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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 66<br />

Study Ref Population Intervention Outcomes Results Comments Study<br />

type<br />

hours during formed singletons<br />

pregnancy was lower than<br />

- 2% more expected (less than<br />

cardiotocographie 3/ 1000) what may<br />

s<br />

be due to the<br />

- 1% more<br />

admissions<br />

Hawthorne effect<br />

Klinische biologie<br />

1. Haematology<br />

1.a. Haemoglobin, ferritin and MCV-MCH-MCHC<br />

Is anaemia in pregnancy associated with adverse maternal and perinatal outcomes?<br />

Study Ref Population Intervention Outcomes Results Comments Study<br />

Zhou et<br />

al., 1998<br />

4 [272] 829 pregnant women in<br />

China from 1991 to 1992<br />

Women divided into 6 groups<br />

based on their 1 st trimester Hb<br />

concentrations (< 9.0, 9.0 to<br />

9.9, 10.0 to 10.9, 11.0 to 11.9,<br />

12.0 to 12.9, º13.0 g/dl)<br />

Vitamin C, iron sulphate and<br />

folic acid treatment was<br />

offered to all women with Hb<br />

levels < 11 g/dl (defined as<br />

anaemia)<br />

Prevalence of anaemia<br />

Based on initial Hb<br />

concentrations:<br />

Risk of low birth weight<br />

Risk of preterm birth<br />

Risk of SGA<br />

49% at enrolment, 66% in 2 nd<br />

trimester, 67% in 3 rd trimester<br />

Low birth weight: > 11.9 g/dl,<br />

NS; 10.0 to 10.9, RR 2.7 (95%<br />

CI 1.01 to 7.39); 9.0 to 9.9, RR<br />

3.3 (95% CI 1.09 to 9.77); <<br />

9.0, RR 3.0 (95% CI 0.60 to<br />

14.76)<br />

Preterm birth: >11.9 g/dl, NS;<br />

10.0 to 10.9, NS; 9.0 to 9.9, RR<br />

2.6 (95% CI 1.17 to 5.90); <<br />

9.0, RR 3.7 (95% CI 1.36 to<br />

10.23)<br />

SGA: NS for all groups<br />

EL<br />

EL<br />

type<br />

CH 2b

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