Maternal erythrocytosis as a risk factor for small for gestational age at term in high altitude.

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia Pub Date : 2025-01-23 eCollection Date: 2024-01-01 DOI:10.61622/rbgo/2024rbgo98

Wilfredo Villamonte-Calanche, Marco Antonio Salazar-Zegarra, Cleto De-la-Torre-Dueñas, Alexandra Villamonte-Jerí, Adaí Vera-Luza, Milagros Hilari Bustinza-Apaza, Nuria Huanca-Huirse

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Abstract

Objective: To determine if maternal erythrocytosis is a risk factor for small-for-gestational age at term at 3,400-m altitude in pregnant women without intercurrent disease.

Methods: Analytical study of retrospective cohorts at Cusco, a city at 3,400-m altitude. Our participants were 224 and 483 pregnant women with and without exposure to maternal erythrocytosis, respectively. A logistic regression with the goodness of fit to the proposed model was also performed with the Hosmer and Lemeshow test, evaluating the small-for-gestational-age results with or without exposure to hemoglobin >14.5 g/dl.

Results: The incidence of small-for-gestational-age was 6.9% for this entire cohort. The maternal erythrocytosis during gestation without any maternal morbidity at 3,400-m altitude has an ORa=0.691 (p=0.271) for small-for-gestational-age at term. Inadequate prenatal control has an ORa=2.115 (p=0.016) for small-for-gestational-age compared to adequate prenatal control.

Conclusion: Maternal erythrocytosis in pregnant women without any morbidity is not a risk factor for small-for-gestational-age at 3,400 m-altitude.

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