualitative and quantitative variables using the chi-square and the Student t or the Mann-Whitney or Kruskal-Wallis U test, if applicable. We also performed linear regression. Results: Of anemic pregnant women, 68.2% were mild, while only 1% were severe. There was no relationship between HbCorr and neonatal anthropometry, and none of the anemic pregnant women showed a statistical difference in the neonatal anthropometric measures evaluated compared to the unexposed women. Conclusion: There is no relationship between HbCorr and neonatal anthropometry at 3400-m altitude.
Start page
287
End page
291
Volume
21
Issue
3
Language
English
OCDE Knowledge area
Obstetricia, Ginecología Obstetricia, Ginecología Anatomía, Morfología
Scopus EID
2-s2.0-85090816492
PubMed ID
Source
High Altitude Medicine and Biology
ISSN of the container
15270297
Sponsor(s)
This study was supported by the Universidad Andina del Cusco. Resolución 640-CU-2018-UAC.
Sources of information: Directorio de Producción Científica Scopus