Evaluation of Anaemia in Booked Antenatal Mothers During the Last Trimester

Ivan, Erli Amel; Adhimoolam, Mangaiarkkarasi

doi:10.7860/jcdr/2013/6370.3586

Cited by 22 publications

(24 citation statements)

References 4 publications

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“…This is similar to many studies which have found that lower SES predisposes to higher prevalence of anaemia among pregnant women. Ivan EA et al 13 in their study done in Pondicherry found that 50.66% of pregnant women belonging to lower SES class had anaemia. Similarly, Noronha et al 11 in their study conducted in Udupi found that 54.27% of pregnant women belonging to lower SES class had anaemia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors influencing anaemia among pregnant women in rural Mysuru, India

Gopinath

Ashok

Kulkarni

et al. 2016

Int J Community Med Public Health

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INTRODUCTIONAnaemia in pregnancy is one of the major causes of maternal morbidity and mortality in the world including India.1 Many factors predispose to develop anaemia during pregnancy. Most important factors are nutritional (i.e., inhibitors of iron absorption, dietary deficiency of iron, folic acid and vitamin B 12 in diet), pre-pregnancy iron deficiency anaemia, teenage pregnancy, lack of appropriate spacing between pregnancies, parasitic infestations (e.g. malaria, hookworm), open defecation, poor environmental and personal hygiene.2 Anaemia during pregnancy can cause premature labour, postpartum haemorrhage, puerperial sepsis and thromboembolic phenomena in the mother, and can cause prematurity, IUGR, perinatal death and decreased iron stores in the foetus and subsequently in the neonate. The status of anaemia can be assessed by haemoglobin (Hb) levels in blood. The World Health Organization (WHO) has defined anaemia when the Hb levels are less than 12 g/dL in non-pregnant women and less than 11 ABSTRACT Background: Anaemia in pregnancy is one of the major causes of maternal morbidity and mortality in India and the world. Determining the status and factors influencing anaemia among pregnant women in rural areas is essential to treat as well as prevent the same. The objective was to estimate the prevalence of anaemia among pregnant women of rural areas of Mysuru, India and to determine the factors influencing anaemia among the study participants. Methods: A cross-sectional study was conducted in the villages under PHCs of Hadinaru and Suttur of Nanjangud Taluk, Mysuru district, India for a period of 18 months. A total of 300 pregnant women residing in these villages, and consenting to participate were included in the study. A structured proforma was used to collect sociodemographic details. Haemoglobin was estimated using Sahli's haemoglobinometer and type of anaemia was determined by peripheral blood smear. The data was entered using Epi Data v3.1 software, and analyzed using R statistical Software v3.0.2. Results: The prevalence of anaemia was 51%, majority had mild anaemia (37%). 79% of the study participants were aged 20-29 years, 85% studied upto High school, 83% belonged to lower Socioeconomic class and 66% lived in joint families. The important factors influencing anaemia were poor nutrition (49%), low socioeconomic status (39%) and open defecation (51%). Conclusions: More than half of the pregnant women were anaemic. Also, majority of the anaemic women had mild anaemia, which showed the positive impact of MCH services. The factors influencing anaemia which have been identified in this study need to be addressed to reduce the burden of anaemia among pregnant women in our country.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors influencing anaemia among pregnant women in rural Mysuru, India

Gopinath

Ashok

Kulkarni

et al. 2016

Int J Community Med Public Health

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“…In this study, we described that imbalance diet and lack of iron supplementation in developing world where its factors are numerous [14]. Pregnant women using Iron supplementations seem to be more protective from severe IDA.…”

Section: Discussionmentioning

confidence: 99%

Iron Deficiency Anemia (IDA) in Pregnant Women of Different Ages in Swat District, Khyber Pakhtunkhwa Pakistan

