Maternal anemia: a comprehensive study on fetomaternal consequences from menarche to menopause

Bijal S. Bhati; Shubhendu Bajpai; Mosam Patel; Mehjbin Gori; Pooja Panasara

doi:10.18203/2320-1770.ijrcog20242997

Authors

Bijal S. Bhati Department of Obstetrics and Gynecology, Dr. M. K. Shah Medical College, Ahmedabad, Gujarat, India
Shubhendu Bajpai Department of Obstetrics and Gynecology, Dr. M. K. Shah Medical College, Ahmedabad, Gujarat, India
Mosam Patel Department of Obstetrics and Gynecology, Dr. M. K. Shah Medical College, Ahmedabad, Gujarat, India
Mehjbin Gori Department of Obstetrics and Gynecology, Dr. M. K. Shah Medical College, Ahmedabad, Gujarat, India
Pooja Panasara Department of Obstetrics and Gynecology, Dr. M. K. Shah Medical College, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20242997

Keywords:

Anemia, Caesarean section, Pre-eclampsia, Pregnancy

Abstract

Background: Anaemia stands out as the most prevalent haematological condition encountered during pregnancy. Anaemia poses significant risks to maternal health, contributing to higher rates of morbidity and mortality among pregnant individuals. This condition can be identified and managed during the antenatal phase, thereby averting the significant risks associated with anaemia in both pregnancy and labour. The present study was conducted to investigate the incidence of anaemia among pregnant patients and women of reproductive age.

Methods: A prospective study was carried out at SMS Multispecialty Hospital and Dr. M. K. Shah Medical College and Research Centre. The study involved both indoor and outdoor patients from the obstetrics and gynaecology department, specifically those admitted for delivery at SMS Multispecialty Hospital. A total of 75 antenatal patients and 25 female patients from both reproductive and menopausal age groups were selected consecutively for this study. A comprehensive clinical history was gathered, encompassing the patient's complaints, socio-economic background, obstetric history, menstrual history, as well as past and personal medical history.

Results: The findings of the current study indicate a significant increase in the risk of several complications among pregnant women with anaemia. These complications include pre-eclampsia, PTVD, PPH, puerperal sepsis, a higher caesarean section rate, eclampsia, placenta previa, abortion, and abruption. The study also encompasses non-pregnant patients ranging from menarche to menopause, highlighting an increased risk of dysmenorrhea, menorrhagia, puberty-related menorrhagia, ovarian cysts, and bleeding following medical termination of pregnancy (MTP) pills.

Conclusions: Timely diagnosis and prompt intervention for anaemia can significantly decrease its prevalence. This initiative aims to foster a more health-conscious community.

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References

World Health Organization. Global anaemia reduction efforts among women of reproductive age: impact, achievement of targets and the way forward for optimizing efforts. 2020. Available at: https://www.who.int/publications/i/item/9789240012202. Accessed on 09 August 2024.

World Health Organization. Haemoglobin Concentrations for the Diagnosis of Anemia and Assessment of Severity. Vitamin and Mineral Nutrition Information System. 2011. Available at: http://www.who.int/vmnis/indicators/haemoglobin.pdf. Accessed on 09 August 2024.

World Health Organization. The global prevalence of anaemia in 2011. 2015. Available at: https://www. who.int/publications/i/item/9789241564960. Accessed on 09 August 2024.

World Health Organization. Global nutrition targets 2025: anaemia policy brief. 2014. Available at: https://apps.who.int/iris/handle/10665/148556. Accessed on 09 August 2024.

Rahmati S, Azami M, Badfar G, Parizad N, Sayehmiri K. The relationship between maternal anemia during pregnancy with preterm birth: A systematic review and meta-analysis. J Maternal Fetal Neonatal Med. 2020;33:2679-89.

Suryanarayana R, Chandrappa M, Santhuram AN, Prathima S, Sheela SR. Prospective study on prevalence of anemia of pregnant women and its outcome. J Family Med Prim Care. 2017;6:739-43.

Raj SC, Kruthika ML, Vindhyasree S. Impact of severe anemia during pregnancy on maternal outcome. Int J Reprod Contracept Obstet Gynecol. 2019;8(11):4485-90.

Sharma JB, Shankar M. Anemia in pregnancy. JIMSA. 2010;23(4):253.

Goyal N, Pandey H. Study on prevalence of anemia in pregnant women in labour. Int J Reprod Contracept Obstet Gynecol. 2020;9:2725-8.

Kumar V, Jain M, Shukla U, Swarnkar M, Gupta P, Saini P. Prevalence of anemia and its determinants among pregnant women in a rural community of Jhalawar, Rajasthan. Natl J Comm Med. 2019;10:207-11.

Nigar A, Ahmad A. Prevalence of anemia in pregnancy at booking: A retrospective study at a tertiary care centre in Lucknow India. Int J Reprod Contracept Obstet Gynecol. 2020;9:4585-9.

Baruah DK, Barooah MS, Sharma D. Prevalence of iron deficiency anemia among antenatal mothers. Int J Curr Res. 2016;8:28125-8.

Sharan A, Shah S. Study of haematological parameters in anemia in pregnancy. Trop J Pathol Microbiol. 2019;5:762-9.

Ali SA, Khan US, Feroz AS. Prevalence and determinants of anemia among women of reproductive age in developing countries. J. Coll Physicians Surg Pak. 2020;30:177-86.

Rasmussen K. Is There a Causal Relationship between Iron Deficiency or Iron-Deficiency Anemia and Weight at Birth, Length of Gestation and Perinatal Mortality? J Nutr. 2001;131(2S-2):590-601.