EFFECTS OF ANAEMIA ON PREGNANCY OUTCOME IN A TERTIARY CARE HOSPITAL

Dr. V.SITALAKSHMI; Dr. RAJYALAKSHMI.T

Volume : IX, Issue : I, January - 2020

EFFECTS OF ANAEMIA ON PREGNANCY OUTCOME IN A TERTIARY CARE HOSPITAL

Dr. V. Sitalakshmi, Dr. Rajyalakshmi. T

Abstract :

Background: Anemia during pregnancy is highly prevalent in developing countries like India. Mostly is nutritional, of which iron deficiency anemia is predominant. Pregnancy is a state of hemodilution, also there is an increased demand for iron and folic acid during pregnancy. The incidence varies with socioeconomic status, literacy. Anemia has an adverse effect on both mother and fetal outcome. A poor neonatal outcome like an increase in preterm deliveries, an increase in IUGR/LBW, an increase in NICU admission, intrauterine death is seen. Maternal complications increase with anemia. This study aims to study the prevalence, type of anemia and its effect on mother and fetus. The objective of the present study was to investigate the type and degree of anemia and to study the maternal and perinatal outcome. Methods: This study was done in the department of obstetrics and gynaecology in NMCH for a period of one year. The study was conducted on 150 pregnant women. Hemoglobin estimation was done for all women in 3 rd. trimester. The severity of anemia was detected by ICMR (Indian Council of Medical Research) classification. Depending on degree and type of anemia all women were treated and followed up for maternal and perinatal outcomes. Results: The incidence of mild, moderate, severe anemia was 31.33%, 56%, 12.66% respectively. Most of the anemic woman belonged to low socioeconomic status 84%. 15.33% had maternal complications. The poor perinatal outcome was seen in unbooked and referred cases. Conclusions: Anemia continues to be a major problem in developing countries with poor maternal and neonatal outcomes. Early diagnosis and treatment can improve both maternal and neonatal outcomes