Title: Study of Fetomaternal Outcome in Patients of Moderate and Severe Anaemia in > 28 Week Pregnancy
Authors: Dr Ashram Khatana, Dr Kanti Yadav
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.127
Abstract
Background: Anaemia in pregnancy is one of the most common problems faced by obstetrician, especially in developing countries. These large differences in risk are related primarily to differences in available obstetric care for women living in areas with inadequate antenatal and delivery care facilities. The our aim of this study to fetomaternal outcome in patients of moderate and severe anaemia in pregnancy.
Material & Methods: A prospective study was conducted in the department of Obstetrics and Gynaecology, J.L.N. hospital, Ajmer from Oct 2015 to Dec 2016. The study was undertaken to find out prevalence of anaemia in pregnancy, Hb status of pregnant women, magnitude of anaemia and fetomaternal outcome of anaemic patients. Out of a total of 1000 pregnant women admitted in labour room for delivery, 325 patients had moderate to severe anaemia and were included in this study.
Results: Out of 1000 cases admitted in labour room 325 cases had moderate to severe anaemia and they were studied to find out fetomaternal complications. Perinatal mortality was also very high in cases of severe anaemia 42%. Moderate to severe anaemia was associated with complications in 53.84% cases. Fetal outcome in present study was in form of 49.23% premature (Gestation age < 37 weeks) birth with 33.12% perinatal mortality.
Conclusion: It can be concluded from present study that severe anaemia is associated with high maternal and fetal morbidity and mortality. It is also associated with high incidence of complication like congestive cardiac failure, toxaemia of pregnancy, preterm labour and post partum haemorrhage.
Keywords: Anaemia, Antenatal, postnatal, maternal, fetal.
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Dr Ashram Khatana
PG Resident (3rd), Department of Obstetrics & Gynaecology
J.L.N Medical College, Ajmer, Rajasthan