The paper explores how hemoglobin measured from cord blood at birth is related to anemia during pregnancy among women living in a hypertension zone in Gabon. The type of anemia was to be tested as a risk factor for adverse outcomes in pregnancy. High and low hemoglobin anemia were defined and compared with normal hemoglobin at delivery and with pregnancy without anemia. Anemia in pregnancy is a life-threatening state with increased risks of adverse outcomes to mother and infant. Although this could be detected by caesarean section, women with anemia were likely to have complex labor and the doubling of hemorrhage after pre-labor rupture of membrane suggests a causal relation. Tiredness increased throughout pregnancy for anemic women, but four obstetric outcomes were not worse than non-anemic women. Fetal growth was physiology at delivery was poor but expressed breast milk after a complicated peripartum did not show difference in content or volume. Anemia would appear to worsen outcome of already complicated pregnancies, including development of pre-eclampsia and a doubling of the need for hospitalization. A recent systematic review has shown clear benefits to correcting anemia on reducing decreased birth weight preterm infant mortality, but pregnant are a difficult group to treat. This supplement will also show the effectiveness of using various interventions to prevent and treat anemia and improving women's overall knowledge of anemia for better self-care.

Hemoglobin, pregnancy, infant

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