{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:17:46Z","timestamp":1790878666912,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T00:00:00Z","timestamp":1438646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Maternal iron deficiency anemia (IDA) impacts placenta and fetus. We evaluated effects of IDA at admission for delivery on cesarean rates, and adverse maternal and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STUDY DESIGN AND METHODS<\/jats:title>\n                    <jats:p>Medical records from Jerusalem (2005\u20102012) identified women with a live\u2010birth singleton fetus in cephalic presentation of any gestational age and excluded planned cesarean, chronic\/gestational diseases identified with anemia. Study population was divided into anemic and non\u2010anemic women using WHO criteria. Main outcome measures: cesarean rate, and adverse outcomes (maternal: packed cells transfusion, early post\u2010partum hemorrhage, preterm delivery; and neonatal: 5\u2032 Apgar\u2009&lt;\u20097, Neonatal Intensive Care Unit [NICU] admission, extreme birthweights). Continuous variable analysis and multivariate backward step\u2013wise logistic regression models were prepared with Odds Ratios (OR) and 95% confidence intervals (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>In all, 96,066 deliveries were registered, of which 75,660 (78.8%) were included. IDA was present in 7,977 women (10.5%). Anemia at birth was significantly associated with cesarean section (OR 1.30; 95%CI, 1.13\u20101.49, p\u2009&lt;\u20090.001), packed cells transfusion (OR 5.48; 95%CI, 4.57\u20106.58, p\u2009&lt;\u20090.001), preterm delivery (OR 1.54; 95%CI, 1.36\u20101.76, p\u2009&lt;\u20090.001), macrosomia (OR 1.23; 95%CI, 1.12\u20101.35, p\u2009&lt;\u20090.001), Large for Gestational Age (OR 1.29; 95%CI, 1.20\u20101.39, p\u2009&lt;\u20090.001), Apgar 5\u2032 &lt; 7 (OR 2.21; 95%CI, 1.84\u20102.64, p\u2009&lt;\u20090.001), and NICU admission (OR 1.28; 95%CI, 1.04\u20101.57, p\u2009=\u20090.018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Iron deficiency anemia at delivery is associated with an increased risk for cesarean section and adverse maternal and neonatal outcomes in otherwise healthy women. Monitoring\/correction of hemoglobin concentrations even in late pregnancy may prevent these adverse events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.13252","type":"journal-article","created":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T10:19:21Z","timestamp":1438683561000},"page":"2799-2806","source":"Crossref","is-referenced-by-count":148,"title":["Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes"],"prefix":"10.1111","volume":"55","author":[{"given":"Lior","family":"Drukker","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Shaare Zedek Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Hants","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Hadassah Medical Center, Hebrew University\u2010Hadassah Medical School  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rivka","family":"Farkash","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Shaare Zedek Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Ruchlemer","sequence":"additional","affiliation":[{"name":"Department of Hematology Shaare Zedek Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnon","family":"Samueloff","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Shaare Zedek Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorina","family":"Grisaru\u2010Granovsky","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Shaare Zedek Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO United Nations University. 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