Feto-Maternal Outcome in Pregnancy with Anemia

Abstract

Objective: To determine the frequency of women having pregnancy with severe anemia, its maternal complications and feto-maternal outcome.
Study Design: Descriptive Case Series study.
Place and Duration of Study: This study was conducted at Obstetrics and Gynecology department, CMH / SKBZ Al-Nayhan Hospital Muzaffarabad from 15 April 2014 to 20 Oct 2014.
Materials and Methods: A total of 186 pregnant women admitted for delivery with gestational age ≥ 34 weeks were included in the study. Demographic information regarding age, gestational age and parity was taken on predesigned Performa. Intra-partum and post-partum observations were made for maternal complications like pregnancy-induced hypertension and postpartum hemorrhage. Perinatal complications like low birth weight and APGAR score < 7 at 5 minutes were noted.
Results: Mean age of women in the study sample was 26.76±3.36 years. Mean gestational age of women was 38.46±0.63 weeks. Thirty-five (19%) women were diagnosed with anemia among which 12(6.5%) women had severe anemia, 4(2.2%) had mild, and 19(10.2%) had moderate anemia. The frequency of PIH (37.14%), PPH (17.14%), Low birth weight (62.68%) and APGAR score < 7 (60%) was noted higher in anemic patients.
Conclusion: Severe anemia during pregnancy significantly increases the chance of adverse perinatal and maternal outcomes in terms of PIH, PPH, Low birth weight and APGAR score.