The Role of Ferritin Levels Serum of Third Trimester Obese Pregnant Women in Neonatal Outcome

Abstract

Objective: To determine relation of obesity to serum ferritin levels in third trimester pregnant women and neonatal outcome at Rumah Sakit Umum Daerah (RSUD) dr. Zainoel Abidin Banda Aceh. Methods: This was a prospective. The study was conducted in January-November 2019 at RSUD dr. Zainoel Abidin Banda Aceh. Total of 38 patients with 34-40 weeks gestational age with obesity were included in the study. Univariate analysis is presented in the frequency distribution table. Bivariate analysis to test study hypotheses using Spearman's Rank Correlation. P-values>0.05 were considered significant. The degree of correlation is determined based on the value of the correlation coefficient r. Result: Spearman test showed no correlation between obesity variables and ferritin reserve status (p: 0.068). Correlation between obesity variable and the infant APGAR value was significant (p: 0.032) and the strength of correlation was weak (r: 0.349). Chi-Square test results showed no correlation between obesity and infant birth weight (p: 0.369). Relationship of serum ferritin levels with APGAR no significant (p> 0.05). Serum ferritin levels with birth weight also did not significant (p> 0.05). Conclusions: This study shows that obesity in pregnancy has an effect towords the incidence of asphyxia in newborns an increase in serum ferritin or the incidence of macrosomia in newborns.