OBJECTIVESANDBACKGROUND

Anemiaduringpregnancy isamajorpublichealthproblemespeciallyin developing  countrieslike India. This prospectivestudy   is aimed to find out the incidenceofpreeclampsiainmild,moderate,andsevereanemiaand   toanalysethe synergisticeffectofanemiawithpreeclampsiainpregnancyassociatedMorbidity and Mortality.

METHODS;

This prospectiveobservationalstudywas  carried  out at Govt.Thoothukkudi  Medical  College  Hospitalduring the period of Jan2016 to December 2016 on 200 patients  Pregnantwomenattending theantenataloutpatientdepartmentandlabourwardwithhemoglobinvalue   lessthan11gmsandafter20 weeksofgestationwereselectedforthestudy.     Afterrecording thebaselinedata, patientswithmoderateandsevereanemiawere advisedadmission foranemiaevaluation andtreatment.Inthesepatientstheincidenceofpreeclampsia atthetimeofadmission werecalculated.Thepatientswithpreeclampsia wereadmittedforpreeclampsia evaluationTheselectedpatientsweremonitoredandfollowedtill delivery

RESULTS;

Inthisstudy 83%ofthepatientswereinthemoderateanemiawithHb7.to10 gms.11%ofthepatientswereinthesevereanemiawithHblessthan7grams and 6%of the cases were in the mild anemia(Hb10–11gms). This studywas showed the

association betweenanemiaandthepreeclampsia,anemicpatients weremoreprone to develop preeclampsia duetoassociatedhypoproteinemia. Moresevere theanemia, greaterthechance  togetpreeclampsia.Incidenceofpreeclampsiainthestudywas

18.5%,thepvalueshows.000highlysignificantIncidenceofseverepreeclampsiawas

11.5%andincidenceof mild  preeclampsiawas 7%.Maternaloutcome  ofthe  study showedthatAtonicPPH–6%.Pulmonaryedema–1.5%,Deathoccurredinonecasein the studypopulation.Both  HELLP and DIVC occurred in one case 0.5%.Abruptio placentaoccurredin1%.Eclampsiaoccurredin2%ofthecases.20%  of  babies  were  low  birth  weight

CONCLUSION

Anemiaduringpregnancy isstillcontinuestobeamajorproblemindeveloping countries withmaternalandfetalcomplications Thecoexistence ofpreeclampsia in anemicwomen’s  worsening   the  situation.  In  preeclampsia,  there  was  already intravascularvolumedepletionhenceanemiagetsmaskedthepatientsarenotableto copeupevenwithmildbloodlossduringdelivery.Correctdiagnosisandtreatmentof theunderlyingcausecan improvethematernaloutcome.Wehavetocounselthepregnantmothersduring theirantenatalcheckupregarding the importanceofbloodpressure monitoring, screening andcorrectionofanemiapriorto pregnancy and Ironandfolicacidsupplementation.TheTenthplanstrategieshastobe effectively implementedtoallpregnantwomenwithanemiatoreducethematernal mortalityandmorbidityandlongterm consequencesofanemia.