Study of Maternal and Perinatal outcome in moderate to severe degree iron deficiency anaemia in rural community
DOI:
https://doi.org/10.7439/ijbar.v7i2.2991Keywords:
Ocimum sanctum, Lamiaceae, tulsi, GC-MS, EugenolAbstract
Background : Anaemia is the commonest medical disorder associated with pregnancy. It contributes to one fifth of the maternal deaths and large number of preterm deliveries and low birth weight babies in India. Objectives: To study maternal and perinatal outcome in pregnancies complicated by anaemia. Setting- Tertiary care teaching hospital in central India. Study Design: Prospective observational study. Material and Methods : Study was conducted for a period of two years from September 2012 to August 2014. A total of 1644 pregnant women were screened for evidence of iron deficiency anaemia. Maternal and perinatal outcome of women with moderate to severe anaemia was analyzed. Statistical analysis : was done by finding out percentages, proportions, Mean and Standard deviation (SD), Chi square test. Results : Prevalence of anaemia among pregnant women was 49.40%. Mild, moderate and severe degree of anaemia was seen in 19.46%, 25.06% and 04.86% cases respectively. The incidence of preterm delivery and low birth weight babies was two times more than women with normal haemoglobin values. The perinatal mortality and morbidity among babies born to anaemic women was high. There was no maternal mortality in the present study. Conclusion : The study revealed that anaemic women are more prone for life threatening obstetric and medical complications, preterm labour, low birth weight babies and perinatal morbidity and mortality., Strengthening the peripheral health care delivery system, regular antenatal care, high risk pregnancy identification, oral and parenteral iron therapy and institutional deliveries can reduce the incidence of anaemia and the resultant morbidity and mortality.Downloads
References
DeMayer EM, Tegman A. Prevalence of anaemia in the World. World Health Organ Qlty 1998; 38: 302-16.
Marahatta R. Study of anaemia in pregnancy and its outcome in Nepal Medical College Teaching Hospital, Kathmandu, Nepal. Nepal Med Coll J, 2007; 9:270-4.
Jain Preeti, Kural M, Joshi Tulika. Maternal and fetal outcome in cases of severe anaemia with pregnancy in rural set up. Int J Med Appl Sci. 2013; 2(3):318-33.
Levy a, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anaemia during pregnancy is an independent risk factor for low birth weight and preterm delivery. Eur J Obstet Gynecol Reprod Biol. 2005; 122(2):182-6.
Hussein L. Kidanto, Ingrid Mogren, Gunilla Lindmark, Siriel Massawe, Lennarth Nystrom. Risks for preterm delivery and low birth weight are independently increased by severity of maternal anaemia. South African Med J. 2009; 99(2):98-102.
Rusia U, Madan N, Agarwal N, Sikka M, Sood SK. Effect of maternal iron deficiency anaemia on foetal outcome. Indian J Pathol Microbiol. 1995; 38:273-9.
Umber Jalil Bakhtiar, Yasmeen Khan, Razia Nasar. Relationship between maternal haemoglobin and perinatal outcome. Rawal Med J. 2007; 32(2):102-4.
Pasricha SR, Caruana SR, Phuc TQ, Casey GJ, Jolley D, Kingsland S, et al. Anemia, iron deficiency, meat consumption, and hookworm infection in women of reproductive age in northwest Vietnam. Am J Trop Med Hyg. 2008 78(3):375- 81.
Baig-Ansari N, Badruddin SH, Karmaliani R, Harris H, Jehan I, Pasha O, et al. Anemia prevalence and risk factors in pregnant women in an urban area of Pakistan Food Nutr Bull, 2008; 29(2):132-9.
Panghal, Ritu, Boora and Pinky. Prevalence of anemia among pregnant women of low income group of Hisar district of Haryana. J Dairying, Foods and Home Sci 2010; 29 (2):112-115.
NFHS-2. National Family Health Survey (NFHS-2), 1998-1999, India, Mumbai: Indian Institute of Population studies; 2000.
Ezzati M, Lopus AD, Dogers A, Vander HS, Murray C. Selected major risk factors and global and regional burden of disease. Lancet 2002; 360: 1347-60.
Murphy JF, O
Klebanoff MA, Shiono PH, Selby JV, Trachtenberg AI, Graubard BI. Anemia and spontaneous preterm birth. Am J Obstet Gynecol 1991; 164:59
Hemminki E, Rimpela U. Iron supplementation, maternal packed cell volume, and fetal growth. Arch Dis Child 1991; 66: 422
Agarwal KN, Agarwal DK, Mishra KP. Impact of anaemia prophylaxis in pregnancy on maternal hemoglobin, serum ferritin and birth weight. Indian J Med Res 1991; 94:277
Singla PN, Tyagi M, Kumar A, Dash D, Shankar R. Fetal growth in maternal anemia. J Trop Pediatr 1997; 43:89
Prema K, Neela Kumari S, Ramalakshmi BA. Anaemia and adverse obstetric out come. Nutr Rep Int 1981; 23 : 637-43,
Lister VG, Rossiter CE, Chong M. Perinatal mortality. Br J Obstet Gyn 1985; 92 (Suppl 5): 88-99,
Allen LH. Biological mechanisms that might underlie iron
Prema Ramachandran, Nutrition in Pregnancy. In: Gopalan C, Kaur S, editors. Women and nutrition in India, Special Publication No. 5. New Delhi: Nutrition Foundation of India; 1989. p. 153-93.
Prema Ramachandran. Anaemia in pregnancy. In: Ratnam SS, Bhasker Rao K, Arulkumaran S, editors. Obstetrics and gynaecology for postgraduates, Vol 1. Madras: O rient Longman; 1992. p. 42-53.
Prema K, Ramalakshmi BA, Madhavapeddi R, Babu S. Effect of intramuscular iron therapy in anaemic pregnant women. Indian J Med Res 1982; 73: 534-46.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
How to Cite
