Volume : VI, Issue : VII, July - 2017

MATERNAL AND NEONATAL OUTCOME OF ANAEMIA IN PREGNANCY: A Prospective study

Sushma Shikha, Sanjaykumar Tambe

Abstract :

 Background: Anaemia is the commonest hematological disorder  in pregnancy in developing countries.It is associated with high incidence of preterm birth and other complications to mother and fetus.

Materials and Methods: A  prospective  Study was conducted in Government B J Medical college Pune during the period of 2 years from october 2013 to october 2015. 200 pregnant women whose haemoglobin were less than 8gm% had been included in this study to determine the maternal and neonatal outcome of pregnancy in severe anaemia and determine the cause of anaemia.

Results: Total 200 pregnant women were taken during study period. They were devided into 2groups.156 cases(78%) had haemoglobin concentration of 5.1–8gm/dl and 44 cases (22% ) had haemoglobin less than 5gm/dl. 67% of women with Hb( less than 5gm%) were unregistered,while 89% women were registered in group2 with Hb(5.1–8gm%).Majority of the patients were from low socioeconomic status. Most of the severly anaemic  patients  were third gravidas . In both groups anaemia was diagnosed mostly at gestational age between  28 to 36 weeks. Microcytic hypochromic picture was commonly found. The commonest cause of anaemia in pregnancy was iron deficiency anaemia. The most commonly observed  complications in the study were pre eclampsia and eclampsia (46 cases),preterm labour (46 cases) and IUGR (30cases).In many cases there were combinations of complications like pre eclampsia and IUGR and preterm labour and pre eclampsia with IUGR. Postpartum haemorrhage ,Episiotomy wound  and LSCS wound infection were the most commonly observed postpartum complications.Low birth weight was most common perinatal complication. 4.54% of severely anaemic patients had maternal death.

Conclusions: Most of the anaemic patients  were unregistered and  they were from low socioeconomic strata. iron deficiency anaemia was the  commonest type of anaemia. Anaemic mother had very high incidence of complications.The most commonly observed complications in this study were preterm labour,pre–eclampsia and eclampsia and IUGR. . Postpartum haemorrhage, Episiotomy and LSCS wound infections were the most commonly observed postpartum complications. Neonatal sepsis,respiratory distress,pneumonia and jaundice were seen in preterm babies. Thus the above study reveals that severe anaemia which is commonly observed in pregnancy  in our country, gives rise to maternal and perinatal morbidities and mortalities. Therefore  anaemia in pregnancy is definitely a high risk group needs aggressive antenatal treatment to decrease maternal and neonatal morbidity and mortility.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Sushma Shikha, Sanjaykumar Tambe, MATERNAL AND NEONATAL OUTCOME OF ANAEMIA IN PREGNANCY: A Prospective study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-7 | JULY-2017

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