Total Articles: 43
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Rawan Abduljalil1*, Nawal Dayoub2
Background: Maternal anemia is a common condition during pregnancy and has been associated with adverse maternal and neonatal outcomes, including preterm delivery and low birth weight (LBW).Objective: To evaluate the association between the severity of maternal anemia and neonatal birth weight.
Methods: A retrospective observational comparative study was conducted among 2079 women who delivered at Bahrain Defence Force Hospital between January and June 2021. Patients were categorized according to World Health Organization hemoglobin classifications into normal (>11 g/dL), mild anemia (10–10.9 g/dL), moderate anemia (7–9.9 g/dL), and severe anemia (<7 g/dL). Maternal demographics, obstetric characteristics, and neonatal outcomes were compared between groups.
Result: Normal hemoglobin levels were observed in 68.7%, mild anemia in 20.1%, and moderate-to-severe anemia in 11.2%. Mean neonatal birth weight was similar across all groups (3.1 ± 0.5–0.6 kg; P= 0.21). However, women with moderate-to-severe anemia delivered at an earlier gestational age and had higher rates of preterm delivery before 37 weeks (P=0.004).
Conclusion: Maternal anemia severity was not significantly associated with neonatal birth weight in this cohort. However, lower maternal hemoglobin levels were associated with earlier delivery and increased rates of preterm birth.
Tareq Qarata1*, Jassim Qarata2, Shaikha Al-Doseri3
A fibroepithelial polyp is a benign reactive exophytic lesion of the oral mucosa resulting from an exaggerated tissue response to low-grade mechanical or inflammatory irritation. When localized to the gingiva, its clinical presentation frequently mimics other focal reactive overgrowths, requiring definitive clinicopathological correlation. A 21-year-old female presented with a painless, firm, pedunculated, pink labial gingival mass associated with the maxillary right central incisor (#11). The lesion emerged 6 months following the completion of a 2-year course of fixed orthodontic therapy. Detailed periodontal parameters revealed stable baseline tissues with an isolated localized plaque-retentive field. A complete conventional excisional biopsy was executed down to the attached gingiva, combined with root surface debridement. Histopathological examination confirmed hyperplastic stratified squamous epithelium overlying dense, mature collagenized fibrous connective tissue with mild chronic inflammatory cell infiltration, lacking any evidence of cellular atypia, mineralized structures, or multinucleated giant cells. Surgical excision was completed successfully with uneventful healing by secondary intention, fully preserving the local soft tissue architecture without postoperative complications. A 3-year follow-up period demonstrated exceptional stability of the gingival contour, ideal aesthetic restoration, and a complete absence of localized recurrence. This case is particularly noteworthy due to the uncommon manifestation of a mature fibroepithelial polyp localized within the highly sensitive maxillary anterior aesthetic zone, presenting unique diagnostic and aesthetic management challenges. A long-term follow-up validates the clinical therapeutic approach and establishes long-term resolution.