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TITLE:

FREQUENCY OF PRETERM LABOUR AND HYPERTENSIVE DISORDERS IN ANEMIC PATIENTS

AUTHORS:

Dr. Saima Zulfiqar, Dr. Sadia Zulfiqar, Dr. Shazia Zulfiqar, Dr. Ujala Aslam, Dr. Tahira Pansota

ABSTRACT:

Background: Anemia is one of the high burden morbidities found in the developing countries and it can further be fatal when it is found in pregnant females as the morbidity and mortality can occur both in mother as well as fetus due to various complications. Hypertensive disorders like pre eclampsia, eclampsia and pre term labor are well reported in pregnant females. Objectives: To determine the frequency of pre-term labor and hypertensive disorders (pre-eclempsia and eclempsia) in anemic pregnant women.Study design: Descriptive case series study. Setting: Department of Gynaecology, Shaikh Zayed Hospital, Rahim Yar Khan. Duration of Study: 15 March 2017 to 15 March 2018. Methodology: The patients with age 20-40 years with single pregnancy of 20 weeks gestation or more (assessed by history and USG) irrespective of the number of parity with hemoglobin level less than 10 mg/dl will be included. Results: In the present study there were total 188 anemic pregnant women. The mean age was 28.59±4.52 years and mean BMI was 28.65±4.12. Mean parity was 2.06±0.95 while mean duration of gestation at presentation was 28.86±4.52 weeks. There were 90 (47.87%) of cases that had previous history of C section and 141 (75%) of the females belonged rural family. Regarding different outcomes pre eclampsia was seen in 33 (17.55%) of cases, eclampsia in 9 (4.79%) of cases and pre term labor in 48 (25.53%) of cases. On stratification of data with respect to pre eclampsia which was more seen in young age and those with single gravida n para; but none of the variable was found statistically significant. Eclampsia was seen significantly high in cases that had BMI more than 30 where it was seen in 8 (9.52%) of cases as compared to only 1 (0.96%) cases in their respective groups with p value of 0.01. In contrast to pre eclampsia, eclampsia was more seen in multiparous women and those with previous history of C section; although this difference was also not statistically significant. There was no significant difference in terms of pre term labor and the effect modifiers. However, it was relatively higher in cases that were multiparous and had gravida more than one with p values of 0.16 and 0.15. Conclusion: Complications are not uncommon in pregnant females suffering from anaemia and pre term labor is the most commonly observed. Moreover eclampsia is significantly associated with cases that had BMI more than 30 kg/m2. Key words: Anemia, Pre term labor, Eclampsia, Pre eclampsia.

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