• J Chin Med Assoc · Oct 2023

    Sickle cell anemia in pregnant Saudi women and its impact on birth weight and gestational maturity.

    • Ebtihal Elameen Eltyeb, Ibrahim MokhashaAlanoudAFamily Medicine Program at Jazan, Saudi Arabia., Ali Al-MakramaniAliADepartment of Paediatrics, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia., Murtada AbdelmageedMahaMDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Jazan University, Saudi Arabia., and Amin BasheerRandaRDepartment of Nursing, Farasan University College, Jazan University, Saudi Arabia..
    • Department of Paediatrics, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.
    • J Chin Med Assoc. 2023 Oct 1; 86 (10): 892896892-896.

    BackgroundIt is well documented that sickle cell anemia (SCA) in pregnancy increases the risk of problems that can influence the growth and maturation of the newborn. To assess the gestational maturity and birth weight of babies born to Saudi mothers with SCA in the Jazan region.MethodsA case-control study was conducted in three hospitals in the Jazan region. An interview with a semi-structured questionnaire was used to collect data from the participants' women, and then the birth weight was taken.ResultsOf 187 delivered women, 20.3% had SCA (13% had sickle cell disease, and the remaining had sickle cell trait). Among the 38 affected mothers, 15.7% were considered to have an additional risk (7.9% had diabetes mellitus, 5.3% had hypertension, and 2.6% were smokers). The mean birth weight was 2.95 ± 0.40 kg and 2.99 ± 0.55 kg in the case and control groups, respectively. However, the low birth weight babies constitute 31% of the delivered babies in the SCA group with a weight of 2.33 ± 0.16 kg and 15% of the control group with a mean weight of 2.16 ± 0.30 kg. The gestational age was 39.36 ± 1.02 weeks in the SCA group compared to 39.5 ± 1.17 weeks in the control group. Maternal age and hypertension significantly influence the birth weight in the SCA group compared to the influence of diabetes mellitus on the birth weight in the control group.ConclusionThis study indicates that SCA in pregnant mothers influences birth weight, which is more impacted by maternal age and co-morbidities. Therefore, a multidisciplinary approach must monitor these risky pregnancies well to avoid undesirable neonatal outcomes.Copyright © 2023, the Chinese Medical Association.

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