Ullah

Yousafzai

Khan

et al. 2017

Preprint

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Abstract:The aim of this study was to find out the incidence of anemia in pregnant women of Swat District; to analyze the iron variations and its dietary effects.Data were collected during the periods of January -September 2016. The study of samples comprised of 250 pregnant women in the different trimester. Blood sample from each woman was collected and full blood count (FBC) was conducted through Mindray BC-3000 plus hem analyzer for all pregnant individuals.Confirmed anemic cases were then examined for IDA with serum ferritin, serum iron, total iron binding capacity (TIBC) through Randox kit and serum transferrin saturation was estimated by formula (serum ferritin saturation =serum iron ×100/TIBC). The total number of participants in the first trimester were 50, among them 26 women were suffer from iron deficiency anemia (IDA) with 52% weightage of prevalence rate, (mean Hb concentration 9.602 ± 0.87 g/dl). The rates of IDA were 63.3%; ( mean Hb concentration 8.48 ± 1.24 g/dl) and 54%; ( mean Hb concentration 9.18 ± 1.28 g/dl), among 150 and 50 participants in the second and third trimester, respectively. A significant correlation was found between serum ferritin and Hb, serum ferritin against MCV and serum ferritin against MCH. The high prevalence of anemia was found 78.2% in the age group from 26-30 followed by 78.2% in the age group 36-40 years compared to those of other age groups in the second trimester. In this study the prevalence of IDA in third trimester is lower compared to first and second trimester.

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“…It contributes to about 20% of all maternal deaths and 9% of peri-natal mortality. [4][5][6] Anaemia in pregnancy is significantly associated with preterm births, IUGR, PPH, failure of lactation, perinatal mortality and increased risk of infections. 7,8 Correction of anaemia reduces maternal morbidity significantly and promotes better neurological development of new born/infants and improve the health status of women.…”

Section: 2mentioning

confidence: 99%

Effectiveness of intravenous iron sucrose over oral iron therapy for anaemia in pregnancy

Pitale¹

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Anaemia in pregnancy is very common throughout our country impacting both mother and the newborn. The most common cause of anaemia in pregnancy is iron deficiency. The increased prevalence of iron deficiency anaemia amongst the pregnant women, especially in developing countries is a major cause of significant maternal morbidity and mortality. Intolerance to oral iron, inadequate absorption, and side effects leading to poor compliance are the major shortcomings in oral iron therapy. These factors are significant especially in anaemia near term. To overcome all these limiting factors associated with oral iron therapy, parenteral iron therapy is preferred. Aim of this study was to study effectiveness of intravenous iron sucrose over oral iron therapy for anaemia in pregnancy.Methods: This prospective study was taken up to compare the effectiveness of intravenous iron sucrose over oral iron therapy for anaemia in 30 antenatal women attending antenatal outpatient Department of Obstetrics and Gynaecology belonging to gestational age group of 28-34 weeks with anaemia in pregnancy.Results: Majority of pregnant women belonged to age group of 22-25 years.67% were primigravidas. The period of gestation varied from 28-34 weeks. In this study, the mean baseline haemoglobin was 8.4 g/dl before start of treatment and after iv iron sucrose treatment haemoglobin showed a mean value of 10.8g/dl. The mean baseline MCV was 70 fl/cell. Post treatment MCV after 4 weeks showed a significant mean rise of 12 fl/cell in the present study with no major side effects.Conclusions: Intravenous iron sucrose is highly effective over oral iron therapy for anaemia in pregnancy. It enables rapid correction of anaemia with minimal side effects.

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Evaluation of Anaemia in Booked Antenatal Mothers During the Last Trimester

Cited by 22 publications

References 4 publications

Prevalence and factors influencing anaemia among pregnant women in rural Mysuru, India

Prevalence and factors influencing anaemia among pregnant women in rural Mysuru, India

Iron Deficiency Anemia (IDA) in Pregnant Women of Different Ages in Swat District, Khyber Pakhtunkhwa Pakistan

Effectiveness of intravenous iron sucrose over oral iron therapy for anaemia in pregnancy

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