Volume 10, Issue 1 (1-2024)
Journal of Research in Applied and Basic Medical Sciences 2024, 10(1): 23-30 |
Back to browse issues page
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran , kiasi2007@yahoo.com
Abstract: (392 Views)
Background & Aims: Anthropomorphic and parametric features of mothers are associated with placental weight (PW) changes and its function. Anthropomorphic and parametric features can affect neonatal well-being. The aim of this research was to assess the prediction role of maternal body mass index (BMI) and hemoglobin (Hb) in placental weight and neonatal outcome.
Materials & Methods: This study was a correlational descriptive–analytical study. The data were collected using a demographic-reproductive questionnaire completed by 365 parturient women referred to Valiasr Hospital in Kazeroun, Fars, Iran from May 1 to August 31, 2020. The inclusion criteria were singleton delivery at term (37–42 weeks) and mothers’ consent to attend the study after recovery. The exclusion criteria were retained placenta, multiple pregnancies, and mothers’ discontent to participate in the study. The data were analyzed using Pearson correlation coefficient and multiple regression analysis. All analyses were carried out with SPSS V.21. The significance level was considered less than 0.05.
Results: The findings of the study showed that maternal BMI in early pregnancy (β = 0.20, P < 0.01), and gestational age (β = 0.24,
P < 0.01) were the positive predictive factors for placental weight. Also, among the maternal traits, only maternal hemoglobin
(β =0.14, P < 0.001) turned out to be a positive predictor for the neonate’s Apgar score. Of all fetal features, only neonatal weight had a significant correlation with placental weight (P < 0.01).
Conclusion: Mother’s BMI and Hb can predict placental weight and neonatal outcome. According to this finding, caregivers can help pregnant women with congruent education about proper nutrition to reach a safe BMI and create a positive outcome for the placenta and the newborn.
Materials & Methods: This study was a correlational descriptive–analytical study. The data were collected using a demographic-reproductive questionnaire completed by 365 parturient women referred to Valiasr Hospital in Kazeroun, Fars, Iran from May 1 to August 31, 2020. The inclusion criteria were singleton delivery at term (37–42 weeks) and mothers’ consent to attend the study after recovery. The exclusion criteria were retained placenta, multiple pregnancies, and mothers’ discontent to participate in the study. The data were analyzed using Pearson correlation coefficient and multiple regression analysis. All analyses were carried out with SPSS V.21. The significance level was considered less than 0.05.
Results: The findings of the study showed that maternal BMI in early pregnancy (β = 0.20, P < 0.01), and gestational age (β = 0.24,
P < 0.01) were the positive predictive factors for placental weight. Also, among the maternal traits, only maternal hemoglobin
(β =0.14, P < 0.001) turned out to be a positive predictor for the neonate’s Apgar score. Of all fetal features, only neonatal weight had a significant correlation with placental weight (P < 0.01).
Conclusion: Mother’s BMI and Hb can predict placental weight and neonatal outcome. According to this finding, caregivers can help pregnant women with congruent education about proper nutrition to reach a safe BMI and create a positive outcome for the placenta and the newborn.
