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Anaemia in pregnant women occurs at a haemoglobin (Hb) concentration <11 g/dL and treatment is essential to prevent increased maternal morbidity, fetal morbidity and mortality. Studies show a distinct risk of haemorrhage in pregnant women due to increased uterine dilatation, due to twins or macrosomic singletons. Currently, prepartum anaemia management, the influence of anaemia and the administration of foreign blood concentrates are insufficiently studied. The investigators intend to conduct a monocentric retrospective analysis of this subcohort.
Patient blood management is essentially based on three pillars, and a meta-analysis has already shown that consistent use can reduce transfusions and mortality. The WHO defines anaemia in pregnant patients as a haemoglobin (Hb) concentration <11 g/dl.
Treatment of iron deficiency anaemia is essential because data show that iron deficiency anaemia is associated with increased maternal morbidity, fetal morbidity and mortality. Studies show a separate risk of bleeding in pregnant women due to increased uterine prolapse, for example in twin pregnancies or macrosomic singletons. At present, the prepartum anaemia management of patients, the influence of anaemia and the administration of foreign blood concentrates are insufficiently studied, which the investigators intend to investigate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Controll | Pregnant women without uterine dilation due to a twin pregnancy or a macrosomic singleton |
| |
| Gemini | Pregnant women with uterine dilation due to a twin pregnancy |
| |
| Makrosome | Pregnant women with uterine dilation due to a macrosomic singleton |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observation of Blood loss | Other | Retrospetive observation of bloodloss and RBC transfusions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bloodloss | Blood loss measured by haemoglobin value | Within the first 24 hours after delivery |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant women with or without twin pregnancies or macrosomere singletons
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Frankfurt | Frankfurt am Main | Hesse | 60590 | Germany | ||
| Goethe University |
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| Frankfurt am Main |
| Hesse |
| 60598 |
| Germany |