Anemia in pregnants with recurrent miscarriage

Abstract

Objective: to make a comparison of pregnancy course and terminations between pregnants with and without anemia Level of hemoglobin lower than 110 g\l was a criterion of anemia. Retrospective analysis of archives files of 152 pregnants with recurrent miscarriage included character of clinic & somatic status, menstrual function, reproductive history, pregnancy course & termination, state of newborns. 80 anemic pregnants treated with iron & vitamins formed the main group. The control group consisted of 72 pregnants without anemia.

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Results. The main group differed from the control with age (p<0,05): 32,3±0,6 and 30,5±0,6 years; number of pregnancies (p<0,05): 5,3±0,2 and 4,6±0,2; menstrual days (p<0,01): 5,3±0,2 and 4,7±0,1 correspondingly. It revealed that anemic pregnants twice more often had cardiovascular diseases, twice rare- hyperandrogenia. Placental pathology (10 & 4,4%), bleeding (9,6 & 0%), manual examination of postnatal uterus (15 & 3,7%) and premature labors twice more frequent were observed in the main group than in the control one. Apgar score was significantly lower (p<0,01) in newborns from the anemic mothers: 7,0±0,2 - 8,1±0,1 and 7,6±0,1 - 8,6±0,1).

Conclusions: Anemia in spite of its treatment has influence on the pregnancy course and its termination. Probably, it is necessary to search new approaches for examination and treatment of anemic pregnants.