As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

EndNote Style
Original Article
The role of gestational weight gain rate in the development of maternal iron deficiency anaemia
Aims: Our aim is to analyze the effect of weight gain rates on the development of anaemia in a homogeneous group of pregnant women taking similar nutritional supplements in our own society and to emphasize the importance of weight control based on this hypothesis.
Methods: The study was conducted retrospectively with 127 pregnant women between 20 and 40 years old. Pregnant women in normal weight and having body mass index (BMI) between 18.5 and 24.9 were included in the study. These women were divided into two groups according to the amount of weight they gained during pregnancy: those who weighed less than 11 kg and those who gained 11 kg or more. Ages of patients, number of pregnancies and births, 1st and 3rd trimester weights, 1st and 3rd trimester weight differences, 1st and 3rd trimester hemoglobin (Hgb), hematocrit (Hct), mean corpuscular volume (MCV) measurements were recorded. The correlation of changes between weight gain and blood parameters was evaluated.
Results: No statistically significant change was observed between the 1st and 3rd trimester Hgb and Hct averages of pregnant women who gained less than 11 kg during pregnancy. 3rd Trimester Hgb, Hct averages of the pregnant group who gained 11 kg or more were found to be statistically significantly lower than the outset Hgb, Hct averages (p=0.001, p=0.001). No statistically significant difference was observed between the 1st Trimester and 3rd Trimester MCV averages of the <11 kg difference and >11 kg difference groups (p=0.271, p=0.183). No statistically significant difference was observed between the 1st trimester ferritin averages of the <11 kg difference and >11 kg difference groups (p = 0.055). 3rd trimester ferritin averages of the >11 kg difference group were found to be statistically significantly lower than the <11 kg difference group (p =0.016).
Conclusion: As a result of our study, we can say that rapid weight gain during pregnancy deepens anaemia. Randomized studies continue to be the best source of evidence in testing hypotheses mentioning that early use of iron supplements and strengthening weight control may reduce the risk of IDA.

1. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698population-based measurement studies with 19&bull;2 million participants[published correction appears in Lancet. 2016 May 14;387(10032):1998].Lancet. 2016;387(10026):1377-1396. doi:10.1016/S0140-6736(16)30054-X
2. Fitzsimons KJ, Modder J, Greer IA. Obesity in pregnancy: risksand management. Obstet Med. 2009;2(2):52-62. doi:10.1258/om.2009.090009
3. Stevens GA, Finucane MM, De-Regil LM, et al. Global, regional, andnational trends in haemoglobin concentration and prevalence of total andsevere anaemia in children and pregnant and non-pregnant women for1995-2011: a systematic analysis of population-representative data. LancetGlob Health. 2013;1(1):e16-e25. doi:10.1016/S2214-109X(13)70001-9
4. Haider BA, Olofin I, Wang M, et al. Anaemia, prenatal iron use, andrisk of adverse pregnancy outcomes: systematic review and meta-analysis. BMJ. 2013;346:f3443. doi:10.1136/bmj.f3443
5. Medicine Chinese Society of Perinatal. Guideline for diagnosis andtreatment of iron deficiency and iron deficiency anemia in pregnancy.Chin J Perinat Med. 2014;17:451-454.
6. Breymann C. Iron deficiency anemia in pregnancy. Semin Hematol.2015;52(4):339-347. doi:10.1053/j.seminhematol.2015.07.003
7. Rezk M, Marawan H, Dawood R, Masood A, Abo-Elnasr M. Prevalenceand risk factors of iron-deficiency anaemia among pregnant womenin rural districts of menoufia governorate, Egypt. J Obstet Gynaecol.2015;35(7):663-666. doi:10.3109/01443615.2014.991289
8. Garcia-Valdes L, Campoy C, Hayes H, et al. The impact of maternal obesityon iron status, placental transferrin receptor expression and hepcidinexpression in human pregnancy. Int J Obes (Lond). 2015;39(4):571-578.doi:10.1038/ijo.2015.3
9. Scholing JM, Olthof MR, Jonker FA, Vrijkotte TG. Association betweenpre-pregnancy weight status and maternal micronutrient status in earlypregnancy. Public Health Nutr. 2018;21(11):2046-2055. doi:10.1017/S1368980018000459
10. Tan J, Qi YN, He GL, et al. Association between maternal weightindicators and iron deficiency anemia during pregnancy: a cohortstudy. Chin Med J (Engl). 2018;131(21):2566-2574. doi:10.4103/0366-6999.244109
11. Sumarmi S, Puspitasari N, Handajani R, Wirjatmadi B. Underweightas a risk factor for iron depletion and iron-deficient erythropoiesisamong young women in rural areas of East Java, Indonesia. Malays JNutr. 2016;22(2):219-232.
12. Choi OJ, Cho YG, Kang JH, et al. Weight control attempts inunderweight korean adults: Korea national health and nutritionexamination survey, 2007-2010. Korean J Fam Med. 2013;34(6):393-402.doi:10.4082/kjfm.2013.34.6.393
13. Siega-Riz AM, Deierlein A, Stuebe A. Implementation of the newinstitute of medicine gestational weight gain guidelines. J MidwiferyWomens Health. 2010;55(6):512-519. doi:10.1016/j.jmwh.2010.04.001
14. Wawer AA, Hodyl NA, Fairweather-Tait S, Froessler B. Are pregnantwomen who are living with overweight or obesity at greater risk ofdeveloping iron deficiency/anaemia? Nutrients. 2021;13(5):1572. doi:10.3390/nu13051572
15. Milman N. Serum ferritin in danes: studies of iron status from infancyto old age, during blood donation and pregnancy. Int J Hematol. 1996;63(2):103-135. doi:10.1016/0925-5710(95)00426-2
Volume 1, Issue 4, 2023
Page : 85-89