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Central Hematocrit Levels in Fetal Malnourished Term Infants

Ertaş, Kerem MD*; Salihoğlu, Özgül MD*; Can, Emrah MD*; Hatipoğlu, Sami MD*; Hamilçikan, Şahin MD

Journal of Pediatric Hematology/Oncology: November 2017 - Volume 39 - Issue 8 - p e426–e429
doi: 10.1097/MPH.0000000000000854
Online Articles: Original Articles
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Backround: Fetal malnutrition is especially important for common chronic diseases in adult life. They could potentially be prevented by achieving optimal fetal nutrition.

Objective: The aim of this study was to investigate hematocrit levels of malnourished, term, appropriate for gestational age (AGA) neonates.

Subjects and Methods: A total of 80 AGA neonates (between 10% and 90% percentiles interval according to birth week), born with spontaneous vaginal delivery between 37 and 42 weeks of gestation, detected by both last menstrual period and ultrasonography measurements, were included in the study. Neonates with fetal malnutrition constituted the study group and the control group consisted of well-nourished neonates. We analyzed central venous hematocrit levels obtained 4 hours after birth and maternal risk factors for both groups.

Results: Although there were no differences in gestational age, head circumference, maternal factors (gravidity, parity, abortions and curettage counts, maternal tobacco use, preeclampsia, hypertension, diabetes mellitus, gestational diabetes mellitus, and history of urinary tract infections), first minute APGAR scores, and sex, Clinical Assessment of Nutritional Status score was lower (29.91±2.87 vs. 21.25±1.65) and hematocrit levels were higher (51.33±2.740 vs. 59.53±5.094) in the fetal malnutrition group (P<0.0001).

Conclusions: Central hematocrit levels in malnourished term AGA neonates were found significantly higher than well-nourished term AGA newborns.

*Department of Pediatrics, Bakirkoy Dr. Sadi Konuk Training and Research, Hospital

Department of Pediatrics, Bağcilar Training and Research, Hospital, Istanbul, Turkey

The authors declare no conflict of interest.

Reprints: Emrah Can, MD, Bakirköy Dr. Sadi Konuk Training and Research, Hospital, Istanbul, 34200 Turkey (e-mail: canemrahcan@yahoo.com).

Received January 19, 2017

Accepted April 17, 2017

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