Impact of severe anemia during pregnancy on maternal outcome
Keywords:Anaemia, Illiteracy, Maternal morbidity, Post-partum haemorhage, Pregnancy, Sepsis
Background: Anemia is a global problem. Its prevalence in India is about 60%. Anemia directly or indirectly contributes to a significant proportion (40%) of maternal deaths in developing countries. The present study aimed to determine maternal outcome among pregnant women with severe anemia.
Methods: This was a prospective study conducted in the department of obstetrics and gynecology, Mc Gann teaching district hospital, Shimoga, over a period six months i.e from January 2019 to June 2019. The study population included all pregnant women who were in their third trimester and with severe anemia (Hb%</=7g%) attending for routine care at our hospital. The interviews were conducted in regional language. The information collected was, social demographic characteristics, economic characteristics and reproductive health history. After the interviews, clinical examinations were conducted and clinical samples such as blood, urine and stool were collected to perform investigations.
Results: A total of 94 study participants were included in the study. All study participants were belonged to the low socio-economic strata of the society. 68.1% of women in anemia group were from a rural background. Unbooked and referred cases constituted nearly 4/5th of all anemic subjects (84%). In study group, preponderance of illiteracy was reported and accounted for 60.64% followed by primary and secondary education 23.04% and 14.90% respectively. Common maternal complications noted in the severely anemic group was PPH (14.9%), post-partum febrile morbidity (5.3%), CCF (3.2%) and sepsis (4.2%) while in the control group only one woman had post-partum febrile morbidity.
Conclusions: In our study, common maternal complications noted in the severely anemic group were post-partum hemorrhage, postpartum febrile morbidity, congestive cardiac failure and puerperal sepsis.
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