PREVALENCE OF ANEMIA IN PATIENTS WITH MISSED ABORTION
Date Issued
2025-09
Author(s)
Jasmina Chelebieva
Bekim Dika
Iskra Martinovska
Arben Shurlani
Gajur Limani
Abstract
Introduction: Miscarriage (abortion), 85% of which may happen during the first
trimester, is one of the most common adverse pregnancy outcomes. Almost half of
miscarriages are a consequence of chromosomal abnormalities. The risk factors
include advanced maternal age, comorbidities (obesity, diabetes, hypertension),
previous miscarriages, smoking and inappropriate nutritional status. Anaemia is the
most prominent haematological abnormality during gestation and it is a global health
problem affecting nearly half of all pregnant women. Anaemia has been linked to a
higher risk of adverse outcomes, including maternal mortality, stillbirth, preterm
births, small-for-gestational-age (SGA). World Health Organization has defined
anaemia in pregnancy as the haemoglobin (Hgb) concentration of less than 110g/L.
The primary cause of anemia during pregnancy is iron deficiency secondary to
chronic inadequate dietary intake and menstruation, heightened by the physiologic
demands of the fetus and maternal blood volume expansion during pregnancy. The
aim of our study was to determine the prevalence of anemia in women with missed
abortion in the first trimester of pregnancy, who are not bleeding.
Material and methods: In 80 patients with missed abortion in the first trimester of
pregnancy, we determined the level of Hgb in capillary blood.
Results: In 31 women (38,8%), we detected anemia (the level of Hgb below 110g/L),
and 7 of them (8,8% of the total number of women) had a severe anemia with Hgb
levels below 90 g/L. As pregnancy progresses, we expect this prevalence to increase.
Conclusion: We want to emphasize that a large percentage of women are anemic
even preconceptually and early in pregnancy, so if it is not detected and treated, the
severity of anemia worsens as the pregnancy progresses.
trimester, is one of the most common adverse pregnancy outcomes. Almost half of
miscarriages are a consequence of chromosomal abnormalities. The risk factors
include advanced maternal age, comorbidities (obesity, diabetes, hypertension),
previous miscarriages, smoking and inappropriate nutritional status. Anaemia is the
most prominent haematological abnormality during gestation and it is a global health
problem affecting nearly half of all pregnant women. Anaemia has been linked to a
higher risk of adverse outcomes, including maternal mortality, stillbirth, preterm
births, small-for-gestational-age (SGA). World Health Organization has defined
anaemia in pregnancy as the haemoglobin (Hgb) concentration of less than 110g/L.
The primary cause of anemia during pregnancy is iron deficiency secondary to
chronic inadequate dietary intake and menstruation, heightened by the physiologic
demands of the fetus and maternal blood volume expansion during pregnancy. The
aim of our study was to determine the prevalence of anemia in women with missed
abortion in the first trimester of pregnancy, who are not bleeding.
Material and methods: In 80 patients with missed abortion in the first trimester of
pregnancy, we determined the level of Hgb in capillary blood.
Results: In 31 women (38,8%), we detected anemia (the level of Hgb below 110g/L),
and 7 of them (8,8% of the total number of women) had a severe anemia with Hgb
levels below 90 g/L. As pregnancy progresses, we expect this prevalence to increase.
Conclusion: We want to emphasize that a large percentage of women are anemic
even preconceptually and early in pregnancy, so if it is not detected and treated, the
severity of anemia worsens as the pregnancy progresses.
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