Maternal and perinatal outcomes amongst haemoglobinopathy carriers: a systematic review

International Journal of Clinical Practice
S M P J JansA L M Lagro-Janssen

Abstract

With the introduction of screening programmes for haemoglobinopathies (HbP), more women will be aware of their HbP status. The genetic risk for women who are carriers of HbP is well known. However, midwives and obstetricians need to know whether there are other risks involved in the pregnancies of women who are carriers of HbP. The objective of this study was to investigate the hypothesis that being a carrier of HbP has no consequences for the health of pregnant women and the outcome of their pregnancies. A systematic search was carried out until August 2008 in the Cochrane Library, Medline, EMBASE and CINAHL databases. All references were inspected to identify further studies. The authors of key publications were contacted for any unpublished research. Selection of studies was made on the basis of the following criteria: Cohort and case-control studies, pregnant women with a singleton pregnancy, exposure: HbAS or thalassaemia minor and the following outcomes: urinary tract infection (UTI), anaemia, (pre-)eclampsia, gestational diabetes, premature labour, low birth weight, intrauterine growth retardation, miscarriage, neonatal death, low Apgar score, neural tube defects. Quality assessment and data extraction were carried out b...Continue Reading

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Related Concepts

Abortion, Tubal
Apgar Score
Fetal Growth Retardation
Hemoglobinopathies
Genetic Carriers
Iniencephaly
Pre-Eclampsia
Pregnancy Complications, Hematologic
Pregnancy Complications, Infectious
Pregnancy Outcome

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