Journal article Open Access
Dr. Tayyiba Zia, Dr. Hamna Arif, Dr. Mohudisah Ahmed
Objective: The aim of our study was to find out the occurrence of severe anemia in pregnant women, its material complications and feto-material results.
Study Design: A descriptive case series study.
Place and Duration: This study was conducted at Obstetrics and Gynecology department of CMH Muzaffarabad for the duration of seven months starting from March, 2020 to September, 2020.
Methodology: In our present study we included 186 pregnant women who were admitted for the delivery and having age range ≥34 years. We used pre-designed Performa for the collection of demographic information relate to age, parity and gestational age. Post-partum and Intra-partum observations were made for material complications such as postpartum hemorrhage and pregnancy-induced hypertension. We noted perinatal complications such as APGAR score <7 at 5 minutes and low birth weight.
Results: In our present study we included 186 pregnant women and their Mean age were 26.76±3.36 years. 38.46±0.63 weeks were Mean gestational age of the women. Anemia was observed in 35 patients (19%) among which 4 patients (2.2%) were having mild anemia, 12 patients (6.5%) were having severe anemia and 19 patients (10.2%) were having moderate anemia. Frequency of PPH were noticed in (17.14%) of anemic patients, frequency of PIH were noticed in 47.14% of anemic patients, frequency of APGAR score <7 were noticed in 60% of anemic patients and frequency of low birth weight were noticed in 62.68% of anemic patients.
Conclusion: At the end of our study, we conclude that severe anemia during pregnancy significantly increase the chance of maternal outcomes and adverse perinatal in terms of PPH, PIH, APGAR score and low birth weight.
Key Words: Pregnancy, Severe Anemia, Feto-Maternal Outcome, Induced Hypertension, Low Birth Weight, Apgar Score, Post-Partum Hemorrhage.