Type of Study: orginal article |
Subject:
Medical Informatics
References
1. Ratnasiri AW, Lee HC, Lakshminrusimha S, Parry SS, Arief VN, DeLacy IH, et al. Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007-2016: A retrospective cohort study. PloS one 2019;14(9):e0222458. http://dx.doi.org/10.1371/journal.pone.0222458 [DOI:10.1371/journal.pone.0222458] [PMID] []
2. Matsuda Y, Itoh T, Itoh H, Ogawa M, Sasaki K, Kanayama N, et al. Impact of placental weight and fetal/placental weight ratio Z score on fetal growth and the perinatal outcome. Int J Med Sci 2018;15(5):484. http://dx.doi.org/10.7150/ijms.23107 [DOI:10.7150/ijms.23107] [PMID] []
3. Breymann C, editor Iron deficiency anemia in pregnancy. Seminars in hematology; 2015: Elsevier. [DOI:10.1053/j.seminhematol.2015.07.003] [PMID]
4. Fallatah AM, Bifari AE, Alshehri HZ, Wali SM, Alghamdi SA, Almusallam SA, et al. Anemia and Cost-Effectiveness of Complete Blood Count Testing Among Pregnant Women at King Abdulaziz University Hospital: A Single Tertiary Center Experience. Cureus 2020;12(9):e10493. http://dx.doi.org/10.7759/cureus.10493 [DOI:10.7759/cureus.10493]
5. Jwa SC, Fujiwara T, Yamanobe Y, Kozuka K, Sago H. Changes in maternal hemoglobin during pregnancy and birth outcomes. BMC Pregn Childbirth 2015;15(1):80. http://dx.doi.org/10.1186/s12884-015-0516-1 [DOI:10.1186/s12884-015-0516-1] [PMID] []
6. Mitsuda N, JP NA, Eitoku M, Maeda N, Fujieda M, Suganuma N, et al. Association between maternal hemoglobin concentration and placental weight to birthweight ratio: Japan Environment and Children's Study. Placenta 2020;101:132-8. http://dx.doi.org/10.22541/au.158645560.02907152 [DOI:10.22541/au.158645560.02907152]
7. Gragasin FS, Ospina MB, Serrano-Lomelin J, Kim SH, Kokotilo M, Woodman AG, et al. Maternal and cord blood hemoglobin as determinants of placental weight: a cross-sectional study. J Clin Med 2021;10(5):997. http://dx.doi.org/10.3390/jcm10050997 [DOI:10.3390/jcm10050997] [PMID] []
8. Russa AD, Kaziri KM. the Effect of Placental Weight and Cotyledon Count to the Fetal Birth Outcome At a Regional Referral Hospital in Tanzania. Int J Anat Res 2017;5(4.2):4538-42. http://dx.doi.org/10.16965/ijar.2017.150 [DOI:10.16965/ijar.2017.150]
9. Afodun AM, Ajao MS, Enaibe BU. Placental anthropometric features: maternal and neonate characteristics in North Central Nigeria. Adv Anat Embryol Cell Biol 2015;2015. http://dx.doi.org/10.1155/2015/790617 [DOI:10.1155/2015/790617]
10. Aji AS, Yusrawati Y, Malik SG, Kusuma C, Lipoeto N. Association of Prepregnancy Nutritional Status and Physical Activity Levels with Birth Size Outcomes among West Sumatran Pregnant Women: Results from the Vitamin D Pregnant Mothers Cohort Study in Indonesia. Maced J Med Sci 2021;9(E):880-6. http://dx.doi.org/10.3889/oamjms.2021.6898 [DOI:10.3889/oamjms.2021.6898]
11. Baanter NS, Elsayed AA, Aljerian K, Aldahmash WM, Al-Qahtani WS, Alwasel SH. Changes in Maternal Lifestyle during Ramadan Altered Placental Development. Adv Reprod Sci 2020;8(2):126-42. http://dx.doi.org/10.4236/arsci.2020.82011 [DOI:10.4236/arsci.2020.82011]
12. Glazier JD, Hayes DJ, Hussain S, D'Souza SW, Whitcombe J, Heazell AE, et al. The effect of Ramadan fasting during pregnancy on perinatal outcomes: a systematic review and meta-analysis. BMC Pregn Childbirth 2018;18(1):1-11. http://dx.doi.org/10.1186/s12884-018-2048-y [DOI:10.1186/s12884-018-2048-y] [PMID] []
