The Effects of Anemia on Pregnancy Outcome in Patients with PyelonephritisReport as inadecuate




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Infectious Diseases in Obstetrics and GynecologyVolume 2013 2013, Article ID 780960, 5 pages

Clinical StudyDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, DUMD Box 3967, Durham, NC 27710, USA

Received 26 July 2013; Accepted 10 October 2013

Academic Editor: Harold Wiesenfeld

Copyright © 2013 Sarah K. Dotters-Katz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Pyelonephritis is a common infectious morbidity of pregnancy. Though anemia is commonly associated with pyelonephritis, there are little data describing the effect of pyelonephritis with anemia on pregnancy outcomes. The purpose of this study was to further assess the association of anemia with infectious morbidity and pregnancy complications among women with pyelonephritis. Study Design. We conducted a retrospective cohort study of pregnant women admitted to Duke University Hospital between July 2006 and May 2012 with pyelonephritis. Demographic, laboratory, and clinical data from the subject’s pregnancy and hospitalizations were analyzed. Patients with pyelonephritis and anemia a hematocrit < 32 were compared to those without anemia. Descriptive statistics were used to compare the two groups. Results. 114 pregnant women were admitted with pyelonephritis and 45 39.5% had anemia on admission. There was no significant difference in age, race, preexisting medical conditions, or urine bacterial species between patients with anemia and those without. Women with anemia were more likely to deliver preterm OR 3.3 95% CI 1.07, 11.4, . When controlling for race and history of preterm delivery, women with anemia continued to have increased odds of preterm birth OR 6.0, CI 1.4, 35, . Conclusion. Women with pyelonephritis and anemia are at increased risk for preterm delivery.





Author: Sarah K. Dotters-Katz, Chad A. Grotegut, and R. Phillips Heine

Source: https://www.hindawi.com/



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