Obstetric anaesthesia

Risk factors for peripartum anemia and blood transfusion: a two-center retrospective cohort study (2018–2020)

Int J Obstet AnesthPublished Retrospective cohort study

Authors' conclusion

Anemia was more common among socioeconomically disadvantaged and non-Hispanic Black patients. Transfusion was associated with site, clinical factors, and anemia severity.

Study context

Population
Singleton deliveries ≥28 weeks with third-trimester Hb values at two Chicago hospitals (March 1, 2018 - February 29, 2020)
Participants
31,979 deliveries
Outcome
Third trimester anemia (Hb <11 g/dL)
Methodological detailstwo-centre
  • Two-centre

Main finding

As reported in the abstract

Third-trimester anemia

Third-trimester anemia prevalence (12,841 patients)

40.2%

Anemia in non-Hispanic Black patients

53.3%

Anemia associated with age, adjusted RR per year

0.99

Anemia associated with delivery at University of Chicago, adjusted RR

1.92

Observational data: associations, not effects.

Secondary outcomes

Peripartum transfusion

Hispanic ethnicity, adjusted OR
1.62
Asian race, adjusted OR
1.42
Non-Hispanic Black race not associated, adjusted OR
1.10
Transfusions more frequent at Northwestern
Transfusion associated with anemia severity and cesarean delivery
  • Logistic regression, adjusted odds

Original publication

Risk factors for peripartum anemia and blood transfusion: a two-center retrospective cohort study (2018–2020). Int J Obstet Anesth. Published 24 August 2026. doi:10.1016/j.ijoa.2026.105269

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