A PROSPECTIVE STUDY ON EFFECT OF MODERATE AND SEVERE ANEMIA OVER PREGNANCY OUTCOME EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH

Dr. Rita D., *Dr. Shweta Singh and Dr. Smitha Patil

ABSTRACT

Introduction: Anemia is one of the major public health problem most common nutritional deficiency disorders affecting the pregnant women. The purpose of the study is to analyze the effect of moderate and severe anemia over pregnancy outcome. Material and methods: This study was prospective study was conducted on 100 patients with hemoglobin values < 10 gm/dl, moderate and severe anemia. Results: Majority of participants belong to belong to age group 20-24 years (46%) and lower class(44%). Almost 66% of participants with anemia were multigravida and 34% of them were primigravida statistically significantly. About (64%) of the participants with anemia underwent vaginal delivery and 36% underwent LSCS. LSCS was observed with severe anemia(62%) statistically significant. Preterm labour occurred in 16 patients, 10 patients(62%) had severe anemia and 6 patients(38%) moderate anemia. PPH was seen in 10 cases of which 60% patient had severe anemia. Post op infection and puerperial sepsis was seen equally in both moderate and severe anemia. Delayed wound healing was seen in 6 cases of which 67% patient had severe anemia. Cardiac failure occurred in 2 patient belonging to severe anemia. 20^ were LBW babies from moderate degree of anemia followed by low APGAR score <7(14%) among them 72% were severely anemic, 5% birth asphyxia, 5% intrauterine death and 3% IUGR respectively and statistically insignificant. Conclusion: Anemia in pregnancy is a preventable disease. It is more common among pregnant women who belonged to low socio-economic status, multiparity. Early detection through regular antenatal visits and proper management can lead to better maternal and fetal outcome. Emphasis on active participation in health checkup camps, several governmental and non governmental organizations and other initiatives can help preventing the same.

Keywords: Anemia; Pregnant; Moderate Anemia; Severe Anemia.