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At 6 -13 weeks of gestation, stillbirth, SGA and birthweight 2500g, were significantly associated with haemoglobin of 70-89g/l compared with haemoglobin of 110-129g/l The relationships of adverse pregnancy outcomes with various haemoglobin levels were more marked at 26-30weeks of gestation. Both lower and some higher haemoglobin concentrations are associated with adverse fetal and neonatal outcomes at 6 -13 weeks and at 26-30weeks of gestation, although the relationship with low haemoglobin levels appears more consistent and generally