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- W2026127906 abstract "Objective To determine hemoglobin values associated with adverse maternal outcomes among Peruvian populations at different altitudes. Methods A retrospective cohort study was conducted using data from the Perinatal Information System. Adverse maternal outcomes were assessed. Results Risk of pre-eclampsia increased at maternal hemoglobin levels above 14.5 g/dL (OR 1.27; 95% CI, 1.18–1.36) or below 7.0 g/dL (OR 1.52; CI 95%, 1.08–2.14). Altitude above 2000 m reduced risk (OR 0.65; 95% CI 0.62–0.68). Risk of postpartum hemorrhage (PPH) increased with moderate/severe anemia (OR 6.15; 95% CI, 3.86–9.78) and at moderate altitudes (OR 1.26; 95% CI, 1.12–1.43). Mild anemia at any altitude was associated with reduced risk of pre-eclampsia (OR 0.85, 95% CI, 0.81–0.89) and PPH (OR 1.01; 95% CI, 0.88–1.15). Risk of premature rupture of membranes was reduced at high hemoglobin values. Maternal mortality increased at hemoglobin levels below 9.0 g/dL (OR 5.68; 95% CI, 2.97–10.80) and above 14.5 g/dL (OR 2.18; 95% CI, 1.22–3.91). Maternal mortality increased at moderate altitudes (OR 29.2; 95% CI, 2.62–324.60) and high altitudes (OR 66.4; 95% CI, 6.65–780.30) when hemoglobin levels were below 9.0 g/dL. Conclusion Elevated altitude and hemoglobin levels influence maternal outcomes." @default.
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- W2026127906 date "2012-02-20" @default.
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- W2026127906 title "Association of hemoglobin values at booking with adverse maternal outcomes among Peruvian populations living at different altitudes" @default.
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- W2026127906 doi "https://doi.org/10.1016/j.ijgo.2011.11.024" @default.
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