International Journal of Clinical Obstetrics and Gynaecology
2021, Vol. 5, Issue 2, Part C
Fetomaternal outcome in cases of severe anemia in labour
Author(s): Rehana Rashid, Ufaque Muzaffar, Javid Ahmad Sofi and Zohra Younus
Abstract:Introduction: Anaemia is a major public health problem throughout the world especially in developing countries like India and it is the most common nutritional deficiency disorder in the world . Anemia in pregnancy is defined as Hemoglobin concentrations <11 g/dL in the 1st and last trimester, and a Hemoglobin concentration of <10.5 g/dL in the 2nd trimester3. The prevalence of anaemia indicates the nutritional status of a community and it often goes untreated especially in pregnant women where it can be most dangerous . Materials and Methods:The present study was a prospective observational study conducted at Post Graduate Department of Obstetrics and Gynaecology LallaDed hospital Srinagar. The study was conducted over a time period of 12 months from December 2019 to December 2020.The study included 70 patients with anemia and 70 patients without anemia. Results:The mean age of patients in anemia group was 30.63±4.97 years and the mean age in control group was 30.60±5.17 years. However the p value was statistically insignificant (0.97). Regarding antenatal registration, maximum patients 30.7% in anemia group were unbooked and 19.3% were booked. While as in group B, 27% were booked and 23% patients were unbooked. 31.4% patients from anemia group and 27% patients from group B were multigravida and 18.6% patients from anemia group and 23% patients from group B were primigravida. The difference wasn’t statistically significant (p value 0.39). The inter pregnancy interval in Anemia group was <2 years in 31.4% patients and >2 years in 18.6% patients while as in group B, maximum patients (40%) had inter pregnancy interval of >2 years and only 10% had <2 years. The difference between two groups regarding inter pregnancy interval was statistically significant (p value<0.05). Conclusion:Anemia in pregnancy is a major health problem in developing countries, contributing significantly to fetomaternal morbidity and mortality. Proper Antenatal care should be made accessible and affordable to both urban and rural areas. Proper antenatal counselling regarding diet, birthspacing, regular ante natal checkups and regular intake of iron supplements to be done in all antenatal clinics.
Rehana Rashid, Ufaque Muzaffar, Javid Ahmad Sofi, Zohra Younus. Fetomaternal outcome in cases of severe anemia in labour. Int J Clin Obstet Gynaecol 2021;5(2):121-124. DOI: 10.33545/gynae.2021.v5.i2c.874