Abstract
Anemia is defined as decrease in oxygen carrying capacity of hemoglobin. According to WHO anemia is defined as Hb <11g/dl Plasma volume expansion occurs in pregnancy by 50% but RBC Volume increases only by 30% as a result there is fall of Hb by 2g/dl in pregnancy. Iron requirement in 2nd trimester of pregnancy is 4-6mg/dl and in 3rd trimester it is 6-8 mg/dl which if not supplemented leads to iron deficiency anemia.
Methodology: this study included 600 patients from which venous blood sample was taken in EDTA vail and later all investigation were carried; CBC, PBF, iron studies, v12 levels, red cell folate levels. Anemia was classified Morphologically, on the basis of severity.
Results: Prevalence of anemia in our study was 30%. In our study iron deficiency anemia was most common, it was more in age group of 20-30years, more in multiparas, and in rural population, and more in 3rd trimester and was of moderate type anemia.
Conclusion: Owning to high prevalence of anemia in our study so we need diagnose anemia early, treat it at earliest stage. Besides this we have reduce eitilogical factors of anemia like deworming of patients, spacing of pregnancies, proper antenatal check ups, and adopting healthy eating practices.
References
- Centres for Disease Control and prevention. CDC criteria for anemia in children and child bearing aged women. Morb Moral wkly Rep 1989;38:400
- de Benoist B etal (eds). Worldwide prevelance of anemia 1993-2005.WHO Global Database on anemia Geneva. World Health Organization, 2008.
- Koller O. The clinical significance of hemodilution during pregnancy. Obstet Gynecol Surv 1982:37:649
- Barrett JF, Whittaker Pg, Williams JG, etal. Absorption of non heam iron from food during normal pregnancy. Br Med j 1994;309:79
- Brabin L, Brabin BJ and Gies S. Influence of iron status on risk of maternal or neonatal infection and on neonatal mortality with an emphasis on developing countries. Nutrition Reviews 2013;71(8), 528-540
- Kozaki N, Lee Ac, Katz j, child health Epidemiology Reference Group. Moderate to Severe, but not mild, maternal anemia is associated with increased risk of small for gestational age outcomes j Nutr. 2012; 142:358-62. doi:10.3945/ju.111.149237
- Rao R, and Georgieff MK. Iron in fetal and neonatal nutrition. In Seminars In fetal and Neonatal Medicine. 2007;12(1) :54-63.WB Saunders.
- Stevens GA, Finucane MM, De -Regil LM, Paciorek CJ, Flaxman SR, Branca F etal. Global, regional, and national trends in hemoglobin concentration and prevelance of total and severe anemia in children and pregnant and non pregnant women for 1995_2011: a systematic analysis of population representative data. Lancet Glob Health. 2013;1:E 16-E25. doi:10.1016/S2214-109X(13) 70001-9
- Rajamouli J, Ravinder A, Reddy Sck, pambi S. Study on prevelance of Anemia among pregnant Women attending antenatal clinic at Rural Health Training centre (RHTC) and Chalmoda Anand Rao. Institute of Medical Sciences Teaching Hospital, Karimnagar, Telangana. Int j contemp Med Res. 2016;3(8) :2388-91
- Mangla M, Singla D. Prevelance of anemia among pregnant women in rural India:a longitudinal observational study. In j Reprod contracep obstet Gynecol. 2016;5(10) :3500-5
- Brabin B, Prinsen -Geerligs P, verhoeff F, Karzembe P. Anemia prevelance for reduction of mortality in mothers and children. Trans R Sec Trop Med Hyg. 2003 jan -feb;97(1) :36-38
- Bereka SG, Gudeta AN, Reta MA, Ayana LA. Prevelance and associated risk factors of anemia among pregnant women in rural part of jigjiga city, Eastern Ethiopia : a cross sectional study. J Preg child health. 2017;4(337) :2
- Bencaiova G, and Breymann C. Mild anemia and pregnancy outcome in a Swiss collective. Journal if pregnancy, 2014
- Yildiz Y, ozgu E, unlu SB, Salman B, and EyiEGY. The relationship between third trimester maternal hemoglobin and birth weight /length :results from the tertiary centre in Turkey. The Journal of Maternal - Fetal and Neonatal Medicine. 2014 27(7), 729-732
- Ren A, Wang j,Ye RW, Li S, Liu JM, and Li Z. Low first trimester hemoglobin and low birth weight, preterm birth and small for gestational age Newborns. International journal of Gynecology and obstetrics. 2007;98(2) ;124-128
- Milman N, Byg KE, Agger AO. Hemoglobin and erythrocyte indices during normal Pregnancy and postpartum in 206 women with and without iron supplementation. Aeta obstet Gynecol Scand 2000;79:89
- Mukhopadhyay A, Bhatla N, Kriplani A etal. Erythrocyte indices in pregnancy: Effect of intermittent iron supplementation. Nat Med j Ind 2004:17:135
- Sifakis S, Phamakides G. Anemia in pregnancy. Ann New York Academy SCi. 2000;900n (1) :125-36
Corresponding Author
Dr Shazia Nisar
Senior Resident Department of Obstetrics and Gynecology, Skims Soura