Maternal anemia and pregnancy

outcomes: a population-based study

 Rachael H. Beckert, 
 Rebecca J. Baer, 
 James G. Anderson, 
 Laura L. Jelliffe-Pawlowski & 
 Elizabeth E. Rogers 

Journal of Perinatology volume 39, pages911–919 (2019)Cite this article

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Abstract
Objective
This study aims to describe adverse maternal and neonatal outcomes in
women diagnosed with anemia in pregnancy.

Study design
This was a retrospective cohort study of California live births from 2007–2012,
linked to maternal and infant hospital discharge records. Relative risks of
adverse maternal and neonatal outcomes were calculated for women with and
without anemia.

Results
Anemic mothers were more likely to be diagnosed with hypertension,
diabetes, placental abruption, or chorioamnionitis, or require a blood
transfusion or admission to the intensive care unit (aRRs 1.2–6.8). Infants born
to anemic mothers were more likely to be born preterm (8.9% versus 6.5%),
but not more likely to suffer morbidities associated with prematurity.
Conclusion
In a population-based study, the diagnosis of anemia in pregnancy carries a
higher risk of peri-partum, intra-partum, and post-partum complications for
the mother, and a higher risk of preterm birth for the infant.