Evaluation of Hemoglobin and Serum Ferritin level in Preterm Labour and Preterm Prelabour Rupture of Membrane (PPROM): a Case-Control Study

Objective. Evaluate the level of maternal hemoglobin and ferritin in preterm labor and PPROM among Iraqi women. Materials and methods. The case-control study conducted at Azadi Teaching Hospital-Kirkuk included 225 pregnant women equally distributed into three groups, preterm, PPROM, and control group. A maternal blood sample (5 ml) was collected at the time of presentation, hemoglobin and ferritin measurements were performed for all participants. Results. Hemoglobin showed a significantly low level among the preterm and PPROM groups compared to control group (p=0.0001). While ferritin showed a significantly low level among the preterm group compared to other groups (p=0.0001). Comparing preterm with control, a hemoglobin level of ≥ 10 was associated with 89% sensitivity and 44% specificit y, and a ferritin level of ≥32 was associated with 84% sensitivity and 61% specificity. Comparing PPROM with control, a hemoglobin level of ≥10