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Table 3 Meta-analysis of association between high maternal Hb and maternal outcomes

From: Maternal low and high hemoglobin concentrations and associations with adverse maternal and infant health outcomes: an updated global systematic review and meta-analysis

 

Post-Partum

Hemorrhage

OR (95% CI)

Transfusion

OR (95% CI)

Pre-Eclampsia

OR (95% CI)

Gestational

Diabetes

OR (95% CI)

Postpartum

Depression

OR (95% CI)

Prenatal

Depression

OR (95% CI)

Maternal

Mortality

OR (95% CI)

Timing: low maternal Hb (< 110) by timing

     

Preconception

--

--

--

1.00a

(0.97–1.04)

-

--

--

First trimester

--

--

1.42

(0.69–2.95)

0.92b

(0.73–1.16)

--

--

--

Second trimester

1.43a

(1.01–2.03)

1.65a

(0.68-4.00)

0.50a

(0.29–0.87)

--

1.19a

(0.80–1.78)

--

--

Third trimester

1.58

(1.40–1.79)

6.15

(3.70-10.23)

1.36

(1.00-1.84)

0.86a

(0.74-1.00)

1.18

(0.78–1.79)

--

--

Cutoff: low maternal Hb at any time during pregnancy by cutoff

≤ 70 g/L

3.19b

(0.89–11.37)

43.46a

(22.06–85.62)

2.83

(2.08–3.85)

--

--

--

3.77b

(0.77–18.31)

≤ 80 g/L

3.19b

(0.89–11.70)

24.75a

(8.15–75.15)

2.83

(2.08–3.85)

--

--

--

3.77b

(0.77–18.31)

≤ 90 g/L

3.02

(2.04–4.48)

12.07

(6.70-21.72)

2.30

(1.31–4.03)

--

--

--

4.83b

(2.17–10.74)

≤ 100 g/L

1.92 (

1.42–2.59)

6.45

(3.62–11.49)

1.85

(1.29–2.64)

--

--

1.49a

(1.22–1.81)

2.87

(1.08–7.67)

≤ 110 g/L

1.69

(1.45–1.97)

3.68

(2.58–5.26)

1.57

(1.23–2.01)

0.88

(0.77-1.00)

1.15

(0.87–1.52)

1.44

(1.24–1.68)

1.93

(0.99–3.76)

Overall estimate*

< 110 g/L

1.69

(1.45–1.97)

3.68

(2.58–5.26)

1.57

(1.23–2.01)

0.88

(0.77-1.00)

1.15

(0.87–1.52)

1.44

(1.24–1.68)

1.93

(0.99–3.76)

  1. a based on 1 study
  2. b based on 2 studies
  3. -- no data available
  4. *Overall estimates using Hb concentrations measured at any point during pregnancy
  5. Hb hemoglobin; OR Odds Ratio; CI Confidence Interval