Effects of maternal iron deficiency anemia on the iron stores of the new born- an analytical study

Authors

  • Reecha Singla Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
  • Suparna Grover Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
  • Ashwani Kumar Department of Paediatrics, Government Medical College, Amritsar, Punjab, India
  • Sukhraj Kaur Department of Biochemistry, Government Medical College, Amritsar, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250252

Keywords:

Anemia, Maternal hemoglobin, Cord hemoglobin and ferritin, Maternal iron deficiency, Iron supplementation, Maternal-fetal iron transfer, Neonatal anemia, Neonatal outcomes in anemia, Newborn iron stores

Abstract

Background: The aim of the study was to determine the effect of maternal iron deficiency anemia on neonatal iron stores.

Methods: This prospective study was conducted in the department of obstetrics and gynecology, Government Medical College, Amritsar from January 2023 to March 2024. A total of 200 antenatal patients at gestation ≥37 weeks were allotted to four groups: group A (included non-anemic cases), group B (included cases with mild to moderate anemia with hemoglobin 7-10.9 gm/dl), group C included cases with severe anemia with hemoglobin <7 gm/dl) and group D (included treated cases of iron deficiency anemia that had been corrected by therapeutic iron replacement) with 50 patients in each group after written informed consent. Cord hemoglobin and ferritin levels were taken at the time of delivery to see the effect of maternal anemia on neonatal iron stores.

Results: A positive correlation between maternal ferritin and neonatal ferritin levels (r2=0.332, p=0.014) and positive correlation between maternal hemoglobin levels and neonatal hemoglobin levels (r2=0.32, p=0.033) was seen indicating maternal anemia during pregnancy impacts the neonatal iron stores at birth.

Conclusions: Neonatal hemoglobin as well as iron stores have a positive correlation with maternal hemoglobin and iron stores thus appropriate management of maternal anemia can play a major role in reducing anemia in future generations.

Metrics

Metrics Loading ...

References

World Health Organization. Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide. 2019. Available from: https://www.who.int/publications/i/item/9789241516952. t Assessed on 29 September 2022.

Tandon R, Jain A. Malhotra P. Management of Iron Deficiency Anemia in Pregnancy in India. Indian J Hematol Blood Transfus. 2018;34:204-15. DOI: https://doi.org/10.1007/s12288-018-0949-6

Lee KA, Zaffke ME, Baratte-Beebe K. Restless legs syndrome and sleep disturbance during pregnancy: the role of folate and iron. J Womens Health Gend Based Med. 2004;10:335-41. DOI: https://doi.org/10.1089/152460901750269652

Murray-Kolb LE. Iron and brain functions. Curr Opin Clin Nutr Metab Care. 2013;16:703-7. DOI: https://doi.org/10.1097/MCO.0b013e3283653ef8

Allen LH. Anemia and iron deficiency: effects on pregnancy outcome. Am J Clin Nutr. 2000;71:1280-4. DOI: https://doi.org/10.1093/ajcn/71.5.1280s

Bajpai A, Devi R, Rai A, Kumari R, Dubey GP. Maternal iron deficiency anemia affects fetal growth, maturity and level of iron in India: a cohort study. Ann Med Health Sci Res. 2023;13:810-5.

Terefe B, Birhanu A, Nigussie P, Tsegaye A. Effect of maternal iron deficiency anemia on the iron store of newborns in Ethiopia. Anemia. 2015;1:1-7. DOI: https://doi.org/10.1155/2015/808204

Akhter S, Momen MA, Rahman N, Rahman S, Karim R, Selim S, et al. Maternal Anemia and its Correlation with Iron status of Newborn. Birdem Med J. 2014;4(1):27-32. DOI: https://doi.org/10.3329/birdem.v4i1.18550

Bernhardt GV, Jhancy M, Shivappa P, Bernhardt K, Pinto JR. Relationship between maternal and cord blood iron status in women and their newborn pairs. Biomed Pharmacol J. 2021;14(1):317-23. DOI: https://doi.org/10.13005/bpj/2128

Kakkar N, Aundhakar CD. Effect of maternal anemia on status of iron stores in neonates and anthropometry. Immunity. 2022;11:12. DOI: https://doi.org/10.53730/ijhs.v6nS2.5718

Aster T, Asaye B, Betelihem T. Effect of maternal iron deficiency anemia on iron store of term newborns. 2012.

Hadipour R, Norimah AK, Poh BK, Firoozehchian F, Hadipour R, Akaberi A. Haemoglobin and serum ferritin levels in newborn babies born to anaemic Iranian women: a cross-sectional study in an Iranian Hospital. Pak J Nutr. 2010;9(6):562-6. DOI: https://doi.org/10.3923/pjn.2010.562.566

Tarek S, Elkoofy NM, Mahmoud A, Edreis H, Ramadan Y, Ezzeldin ZM. Effect of maternal anemia on neonatal hemoglobin levels. A single pilot center study. Ann Neonatol. 2024;6(1):78-92.

Nair M, Choudhury MK, Choudhury SS, Kakoty SD, Sarma UC, Webster P, et al. Association between maternal anaemia and pregnancy outcomes: a cohort study in Assam, India. BMJ Glob Health. 2016;1(1):e000026. DOI: https://doi.org/10.1136/bmjgh-2015-000026

Downloads

Published

2025-01-30

How to Cite

Singla, R., Grover, S., Kumar, A., & Kaur, S. (2025). Effects of maternal iron deficiency anemia on the iron stores of the new born- an analytical study. International Journal of Research in Medical Sciences, 13(2), 772–777. https://doi.org/10.18203/2320-6012.ijrms20250252

Issue

Section

Original Research Articles