Prevalence, Maternal Outcome, Placental Changes and It’s Correlation with Perinatal Outcome in Unbooked Patient’s of Iron Deficiency Anemia During Third Trimester

Abstract

Background: Anaemia is the commonest medical disorder in pregnancy and severe anaemia is
associated with poor maternal and perinatal outcome.
Methods: The study was done to analyse the characteristics of hospitalized pregnant women with
severe anaemia (Haemoglobin < 7gms %) at the time of delivery and to find out maternal outcome. It
was a prospective study done at saraswathi institute of medical sciences,hapur,U.P, India over a period
of one year from February 2019 to January 2020.
Results: Results were analysed; out of 3784 deliveries 210 (5.54%) cases were severely
anaemic at the time of delivery. Out of 210 women with severe anaemia 184(87.6%) patients
belonged to low socioeconomic category, 177 (84.2%) were unbooked cases, 152 (72.4%)
cases from rural area and 119 (57.6%) cases were multi gravidas. The maternal complications
were Pre-eclampsia and eclampsia (16.1%), intercurrent infections (3%), abruptio placentae
(3.3%), heart failure (1.4%), preterm labours (42.8%), intrauterine deaths (10.9%) and postpartum
haemorrhage (10.4%).
Conclusions: Severe anaemia during pregnancy is associated with maternal and perinatal morbidity
and mortality so effective preventive measures in the form of regular antenatal check-ups and iron
supplementation will prevent complications of anaemia in pregnant women.