Relation of the nutritional status and hemoglobin levels in pregnancy with the restraint of intrauterine growth

Abstract

Intrauterine growth restrictiosumn (IUGR) is an important cause of perinatal morbidity and mortality with consequences that may have implications in adult life; If we diagnose fetuses with IUGR by performing a Doppler velocimetry in the umbilical artery, it can revert or attenuate the process, in order to take therapeutic measures and perform a timely management of IUGR to reduce perinatal morbidity and mortality. An analytical study was conducted in the Regional Hospital of Zacapa in 110 pregnant women between 20 to 32 weeks of gestation, which were divided by means of equitable clusters in 4 groups according to the nutritional status which was determined by means of the Rosso - Mardons normograms. Subsequently, the risk of developing IUGR was evaluated by measuring the pulsatility index (PI) of the umbilical artery obtained through Doppler velocimetry and it was related to serum hemoglobin levels. Of 110 women evaluated, it was found that 66 (60%) patients had a PI greater than p95 for gestational age; and only 40% (44) a normal IP. The relationship between serum hemoglobin levels and IUGR was evaluated by means of contingency tables, it was found that the prevalence ratio for this relationship was RR = 2.56 (1.59 - 4.13, 95% CI). obtained the value P = 0.00000092 (<0.05) statistically significant. In conclusion, the probability of developing IUGR with a hemoglobin <11.5g / dL is up to 3 times more than in those with a hemoglobin> 11.5g / dL.