| Abstrakt: |
Purpose: To study the fetomaternal outcome in women with severe and very severe anaemia in labour. Material and Methods: Prospective observational comparative study of 200 anemic pregnant women with 200 non anaemic pregnant women. All pregnant women with Hb value of ≤ 7g% were included in the study. Results: Out of 200 anaemic cases, 17 were very severely anaemic (<4g %) and 183 were severely anaemic (4-7g %). Low socioeconomic status (86%), inadequate antenatal care (70%), multiparty (62%), birth spacing <2 years (59.7%) were found to be risk factors for anaemia in pregnancy. It is found that there was higher incidence of Preterm deliveries (36%), PPH (14.5%), CCF (7%), morbidity (26.5%) than in non anaemic controls. Fetal adverse outcome in the form of preterm birth (36%), low birth weight (39%), IUGR (24.1%),NICU(16.5%),morbidity(16.5%), mortality(2.5%) than non anaemic controls. Conclusion: Increased severity of anaemia increases the adverse effects on the mother and fetus. So it is important to diagnose and treat anaemia in pregnancy to ensure optimal health of mother and newborn. [ABSTRACT FROM AUTHOR] |
