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Apgar and hematological variables in patients with severe chronic maternal anemia and normal labor

Abstract:

Objective: To establish an association of Apgar with hematological variables in patients with severe chronic maternal anemia and labor. Method: Ninety patients were selected with a diagnosis of severe chronic anemia and labor to be included in the research. Peripherical blood was recollected from antecubital vein to quantify concentrations of hemoglobin, vitamin B 12, folic acid, serum iron and ferritin. Once the newborn was assisted Apgar at minute and at five minutes was determined. Setting: Maternidad "Dr. Nerio Belloso". Hospital Central "Dr. Urquinaona". Maracaibo, Estado Zulia. Results: Mean value of Apgar at minute was 6.9 ± 0.8 and at five minutes of 8.7 ± 0.4 points. Mean value of vitamin B12 was 342.2 ± 80.5 ng/mL and folic acid was 7.7 ± 8.2 ng/mL. Serum iron concentration was 46.3 ± 42.4 mg/dL and ferritin concentration was 37.1 ± 35.5 pg/mL. There was only a weak negative correlation and statically significant between five minute Apgar and serum concentration of vitamin B12 (r = - 0.256; P < 0.05). Conclusions: There is not significant statical association between Apgar and severe chronic maternal anemia in patients with normal labor, even though a negative correlation was seen between vitamin B12 concentrations and at five minutes Apgar.