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We conducted a systematic review and meta\u2010analysis to examine the associations of maternal Hb concentrations with a range of maternal and infant health outcomes, accounting for the timing of measurement (preconception, and first, second, and third trimesters), etiology of anemia, and cutoff category. The systematic review included 272 studies and the meta\u2010analysis included 95 studies. Low maternal Hb (&lt;110\u00a0g\/L) was associated with poor birth outcomes (low birth weight, preterm birth, small\u2010for\u2010gestational\u2010age (SGA), stillbirth, and perinatal and neonatal mortality) and adverse maternal outcomes (postpartum hemorrhage, preeclampsia, and blood transfusion). High maternal Hb (&gt;130\u00a0g\/L) was associated with increased odds of SGA, stillbirth, preeclampsia, and gestational diabetes. Relationships varied by the timing of measurement and cutoff category (stronger associations with lower cutoffs); limited data were available on anemia etiology. There were insufficient data for other maternal outcomes and long\u2010term child health outcomes. Current data are insufficient for determining if revisions to current Hb cutoffs are required. Pooled high\u2010quality individual\u2010level data analyses, as well as prospective cohort studies, would be valuable to inform the reevaluation of Hb cutoffs.<\/jats:p>","DOI":"10.1111\/nyas.14093","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T14:30:51Z","timestamp":1555511451000},"page":"47-68","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":257,"title":["Maternal hemoglobin concentrations across pregnancy and maternal and child health: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"1450","author":[{"given":"Melissa F.","family":"Young","sequence":"first","affiliation":[{"name":"Hubert Department of Global Health Emory University  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brietta M.","family":"Oaks","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Sciences University of Rhode Island  Kingston Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Tandon","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health Emory University  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reynaldo","family":"Martorell","sequence":"additional","affiliation":[{"name":"Hubert Department of Global Health Emory University  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn G.","family":"Dewey","sequence":"additional","affiliation":[{"name":"Department of Nutrition University of California, Davis  Davis California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda S.","family":"Wendt","sequence":"additional","affiliation":[{"name":"Heidelberg Institute of Global Health University of Heidelberg  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,17]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"World Health Organization.2015.The global prevalence of anaemia in 2011. 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