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Document Type
Poster
Location
New Orleans, Louisiana
Event Website
https://www.medschool.lsuhsc.edu/DOM/Education/researchday/default.aspx
Start Date
4-2024 12:00 AM
End Date
4-2024 12:00 AM
Description
Objective: Small for gestational age (SGA) neonatal outcomes are associated with increased risks of stillbirth, preterm delivery, neonatal morbidity/mortality, and cognitive delay in childhood. Preventable etiologies of SGA, such as anemia, can be addressed with adequate prenatal care and identifying disparities in social determinants of health. In the first part of our study, we aim (1) to define the prevalence of anemia in all patients delivering at our community hospital (2) to understand the likelihood of SGA outcomes in anemic patients and (3) to determine if treatment of anemia during pregnancy improves the rate of appropriate neonatal birthweight. Methods: A retrospective cohort study was initiated for deliveries at Touro Infirmary from 20182021. Hemoglobin and hematocrit values were recorded upon intake into prenatal care and on admission for delivery. Patients were classified as anemic if they had a hemoglobin of ≤10.5 g/dL. SGA was defined by neonatal birth weight10.5 g/dl by the time of delivery) had SGA outcomes worse than those patients without anemia at the beginning of pregnancy (15.1% vs 13.1%). Patients with untreated anemia had poorer SGA outcomes than patients with treated anemia and patients without anemia (15.8% vs 15.1% vs 13.1%). Lastly, those patients with inadequate treatment of their anemia were more likely to be younger, have higher parity, and have government issued insurance as compared to those with treated anemia [Age: 29.2 yo vs. 30.9 yo; Parity: 3.1 vs 3; Government insurance: 92.2% vs 90.9%]. Conclusion: Our initial assessment of SGA outcomes in anemic patients delivering at Touro Infirmary revealed that adequate treatment could potentially improve neonatal birthweights. Additional steps will be taken to gather data from all deliveries within this time frame and to identify barriers to receiving appropriate treatment of anemia in pregnancy.
Recommended Citation
Brignac, Mallory, "SGA neonatal outcomes in anemic gravid patients: does treatment in pregnancy improve neonatal birthweight?" (2024). Medicine Research Day. 117.
https://digitalscholar.lsuhsc.edu/mrd/2024mrd/mrd2024/117
SGA neonatal outcomes in anemic gravid patients: does treatment in pregnancy improve neonatal birthweight?
New Orleans, Louisiana
Objective: Small for gestational age (SGA) neonatal outcomes are associated with increased risks of stillbirth, preterm delivery, neonatal morbidity/mortality, and cognitive delay in childhood. Preventable etiologies of SGA, such as anemia, can be addressed with adequate prenatal care and identifying disparities in social determinants of health. In the first part of our study, we aim (1) to define the prevalence of anemia in all patients delivering at our community hospital (2) to understand the likelihood of SGA outcomes in anemic patients and (3) to determine if treatment of anemia during pregnancy improves the rate of appropriate neonatal birthweight. Methods: A retrospective cohort study was initiated for deliveries at Touro Infirmary from 20182021. Hemoglobin and hematocrit values were recorded upon intake into prenatal care and on admission for delivery. Patients were classified as anemic if they had a hemoglobin of ≤10.5 g/dL. SGA was defined by neonatal birth weight10.5 g/dl by the time of delivery) had SGA outcomes worse than those patients without anemia at the beginning of pregnancy (15.1% vs 13.1%). Patients with untreated anemia had poorer SGA outcomes than patients with treated anemia and patients without anemia (15.8% vs 15.1% vs 13.1%). Lastly, those patients with inadequate treatment of their anemia were more likely to be younger, have higher parity, and have government issued insurance as compared to those with treated anemia [Age: 29.2 yo vs. 30.9 yo; Parity: 3.1 vs 3; Government insurance: 92.2% vs 90.9%]. Conclusion: Our initial assessment of SGA outcomes in anemic patients delivering at Touro Infirmary revealed that adequate treatment could potentially improve neonatal birthweights. Additional steps will be taken to gather data from all deliveries within this time frame and to identify barriers to receiving appropriate treatment of anemia in pregnancy.
https://digitalscholar.lsuhsc.edu/mrd/2024mrd/mrd2024/117