Effects of maternal anaemia on neonatal outcome  a study done in the specialized urban hospital set up in Bangladesh

Mahamuda, B; Tanira, Shaorin; Feroza, W; Perven, HA; Shamim, Arshiya

doi:10.3329/bjms.v10i3.8361

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…In agreement with this study, Rani et al [14] found that poor APGAR score (taken as score less than 7 at 5 minutes), early neonatal death and NICU admission were higher in anemic group than non-anemic group and it was statistically significant. This is in agreement with many studies [15,16] .…”

Section: Discussionsupporting

confidence: 94%

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Abdel-Megeed

Riad

Mohamed

2019

Evidence Based Women's Health Journal

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Aim of the work:The aim of this study was to evaluate the effect of maternal anemia on fetal Doppler indices ; namely, umbilical artery and middle cerebral artery in the last trimester of pregnancy. Patients and Methods: This study was designed as a prospective case control clinical trial carried out in obstetric outpatient clinics and inpatient ward, Ain Shams University Maternity Hospital on 200 patients. The patients must follow these criteria:Gestational age between 28-40 weeks of singleton pregnancy (calculated by their last menstrual period or by earlier ultrasound), fetus is alive and normal fetal ultrasound parameters. Results: The umbilical artery resistance index showed a significant increase in moderate severe anemic patients more than the control group. Umbilical artery pulsatility index showed a significant increase in severe anemic group more than the other 3 groups.Umbilical artery systolic/diastolic ratio showed a significant increase in severe anemic more than the other groups. Finally, the umbilical artery cerebral/umbilical artery resistance ratio showed a significant increase in severe anemic more than the other groups. Conclusion: GA at delivery in different groups was matched, i.e. there was no statistical significant difference between different studied groups regarding GA at delivery (P > 0.05). Neonatal ICU admission were 2(4%), 2(4%), 4(8%) and 9(18%) in different groups, respectively. There was statistical significant difference between different studied groups regarding Neonatal ICU admission (P < 0.05).

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Section: Discussionsupporting

confidence: 94%

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Abdel-Megeed

Riad

Mohamed

2019

Evidence Based Women's Health Journal

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“…7 According to Mahamuda et al there is significant difference in apgar score of infants born to anaemic and non anaemic mothers. 8 Hooton et al stated that the relationship of anaemia and infections may be due to adverse effect on immune function, by altering the proliferation of T and B lymphocytes, reducing the bactericidal activity of phagocytes and neutrophils. 9 Consequently the complication of preterm labour and pregnancy related infections has also been shown to have a causal relationship with each other.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of maternal anemia in tertiary care centre and its neonatal outcomes

Nair

Chandana

Venkatesh

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Background: Anaemia is the leading cause of maternal mortality and morbidity in India. According to WHO globally, anaemia affects 1.62 billion people. In India, National Family Health Survey 2009, reports that 55% of women in reproductive age group are anaemic. Maternal anaemia can cause many perinatal complications like low birth weight, preterm delivery, low APGAR score, suboptimal infant breast feeding behavior. Methods: This prospective study was conducted in Department of OBG at VIMS and RC for a period of 1 year. Of the total 1863 deliveries during this period, only 412 patients meet the inclusion criteria. Hb% <11gm% were anaemic and with Hb% >11gm% were non anaemic. Haemoglobin estimation was done at time of hospital admission for delivery. Patients background information included education, husband's occupation, monthly family income, urban/rural dwelling. Patients' BMI, obstetric score, number of antenatal visits she has had, if iron tablets taken regularly were all noted. Perinatal parameters recorded were birth weight, gestational age at delivery, perinatal outcome (live birth, intrauterine foetal demise (IUD) and intrauterine growth restriction (IUGR). Results: Out of the total 412 patients examined, 208 were non-anemic and 204 were anemic. Mean age and B.M.I for anemic and non-anemic women were comparable. Most women in both groups were urban dwellers, attended school up to grade 10, were housewives (35.9) and multi gravidas. There was significant difference in household monthly income and husband's employment in both groups. Majority of patients in both groups had taken >3 antenatal checkups, there were significant number of anemic women (15.7%) who had no A.N.C. checkups. Around 50% of women in both groups had taken iron tablets irregularly during pregnancy; around 15.7% and 7.2% of anemic and non-anemic patients respectively did not take iron tablets at all during pregnancy, though this difference was significant. There was significant difference between the groups regarding knowledge of specific diet plan for ante and post-partum period. Only 16.2% in anemic and 22.6% in non-anemic patients knew the correct technique and duration of breast feeding. There is statistically significant increased risk of preterm delivery among anemic women, 27.9% preterm birth in anemic group and 7.2% in non-anemic group. Low birth weight was significantly associated with anemic group, also few babies with increased birth weight >3.5 kg was seen in anemic group. There were 25 IUGR babies (12.3%) in anemic and 12 IUGR babies (5.8%) in non-anemic group, and difference was significant. Conclusions: In our study we found a positive correlation between maternal anaemia and prematurity, LBW babies, Low APGAR score and PNM. . The knowledge regarding nutritious diet and breast feeding was slightly low among anaemic mothers. This compounds the problem and starts the vicious cycle of anaemic malnourished babies & mothers.

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“…Riffat Jalil et al studied on 51 pregnant women admitted for delivery & compared with 108 non-anemic women of similar features & found that frequency of anemia was 69.9% and severe anemia was 4.8% [28]. B. Mahamuda et al observed in her study that mild, moderate & severe anemia was 45%, 21.67% & none respectively [29].…”

confidence: 99%

Prevalence of Anemia among Pregnant Women Attending OPD in a Tertiary Teaching Medical College Hospital in Bangladesh

Akbar¹,

Nessa²,

Khan³

et al. 2018

Gynecol Reprod Health

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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.

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Effects of maternal anaemia on neonatal outcome a study done in the specialized urban hospital set up in Bangladesh

Cited by 5 publications

References 8 publications

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Evaluation of maternal anemia in tertiary care centre and its neonatal outcomes

Prevalence of Anemia among Pregnant Women Attending OPD in a Tertiary Teaching Medical College Hospital in Bangladesh

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Effects of maternal anaemia on neonatal outcome  a study done in the specialized urban hospital set up in Bangladesh

Cited by 5 publications

References 8 publications

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Effect of maternal anemia on fetal Doppler indices during the last trimester of pregnancy

Evaluation of maternal anemia in tertiary care centre and its neonatal outcomes

Prevalence of Anemia among Pregnant Women Attending OPD in a Tertiary Teaching Medical College Hospital in Bangladesh

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Effects of maternal anaemia on neonatal outcome a study done in the specialized urban hospital set up in Bangladesh