Abstract
Background: Maternal anaemia is common medical disorder in developing countries. Anaemia in pregnancy results in complications such as low birth weight, preterm birth, increased fetal mortality and morbidity. Also, it has reported to increase the risk of adverse perinatal outcome. The aim of this study was to evaluate the relation between haemoglobin levels in third trimester in pregnant women and the birth weight of baby.
Methods: This is a observational study conducted in the department of obstetrics and gynaecology, govt. medical college balasore. Data of 100 pregnant women and newborn which is taken from records are included in the study. All pregnant women with term gestation, singleton pregnancy, with live fetus willing to participate in the study were included.
Results: Of 100 women, 65 had anaemia. The prevalence of anaemia was 65% of which 76% had mild anaemia, 24% had moderate anaemia. Mean Hb levels were 10.9gm/dl among non-anaemic mothers and mean birth weight was 2.91 Kg whereas mean hemoglobin level 9.1gm/dl and 2 in anaemic mothers and mean birth weight of baby was 2.38kg.
Conclusions: Anaemia in pregnancy is one of the causes of poor perinatal outcome. Hence proper antenatal care and counseling can reduce occurrence of anaemia in pregnancy.
References
- WHO, 1998 . Global Database on Child Growth and Malnutrition .Geneva: WHO.
- Kalaivani K. Prevalence and consequences of anemia in pregnancy.Indian J med2009;130:627–33.
- Carlin A, Alfirevic Z. Physiological changes of pregnancy and monitoring. Best Practice & Research Clinical Obste-trics & Gynaecology 2008;22(5):801-823.
- Tan EK, Tan EL. Alterations in physiology and anatomy during pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology 2013;27(6):791-802
- van den Broek N , 1998 . Anaemia in pregnancy in developing countries . Br J Obstet Gynaecol 105: 385 – 390 .
- Klebanoff MA , Shiono PH , Berendes HW , Rhoads GG , 1989 . Facts and artifacts about anemia and preterm delivery . JAMA 262: 511 – 515
- Berkowitz GS , Papiernik E , 1993 . Epidemiology of preterm birth . Epidemiol Rev 15: 414 – 443 .
- Xiong X , Buekens P , Alexander S , Demianczuk N , Wollast E , 2000 . Anemia during pregnancy and birth outcome: a meta-analysis . Am J Perinatol 17: 137 – 146 .
- McCormick MC , 1985 . The contribution of low birth-weight to infant-mortality and childhood morbidity . N Engl J Med 312: 82 – 90 .
- Stanley FJ , Watson L , 1992 . Trends in perinatal mortality and cerebral palsy in Western Australia, 1967 to 1985 . BMJ 304: 1658 – 1663 .
- Rana SS, Sharma S, Chand A, Malla R. Relationship between maternal haemog-lobin and fetal weight. NJOG. 2013;8 (1):37-40.
- World health statistics quarterly. Geneva: WHO; 1980: 197-224.
- Reduction of low birth weight, a South Asia priority. Kathmandu: UNICEF Rosa; 2002.
- Francis S, Nayak S. Maternal haemoglobin level and its association with pregnancy outcome among mothers. NUJHS. 2013;3(3):96-110.
- Shaukat M, Zaheen A, Zaanam Q, Sheikh GA. Maternal anaemia, perinatal morbidity and mortality. J Pak Paed Assoc. 2002;80:88-98.
- Tuladhar H. Anaemia in adolescent pregnancy. JNMC. 2000;2(1):19-21.
- Nahum GG, Stanislaw H. High altitude exposure during pregnancy and low birth weight. J Rep Med. 2004;49(4):297-305.
Corresponding Author
Dr Debasish Das
Asst. Prof. Govt. Medical College Baleswer India