Volume : 08, Issue : 12, December – 2021

Title:

04.A RETROSPECTIVE STUDY ON THE MATERNAL AND FETAL OUTCOME DUE TO ANAEMIA

Authors :

Rutb Shereen, Muneeba Ashfaq

Abstract :

Objective: The rate of deficiency of red blood cells in the women having pregnancy and its effectiveness on the mortality and morbidity of unborn baby and mother.
Methodology: The design of this study was retrospective study. This study was conducted in Mayo Hospital Lahore and the duration of this study was from January 2020 to December 2020. The gestational age was not preferred during the selection of the participants. A special organized form was used for the collection of data. Blood chemistry panel test was carried out and the patients found with anaemia were chosen for further research.
Results: 500 women having pregnancy randomly selected were the participants of this research work. Three hundred and seventy-five women were discovered with anaemia. The severity and cause of occurrence were different in the participants. Twenty percent patients were in their first three months of pregnancy period, about twenty-six percent patients were in their second trimester and more than fifty-four percent patients were in their last three months of pregnancy period. A large number of the patients were found with had moderate anaemia and their percentage was 52%. Thirty-six percent patients were found with mild anaemia. Anaemia of serious nature was found in twelve percent patients. The delivery was occurred before time in 9% of cases and the weight of about more than twelve percent new born babies was less than the normal babies. The occurrence of mortality rate in prenatal was more than two percent. Two women had to suffer an instance of sudden interruption while PPH (postpartum haemorrhage) was occurred in fifteen cases.
Conclusions: During pregnancy, women have to face a high occurrence of anaemia especially during the last three months of the pregnancy period. It affects the easy delivery and complicates the matter.
KEY WORDS: Pregnancy, Anaemia, Mortality, Morbidity, Abruption, Moderate, Mild, Trimester.

Cite This Article:

Please cite this article in press Rutb Shereen et al, A Retrospective Study On The Maternal And Fetal Outcome Due To Anaemia., Indo Am. J. P. Sci, 2021; 08(12).

Number of Downloads : 10

References:

1. Breymann C. Iron deficiency and anemia in pregnancy: modern aspects of diagnosis and therapy. Blood Cell Mol Dis 2002; 29: 506-16.
2. Hercberg S, Galan P, Preziosi P, Aissa M. Consequences of iron deficiency in pregnant women: current issues. Clin Drug Investing 2000; 19 suppl 1:1-7.
3. Mahmood K. Iron and folate supplementation in pregnancy. Cochrane Database Syst Rev. 2000; (2) CD001135:
4. World Health Organization Reproductive Health Library CD-ROM.2004; 7.
5. Awan MM, Akber MA, Khan MI. A study of anemia in pregnant women of Railway Colony, Multan. Pak J Med. Res 2004; 43: 11-4.
6. Nyuke RB, Letsky EA. Etiology of anemia in pregnancy in South Malawi. Am J Clin Nutr 2000; 72: 247–256.
7. Viteri FE, Berger J. Importance of pre-pregnancy and pregnancy iron status: can long-term weekly preventive iron and folic acid supplementation achieve desirable and safe status? Nut Rev 2005; 63(12 pt 2): S65-76.
8. Scholl TO, Hediger ML, Fisher RL, Shearer JW. Anemia vs iron deficiency: increased risk of preterm delivery in a prospective study. Am J Clin Nutr 1994; 55:985-988.
9. Garn SM, Ridella SA, Petzold AS, Falkner F. Maternal hematologic levels and pregnancy outcomes. Semin Perinatol 1981; 5:155-162.
10. Zhou LM, Yang WW, Hu JZ, Deng CQ, Tao X, Stoltzfus RJ. Relation of hemoglobin measured at different times in pregnancy to preterm birth and low birth weight in Shanghai, China. Am J Epidemiol 1998; 148:998-1006.
11. Klebanoff MA, Shiono PH, Selby JV, Trachtenberg AI, Graubard BI. Anemia and spontaneous preterm birth. Am J Obstet Gynecol 1991; 164:59-63.
12. Knottnerus JA, Delgado L, Knipschild PG, Essed GG, Smits F. Maternal haemoglobin and pregnancy outcome. Lancet 1986; 2:282.
13. Knottnerus JA, Delgado LR, Knipschild PG, Essed GGM, Smits F. Haematologic parameter and pregnancy outcome: a prospective cohort study in the third trimester. J Clin Epidemiol 1990; 5:461-466.
14. Rasmussen S, Qian P. First- and second-trimester hemoglobin levels: relation to birth weight and gestational age. Acta Obstet. Gynecol Scand 1993; 72:246-251.
15. Meis PJ, Michielutte., Peters TJ, Wells H, Sands RE, Coles, Johns KA. Factors associated with preterm birth in Cardiff, Wales. II. Indicated and spontaneous preterm birth. Am J Obstet Gynecol 1995;173:597- 602.
16. Dim CC, Onah HE. The prevalence of anemia in pregnant women at booking in Enugo, South Eastern Nigeria. MedGenMED.2007; 9(3):11.
17. Kiwanuka GN, IsharazaWK, Mahmoud S. Iron status of pregnant women at first antenatal booking in Mbara University Teaching Hospital. Trop Doct 2000; 29: 228-30.
18. Wali A, Mushtaq A, Nilofer. Comarative study- efficacy, safety and compliance of intravenous iron sucrose and intramuscular iron sorbitol in iron dewficiency anemia of pregnancy. J Pak Med Assoc 2002; 52: 392-5.
19. Gautam VP, Bansal Y, Tanega DK, Saha R. Prevalence of anemia amongst pregnant women and its socio- demographic associates in a rural area of Delhi. Indian J Community Med 2002; 27: 157-60.
20. Siega-Riz AM, Adair LS, Hobel CJ. Maternal hematologic changes during pregnancy and effect of iron status on preterm delivery in a west Los Angles population. Am J Perinatol 1998; 15:515-522.