Published May 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article59.pdf
Journal article Open

Study the Effect of Anemia on Pregnancy Outcome in Terms of Maternal Complications, APGAR Score and Perinatal Mortality

  • 1. Senior Resident, Dept. of Obstetrics & Gynaecology, Government Medical College, Datia, MP
  • 2. Assistant Professor, Dept. of Paediatrics, Government Medical College Datia, MP
  • 3. Dept. of Obs & Gynae, Muzaffarnagar Medical College, Muzaffarnagar

Description

Introduction: Anemia is crucial among all nutritional disorder in all over the world1. Anaemia is a global public ill-health problem affecting both developing and developed countries with major consequences on human health specially women and children. According to WHO (2008) Iron deficiency anaemia (IDA) remains the most typical medical disorder in pregnancy within the developing world, with the burden of disease impacting on both the mother and therefore the newborn. Material and Methods: A total of 200 antenatal patients were included in the study based on inclusion and exclusion criteria. All the women underwent detailed history taking and clinical examination, routine. Details of the patients including clinical data and investigations were recorded in self prepared clinical data sheet. These recruited women were divided into two group’s i.e. anaemic and non-anaemic group. Results: Out of total 200 cases of deliveries, complications of labour were seen in 34 cases. Majority of cases were of PPH i.e. 13, where 8 were non anaemic while 3 were having Haemoglobin level ≤ 9.9g/dl. Equal number of cases was seen in anaemic and non-anaemic group with respect to respiratory infection and failing lactation. Mean Apgar score at 1 min were 7.88, 8, 8 and 8 for non-anaemic, mildly anaemic, moderately anaemic and severely anaemic group respectively. At 5 min mean Apgar score, univariate analysis showed 8.91,9,9 and 9 for nonanaemic, mildly anaemic, moderately anaemic and severely anaemic group respectively. Total 22 perinatal morbidity were noted, out of which 14 were foetal growth restriction babies and 8 early neonatal deaths. Conclusion: Estimation of maternal haemoglobin alone doesn’t have direct effect on the maternal and perinatal outcome if provided with effective obstetric and neonatal care.

 

 

Abstract (English)

Introduction: Anemia is crucial among all nutritional disorder in all over the world1. Anaemia is a global public ill-health problem affecting both developing and developed countries with major consequences on human health specially women and children. According to WHO (2008) Iron deficiency anaemia (IDA) remains the most typical medical disorder in pregnancy within the developing world, with the burden of disease impacting on both the mother and therefore the newborn. Material and Methods: A total of 200 antenatal patients were included in the study based on inclusion and exclusion criteria. All the women underwent detailed history taking and clinical examination, routine. Details of the patients including clinical data and investigations were recorded in self prepared clinical data sheet. These recruited women were divided into two group’s i.e. anaemic and non-anaemic group. Results: Out of total 200 cases of deliveries, complications of labour were seen in 34 cases. Majority of cases were of PPH i.e. 13, where 8 were non anaemic while 3 were having Haemoglobin level ≤ 9.9g/dl. Equal number of cases was seen in anaemic and non-anaemic group with respect to respiratory infection and failing lactation. Mean Apgar score at 1 min were 7.88, 8, 8 and 8 for non-anaemic, mildly anaemic, moderately anaemic and severely anaemic group respectively. At 5 min mean Apgar score, univariate analysis showed 8.91,9,9 and 9 for nonanaemic, mildly anaemic, moderately anaemic and severely anaemic group respectively. Total 22 perinatal morbidity were noted, out of which 14 were foetal growth restriction babies and 8 early neonatal deaths. Conclusion: Estimation of maternal haemoglobin alone doesn’t have direct effect on the maternal and perinatal outcome if provided with effective obstetric and neonatal care.

 

 

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Additional details

Dates

Accepted
2024-04-26

References

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