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Maternal anemia and underweight as determinants of pregnancy outcomes: cohort study in eastern rural Maharashtra, India
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  • Ishag Adam
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    • Ishag Adam, Professor Faculty of Medicine, University of Khartoum, Sudan

    Comments on Patel et al., Maternal anaemia and underweight as determinants of pregnancy outcomes: cohortstudy in eastern rural Maharashtra, India. BMJ Open. 2018 Aug 8;8(8):e021623. doi: 10.1136/bmjopen-2018-021623
    Dear Sir I have read your above article with great interest and I have to congratulate you on this work.
    You investigated an important topic “Anaemia” and its maternal and perinatal outcomes.
    As you have mentioned that anaemia is common health problem and it can lead to adverse pregnancy outcomes. I think unlike the other maternal and perinatal outcomes, there are few publish data on association between anemia and cesarean section.1,2
    You have mentioned that “The risks of CS and pregnancy-related complications during delivery were significantly higher in non-anaemic women versus anaemic women for both data sets (page 4 the first line in Study outcomes: regression.
    These points have also been shown in table 2 in which 20.85%, 23.8% and 29.8% of women with moderate/severe, mild anaemia and non-anaemic women, respectively have cesarean section.
    Lower down in table 3 A it have been mentioned that women with severe /moderate anaemia and women with mild anaemia have lower risk of cesarean section (OR= 0.89, 95% CI=(0.84 to 0.95) and OR= 0.91, 95% CI=(0.86 to 0.97), respectively.
    I think the reverse might result if you combined both types of anemia severe/moderate and mild together (20.85%+ 23.8%= 44.65%). Then your result wo...

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    Conflict of Interest:
    None declared.