DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20211112

Incidence of anemia in pregnancy and its maternal-fetal outcome in admitted ANC patients in tertiary care center, Bhilai, Chhattisgarh, India

Geetanjali Kanwar, Shweta Rani Prasad, Rekha Ratnani

Abstract


Background: Anemia in pregnancy is an important public health problem in developing countries like India. Anemia results in poor pregnancy outcome and also affects fetal outcome. The present study was conducted to asses maternal and fetal outcome in relation anemia. Aim and objectives of the study was to determine incidence, risk factors and maternal-fetal outcome of anemia in the admitted pregnant women attending obstetrics and gyanecology department, shanakarcharya institute of medical sciences, Bhilai.

Methods: This is retrospective observational study conducted among pregnant women admitted in labor room over a period of one year after getting approval from the institutional ethical committee.

Results: Out of total 1503 delivery during study period 675 patients were found to be anaemic which gives incidence of 44.5%. Most the pregnant women were moderately anaemic i.e. 50.96% followed by mild (45.04%) and severe (4%) repectively. Among the pregnant women most common type of anaemia is Iron deficiency anaemia (69.65%) followed by Sickle cell anaemia (15.4%). In the present study,90.4% of subject received oral iron, 26.9% received parenteral iron and 19.4% received blood transfusion. Common maternal outcome related to anemia found to be low birth weight (25.2%) followed by premature delivery (22.96%) and fetal outcome in anemic mother in the form of preterm (22.9%) followed by NICU admission (14.37%) and FGR (8.6%).

Conclusions: Anemia being one of the most important cause of poor feto maternal outcome should be treated preconceptionaly. There is a need of health education programmes and adequate intake of iron rich diet during pregnancy, to be strengthened for safe maternal and foetal outcomes.


Keywords


Anemia, Fetal outcome, LSCS

Full Text:

PDF

References


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.

Kalaivani K. Prevalence and consequences of anaemia in pregnancy. Indian J Med Res. 2009;130:627‑33.

Haider BA, Olofin I, Wang M. Nutrition Impact model study group (anaemia). Anemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. Br Med J. 2013;346:f3443.

Kavle JA, Stoltzfus RJ, Witter F, Tielsch JM, Khalfan SS, Caulfield LE. Association between anaemia during pregnancy and blood loss at and after delivery among women with vaginal births in Pemba Island, Zanzibar, Tanzania. J Health Popul Nutr. 2008;26:232-40.

Center for Reproductive Rights. Maternal mortality in India: using International and Constitutional Law to promote accountability and change. New York: Center for Reproductive Rights, 2008.

Alli R, Satyanarayana M. Anemia complicating pregnancy. J Obstet Gynecol India. 1985; 35(2): 335-8.

Upadhyay C, Upadhyay N. Effect of anemia on pregnancy outcome: a prospective study at tertiary care hospital 2017;6(12):5379-83.

Ivan EA, Mangaiarkkarasi A. Evaluation of anaemia in booked antenatal mothers during the last trimester. J Clin Diagn Res. 2013;7:2487-90.

Singh R, Chauhan R, Nandan D, Singh H, Gupata SC, Bhatnagar M. Morbidity profile of women during pregnancy: A hospital record based study in Western UP. IJCH. 2012;24:342‑6.

Allen LH. Anaemia and iron deficiency: Effects on pregnancy outcome. Am J Clin Nutr. 2000;7:1280‑4.

Suryanarayana R, Chandrappa M, Navale A, Prospective study on prevalence of anemia of pregnant women and its outcome: A community based study. 2017.

Awasthi A, Thakur R, Dave A, Goyal V. Maternal and perinatal outcome in cases of Moderate and Severe anemia. J Obstet Gynecol India. 2001;51(6):62-5.

Rangnekar AG, Rashmi D. Fetal outcome in pregnancy anemia. J Obstet Gynecol India. 1993;43(2):172-6.

Lagoo J, Lagoo A. The study of the incidence of pregnant women with sickle cell disease. 2019;8(10):3950-3.

Pena-Rosas JP, Viteri FE. Effects of routine oral iron supplementation with or without folic acid for women during pregnancy. Cochrane Database Syst Rev. 2006;(3):CD004736.

Nair M, Choudhury MK, Choudhury SS, Kakoty SD, Sarma UC, Webster P, et al. Association between maternal anaemia and pregnancy outcomes: A cohort study in Assam, India. BMJ Glob Health. 2016;1:e000026.