Obstetric and Perinatal Outcomes, Their Relationship with Hemoglobin Levels in Anori, Colombia

Abstract

Introduction: The normal physiological changes in pregnancy affect the levels and concentration of hemoglobin, the World Health Organization estimates that more than half of pregnant women in the world have a hemoglobin level indicative of
anemia.
Objective: To evaluate hemoglobin levels in pregnant women treated and their obstetric and neonatal outcomes.
Methods: A cross-sectional descriptive observational study was carried out in pregnant women over 12 years of age, with pregnancy confirmed by laboratory, whose prenatal control and delivery were carried out at the Anorí Municipal Hospital, Colombia, from 2018 to 2019. The analysis was carried out using the SPSS 24 program.
Results: 122 patients with a mean age of 23.8 years were included. Their mean weight was 61.4 kg. The average hemoglobin value before 20 weeks was 13.46 g/dL. A hundred percent of the patients received iron and calcium and 91.8% received folic acid. Regarding the reported maternal outcomes, it was found that hospital control was achieved in 94.2% of the cases, 6 cases required referral, and only one case of maternal death was recorded, which also led to neonatal death.
Conclusions: In this study, the average hemoglobin value agrees with the physiological changes typical of pregnancy; however, it is important to highlight the importance and compliance in the prescription and consumption of supplements in early gestational age to prevent complications associated with anemia.