DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20183328

Anemia in antenatal patients and its outcome: an experience in tertiary care centre

Shabnam Ara, Cimona Lyn Saldanha, Insha Khan

Abstract


Background: Anemia is the most common hematological abnormality detected during the pregnancy and forms a major problem in affecting the females especially in the developing countries.

Methods: All pregnant females with clinical evidence of anemia without any other co-morbidity attending the antenatal clinic were included in the study. Patients were studied in terms of the age, parity, inter-pregnancy spacing, type of pregnancy, post-partum outcome along with the biochemical tests like peripheral blood picture, hemoglobin estimation, and serum ferritin levels.

Results: Total no. of patients was 500, age ≤20 years were 60 and ≥35 years were 107, mild anemia (10-10.9 gm%) 160, moderate anemia (7-10 gm%) 250, severe anemia (<7 gm%) 90. Normal vaginal delivery with medio-lateral episiotomy was done in 385 patients, normal vaginal delivery without medio-lateral episiotomy in 35 while lower-segment caesarean section in 80 patients. Pre-term delivery was done in 95 patients, post-term delivery in 20. 90 babies delivered were low-birth weight (<2500 gm), antepartum hemorrhage was seen in 10 patients while 20 patients had Post-partum hemorrhage.

Conclusions: The present study concludes that anemia is still rampant in the society especially in pregnant women. The main cause of anemia-in-pregnancy is still the iron deficiency anemia. The peripheral blood picture, hemoglobin estimation, and serum ferritin levels form the basic pillars in the evaluation of the etiology and type of anemia. The multiple government sponsored facilities are to be made available to each pregnant female and that requires community, government as well as healthcare professional’s participation.


Keywords


Anemia, Antepartum, Low birthweight, Parity

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References


Kaul RR, Ahmad J, Baba T, Shoib S, Ahmad A, Ashraf M, et al. Anemia in pregnant women in a rural block of Kashmir valley: Its prevalence and socio-demographic associates. Int J Med Sci Pub Health. 2013:2(4);814-8.

Goonewardene M, Shehata M, Hamad A. Anaemia in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2012;26(1):3-24.

Montgomery AL, Ram U, Kumar R, Jha P, Million Death Study Collaborators. Maternal mortality in India: causes and healthcare service use based on a nationally representative survey. PloS One. 2014;9(1):e83331.

Sharma JB, Shankar M. Anemia in Pregnancy. JIMSA. 2010;23(4):253-60.

Wright S, Earland D, Sakhuja S, Junkins A, Franklin S, Padilla L, et al. Anemia in pregnancy in Western Jamaica. Int J Women’s Health. 2017;9:431-9.

Huma N, Salim-Ur-Rehman, Anjum FM, Murtaza MA, Sheikh MA. Food fortification strategy--preventing iron deficiency anemia: a review. Crit Rev Food Sci Nutr. 2007;47(3):259-65.

Raghuram V, Anil M, Jayaram S. Prevalence of anemia amongst women in the reproductive age group in a rural area in south India. Int J Bio Med Res. 2012;3(2):1482-4.

Agarwal KN, Agarwal DK, Sharma A, Sharma K, Prasad K, Kalita MC, et al. Prevalence of anemia in pregnant and lactating women in India. Indian J Med Res, 2006;124:173-84.

Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafei MA, Wallenburg HC. Effect of high parity on occurrence of anemia in pregnancy: a cohort study. BMC Pregnancy and Childbirth. 2011;11:1-7.

Gautam VP, Bansal Y, Taneja DK, Saha R. Prevalence of anemia amongst pregnant women and its socio-demographic associates in a rural area of Delhi. Indian J Comm Med. 2002;27:4-12.

Khalafallah AA, Dennis AE. Iron deficiency anaemia in pregnancy and postpartum: pathophysiology and effect of oral versus intravenous iron therapy. J Pregnancy. 2012;2012:630519.

Greenberg JA, Bell SJ, Guan Y, Yu Y. Folic acid supplementation and pregnancy: more than just neural tube defect prevention. Rev Obstet Gynecol. 2011;4(2):52-9.

Kumar P, Jindal G, Guglani V. A case of anemia: How important is peripheral blood film before transfusing? Asian J Transfusion Sci. 2017;11(1):75-6.

Sehgal R, Kriplani A, Vanamail P, Maiti L, Kandpal S, Kumar N. Assessment and comparison of pregnancy outcome among anemic and non-anemic primigravida mothers. Indian J Public Health. 2016;60(3):188-94.