Anaemia in term pregnancy: influence on maternal and perinatal outcome and role of demographic factors

Urvashi Miglani; Priya Bhangadia; V. K. Kadam; Poonam Laul

doi:10.18203/2320-1770.ijrcog20185434

Authors

Urvashi Miglani Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India
Priya Bhangadia Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India
V. K. Kadam Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India
Poonam Laul Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20185434

Keywords:

Anemia, Demographic factors, Perinatal outcome

Abstract

Background: The aim is to study maternal and perinatal outcome and various demographic factors in term pregnancy complicated with anaemia at DDU Hospital.

Methods: Hospital based prospective observational analytical study. 200 pregnant women reporting to antenatal clinic or admitted to the Hospital in labour/not in labour after 36+6weeks of pregnancy were taken as study subjects. Study duration was one year between July 2017 to June 2018.

Results: The prevalence of mild, moderate and severe anaemia was 25%, 56% and 19% respectively. Education status, socioeconomic status, ANC visit, interpregnancy interval were significantly associated with anemia(p<0.05). Significant association was observed between occurrence of PPH and severity of anaemia(OR 12.77; CI 2.32 to 70.12). The incidence of LBW increased with severity of anaemia. (OR-6.25;CI 2.6 to 15). There was a statistically significant difference found in prevalence of IUGR babies. The risk of Apgar score <8 increased with severity of anaemia. Perinatal mortality was observed in 8% subjects with anaemia as compared to 3% in subjects without anaemia.

Conclusions: Maternal anaemia is a major public health problem. Simple steps taken to correct anaemia in female contemplating pregnancy and pregnant women can definitely have far reaching influences on maternal and perinatal morbidity.

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