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:: Volume 17, Issue 5 (August 2019) ::
Nurs Midwifery J 2019, 17(5): 363-370 Back to browse issues page
THE EFFECT OF FERROUS SULFATE ON DELIVERY TYPE AND NEWBORN’S APGAR SCORE IN PREGNANT WOMEN WITH HIGH HEMOGLOBIN
Leila Alizadeh 1, Leili Salehi2 , Zahra Mehraban3 , Mani Ramzi4
1- Ardabil Branch, Islamic Azad University, Ardabil , alizadehl.ms@gmail.com
2- Research Center for Health, Safety and Environment& Health Education and Promotion, Alborz University of Medical Sciences, Karaj, Iran.
3- Ardabil Branch, Islamic Azad University, Ardabil
4- Shiraz University of Medical Sciences
Abstract:   (710 Views)
Background & Aims: Prescribing routine Iron supplementation during pregnancy regardless of the maternal hemodynamic condition that may be accompanied with pregnancy and delivery complications. This study conducted to assessing the effect of iron supplementation in pregnant women with high hemoglobin on delivery type and newborn’s Apgar score.
Material & Methods: The randomized double-blind clinical trial performed on 140 healthy pregnant women, 18-35years old, normal BMI, nonsmoker, in the 14th - 18th weeks of singleton pregnancy with Hb> 13.2 g/dL and ferritin > 15 μg/l. Mothers were randomly assigned to experimental and control groups from the 20th week of pregnancy, the experimental group received one ferrous sulfate tablet (50 mg) daily, while the control group received a placebo. Both of them were followed up to delivery and the type of birth and newborns Apgar were evaluated and compared.
Results: There was significant differences between the two groups in Hb (P = 0.03) and ferritin (P=0.04) levels after intervention, but the incidence of anemia exhibited no difference between them (P = 0.1). In addition there was no different between the two groups in birth weight (P=0/2), but the incidence of cesarean section (P=0/01) and low birth Apgar score (less than 8) (P=0/02) in drug group more than other group.
Conclusion: Iron supplementation increased the risk of cesarean section and low Apgar score in pregnant women with Hb concentrations greater than 13.2 g/dl; therefore, it should be done with caution in pregnancy.
Keywords: Ferrous sulfate, Pregnancy, Hemoglobin, Apgar score, cesarean
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Type of Study: Research | Subject: مامایی
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Alizadeh L, salehi L, mehraban Z, ramzi M. THE EFFECT OF FERROUS SULFATE ON DELIVERY TYPE AND NEWBORN’S APGAR SCORE IN PREGNANT WOMEN WITH HIGH HEMOGLOBIN. Nurs Midwifery J. 2019; 17 (5) :363-370
URL: http://unmf.umsu.ac.ir/article-1-3821-en.html


Volume 17, Issue 5 (August 2019) Back to browse issues page
مجله پرستاری و مامایی Nursing And Midwifery Journal
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