13. Gul Z, Rajar S, Shaikh ZF, Shafique K, Hossain N. Perinatal outcome among fasting and non-fasting mothers during the month of Ramadan. Pak J Med Sci 2018;34(4):989. http://dx.doi.org/10.12669/pjms.344.15654 [DOI:10.12669/pjms.344.15654]
14. Macdonald E, Natale R, Regnault T, Koval J, Campbell M. Obstetric conditions and the placental weight ratio. Placenta 2014;35(8):582-6. http://dx.doi.org/10.1016/j.placenta.2014.04.019 [DOI:10.1016/j.placenta.2014.04.019] [PMID]
15. Meteeb RL, Al-Dhalimy AMB. The relation between maternal age with placental weight: Histological study. Eurasian J Biosci 2020;14(1):529-33. [Google Scholar]
16. de Jongh B, Mackley A, Jain N, Locke R, Paul D. Effects of advanced maternal age and race/ethnicity on placental weight and placental weight/birthweight ratio in very low birthweight infants. Maternal and child health journal. Springer 2015;19(7):1553-8. http://dx.doi.org/10.1007/s10995-014-1662-1 [DOI:10.1007/s10995-014-1662-1] [PMID]
17. Patimah S, Syauqi Y, Thaha AR. The correlation between placental weight and birth weight. Int Proc Chem Biol Environ Eng 2015;86:58-64. [Google Scholar]
18. Thame M, Osmond C, Trotman H. Fetal growth and birth size is associated with maternal anthropometry and body composition. Maternal & Child Nutrition. Wiley Online Library 2015;11(4):574-82. http://dx.doi.org/10.1111/mcn.12027 [DOI:10.1111/mcn.12027] [PMID] []
19. O'Connor TG, Miller RK, Salafia CM. Placental studies for child development. Child Dev Perspect 2019;13(3):193-8. http://dx.doi.org/10.1111/cdep.12338 [DOI:10.1111/cdep.12338] [PMID] []
20. Mehare T, Kebede D. Fetoplacental weight relationship in normal pregnancy and pregnancy complicated by pregnancy-induced hypertension and abruption of placenta among mothers who gave birth in Southern Ethiopia, 2018. Obstet Gynecol Int 2020;2020. http://dx.doi.org/10.1155/2020/6839416 [DOI:10.1155/2020/6839416] [PMID] []
21. Mosha D, Chilongola J, Ndeserua R, Mwingira F, Genton B. Effectiveness of intermittent preventive treatment with sulfadoxine-pyrimethamine during pregnancy on placental malaria, maternal anaemia and birthweight in areas with high and low malaria transmission intensity in T anzania. Trop Med Int Health 2014;19(9):1048-56. http://dx.doi.org/10.1111/tmi.12349 [DOI:10.1111/tmi.12349] [PMID]
22. Alizadeh L, Raoofi A, Salehi L, Ramzi M. Impact of maternal hemoglobin concentration on fetal outcomes in adolescent pregnant women. Iran Red Cresc Med J 2014;16(8). http://dx.doi.org/10.5812/ircmj.19670 [DOI:10.5812/ircmj.19670]
23. Jwa SC, Fujiwara T, Yamanobe Y, Kozuka K, Sago H. Changes in maternal hemoglobin during pregnancy and birth outcomes. BMC Pregn Childbirth 2015;15(1):1-10. http://dx.doi.org/10.1186/s12884-015-0516-1 [DOI:10.1186/s12884-015-0516-1] [PMID] []
24. Ahankari A, Leonardi-Bee J. Maternal hemoglobin and birth weight: systematic review and meta-analysis. Int J Med Sci Public Health 2015;4(4):435-45. http://dx.doi.org/10.5455/ijmsph.2015.2212201489 [DOI:10.5455/ijmsph.2015.2212201489]
25. Yildiz Y, Özgü E, Unlu SB, Salman B, Eyi EGY. The relationship between third trimester maternal hemoglobin and birth weight/length; results from the tertiary center in Turkey. J Matern Fetal Neonatal Med 2014;27(7):729-32. http://dx.doi.org/10.3109/14767058.2013.837445 [DOI:10.3109/14767058.2013.837445] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |