Introduction: To evaluate knowledge about anemia among pregnant women visiting in OPD for antenatal care. Materials and Methods: A cross sectional study was conducted in tertiary hospital Dhaka, from outdoor patient department of gynecology and obstetrics, to assess the knowledge about anemia among pregnant women and also to find out the percentage and type of anemia. A total 396 pregnant women were interviewed and information were collected by pre designed data collection sheet using various parameters. Interviews conducted by direct questionnaire, blood samples were collected at same setting. Results: The mean age was 25.92±5.05, highest number 39.65% were age group 21-25 years, 28.79% were age group -30 years, 15.91% were age group 31-35 years, 11.36% were found age group <20 years. Regarding antenatal visit during pregnancy, 25.8% pregnant women visited in 1st trimester, 46.7% pregnant women visited in second trimester, and 27.5% in 3rd trimester. Also 11.11% patients had anemia in first trimester, 39.39% anemic in 2nd trimester, 14.39% pregnant women anemic in third trimester and 35.10% had normal findings. And 67% pregnant woman’s had knowledge about ANC 32% had no knowledge. Conclusion: In this cross sectional study it was found that poor knowledge about anemia and less iron intake is the main cause for anemia during pregnancy. Medicine Today 2019 Vol.31(2): 105-110

Background: Globally postpartum haemorrhage remains a leading cause of maternal death. It affects only 1-2% of postnatal women. This low incidence of secondary PPH and linkage to maternal morbidity rather than mortality was the reason for the little attention among obstetricians, but it is recently gaining importance and interest with the increase morbidity and mortality related to secondary PPH.Methods: A retrospective study was conducted on the diagnosed patients of secondary PPH admitted in Enam Medical College and Hospital, Dhaka, Bangladesh, from January 2015 to December 2016. Among 33 cases of secondary PPH age of the patients, parity, mode of delivery, causes and management were noted from medical records. All data was analyzed by SPSS16.Results: Among 33 patients 14 (42.4%) were primi and 19 (57.6%) were multipara, age between 18 to 38 years, majority admitted 2nd and 3rd week after delivery. Among 33 patients 12% delivered vaginally at home and 30% vaginally at hospital and 58% undergone LUCS. We found 34% retained bits of placenta, 27% uterine wound dehiscence, 24% retained clots and 15% endometritis as causes. Less than 3 units blood needed in 22 (66.7%) patients and 11 (33.3%) needed more than 3 units. About 6 (18%) patients were treated conservatively, MVA were needed in 18 (55%) patients, repair of wound in 4 (12%) and TAH was in 5 (15%).Conclusions: Secondary PPH is increasing may result in significant maternal morbidity as well as mortality. More study needed to identify the risk factors and causes to reduce maternal mortality and morbidity.

Background: Anemia is a major public health problem especially among the population of poor group in developing countries like Bangladesh. WHO report that 35% to 75% pregnant women in developing countries & 18% in developed countries are anemic. Methods: This prospective cross sectional observational study was designed to see the percentage of anemic pregnant patient attending OPD from March 2014 to February 2015 in Dhaka Medical College Hospital which is a tertiary teaching hospital. 2592 pregnant patients were attended in OPD, among them 1054 anemic patients were selected for the study. Data taken regarding age, parity, occupation, social status, education level, severity of anemia. Patients with history of threatened abortion, antepartum hemorrhage, and chronic blood loss were excluded. This study shows prevalence of anemia was 40.67%. All data were analyzed through SPSS 20. Results: In this study 1054 patients were selected. Age of the patients were in between 18-40 years, mean age 32.26 with SD 3.55. Among them 246 patients (23.34%) were primi and 808 patients (76.66%) were multigravida. Gestational age of 210 patients (19.92%) were < 28weeks and 844(80.08%) patients were above. 984 patients (93.36%) were housewife and 70(6.64%) were service holder. 282 patients (26.75%) were illiterate, 350 patients (33.20%) have completed primary level and 422(40.02%) were completed secondary and higher. From middle class family 566(53.70%), 374 patients (35.48%) were from poor class and rest from upper class114 (10.82%). Regarding severity of anemia 644 (61.10%) patients were moderately anemic, 398 (37.76%) had mild and 12(1.14%) had severe anemia. Conclusion: Prevalence of anemia during pregnancy is high. So, prophylaxis is necessary to reduce the burden.