Prospective study on prevalence of anemia of pregnant women and its outcome: A community based study

Abstract

Background:Anemia is one of the most common nutritional deficiency disorders affecting the pregnant women in the developing countries. Anemia during pregnancy is commonly associated with poor pregnancy outcome and can result in complications that threaten the life of both mother and fetus.Objective:The objective of the study was to estimate the prevalence of anemia among pregnant women and to determine its association with maternal and fetal outcomes.Settings and Design:This study design was a prospective, observational, community-based study.Subjects and Methods:Four hundred and forty-six pregnant women were included in the study from three primary health centers in Kolar district by multistage sampling technique and were followed up till 1 week after delivery.Statistical Analysis:The data were analyzed using SPSS version 22; correlation coefficient, Chi-square test, and logistic regression were used.Results:There was a significant overall improvement in the hemoglobin levels of pregnant during the follow-up (10.3–10.72 gm%). About 35.6% of the women had maternal or fetal morbidity. Anemia was one of the main pregnancy-related complications (62.3%), other complications include difficult labor (3%), postpartum hemorrhage, and preeclampsia 1.6% each abortions/stillbirths (3.5%). The fetal complications include low birth weight (25.5%) followed by premature delivery (0.2%) and birth asphyxia (0.5%).Conclusions:A high prevalence of anemia in pregnant women apparently increases the maternal and fetal risks. To improve maternal and fetal outcome, it is recommended that the primary health care has to be strengthened, prevention, early diagnosis, and treatment of anemia in pregnancy to be given priority.

Study of prevalence of maternal anaemia and its fetal outcome at rural tertiary care centre

“…7 Most of the patients (in anaemic as well as non-anaemic) were in age group of 20-35 years in this study which is similar to study done by R. Suryanarayana in which 66.1% anaemic women were in 21-30 years. 8 Number of preterm births is more in anaemic women (16.9 %) compared to non-anaemic (13.7%) in this study which is more than in study done by R. Marahatta at Nepal. 7 In this study low birth weight babies were 46.2% in anaemic women whereas it is 40.8% in non-anaemic women which is more than the study done by S. Pagadpallithe in which incidence of low birth weight in anaemic women was 12%.…”

Correlation of different obstetrical factors with hemoglobin level in pregnant females.

“…The similar results were also reported in previous studies where anemia seems to be higher among women with parity more than three, but it was not statistically significant. 16 In some studies, however statistically significant association of anemia and increasing parity was reported. 17 History of previous abortions had a significant effect on anemia in the present study.…”

An active surveillance of anaemia among pregnant women and its association with obstetric history and sanitation in urban areas of Kanpur, Uttar Pradesh

“…26 In contrast to the other study conducted at Eastern Nepal by Manisha et al, where maternal anaemia in terms of gravidity and parity was set to be statistically significant (p<0.01) and study by Suryanarayana et al (p=0.032) and in 2017 (p=0.05). 18,27,28 Regarding the use of privy among the study subjects to be correlated with anaemia, it had been observed that anaemia was present in all respondents (100%) having no sanitary toilets or practicing open air defecation although such type of study subjects were less in number i.e. only 21.…”