Incidence of anemia in pregnancy and its maternal-fetal outcome in admitted ANC patients in tertiary care center, Bhilai, Chhattisgarh, India

Abstract

Background: Anemia in pregnancy is an important public health problem in developing countries like India. Anemia results in poor pregnancy outcome and also affects fetal outcome. The present study was conducted to asses maternal and fetal outcome in relation anemia. Aim and objectives of the study was to determine incidence, risk factors and maternal-fetal outcome of anemia in the admitted pregnant women attending obstetrics and gyanecology department, shanakarcharya institute of medical sciences, Bhilai.Methods: This is retrospective observational study conducted among pregnant women admitted in labor room over a period of one year after getting approval from the institutional ethical committee.Results: Out of total 1503 delivery during study period 675 patients were found to be anaemic which gives incidence of 44.5%. Most the pregnant women were moderately anaemic i.e. 50.96% followed by mild (45.04%) and severe (4%) repectively. Among the pregnant women most common type of anaemia is Iron deficiency anaemia (69.65%) followed by Sickle cell anaemia (15.4%). In the present study,90.4% of subject received oral iron, 26.9% received parenteral iron and 19.4% received blood transfusion. Common maternal outcome related to anemia found to be low birth weight (25.2%) followed by premature delivery (22.96%) and fetal outcome in anemic mother in the form of preterm (22.9%) followed by NICU admission (14.37%) and FGR (8.6%).Conclusions: Anemia being one of the most important cause of poor feto maternal outcome should be treated preconceptionaly. There is a need of health education programmes and adequate intake of iron rich diet during pregnancy, to be strengthened for safe maternal and foetal outcomes.

Status of Anemia and Different Types of Anemia in the Adolescent Population Residing in Chandigarh

“…Researchers, in this case, have found out that the statistic of the study has more expressed microcytic anemia type over other types morphologically [8]. A study conducted in Chhattisgarh reported that in India as well as in developing countries fetal get this condition from low maternal incomes, and consumption of sufficient nutrients is supportively taken care of [12].It is important to note that the above discussion is based on the provided information and assumes that the study was conducted in a scientifically rigorous manner. To gain a comprehensive understanding of the study and its implications, it would be helpful to review the complete research findings, including methodology, statistical analysis, and limitations mentioned in the study.…”

“…Additional tests were ordered by doctors on duty and mentioned on their medical files to evaluate serum ferritin levels, iron, total iron-binding, total iron binding capacity, and transferrin. [10][11][12][13][14][15] are represented by 14, 14, 13, 11, 8 and 3 participants, respectively.…”

“…This age group may face specific challenges related to lifestyle factors, such as inadequate dietary choices, irregular eating habits, or increased demands for growth, and pregnancy, which can contribute to anemia development. The relatively lower numbers of participants in the [26-30], [36-40], [21-25], [41-45], and [10][11][12][13][14][15] age groups suggest that anemia prevalence may be slightly lower among these groups. Further investigation with larger sample sizes would be necessary to draw more definitive conclusions about anemia prevalence in these specific age groups.…”

“…The age group exhibited the highest out of total anemic conditions, followed by the age group [16][17][18][19][20]. The remaining age groups [26-30], [36][37][38][39][40], [31][32][33][34][35], [21][22][23][24][25], [41][42][43][44][45] and [10][11][12][13][14][15] demonstrated varying levels of anemia prevalence. These results suggest that anemia is more prevalent in older age groups, highlighting the potential cumulative effects of nutritional deficiencies or chronic conditions over time.…”

Intravenous Iron Therapy in Severe Anemia at 28-34 Weeks of Gestation and it’s Feto-Maternal Outcome- A Prospective Study from A Developing Country

“…Anemia during pregnancy is commonly associated with poor pregnancy outcome and may lead to complication of mother like Prolonged labour and increase incidence of postpartum haemorrhage and also lead to preterm birth, low birth weight and small-for-gestational age babies and prematurity. [10][11][12] Low haemoglobin levels in pregnancy has been seen to be associated with poor fetomaternal outcomes. [13,14] Oral iron has many side effects and is tolerated poorly, although it is the standard drug for the treatment of IDA in pregnancy.…”