| Abstrakt: |
Background: Anemia in pregnancy remains a worldwide public health problem, particularly affecting developing countries. It is observed to be associated with multitudes of both maternal and fetal complications. The present study was undertaken to study the prevalence of severe anemia in pregnancy and assess the associated adverse maternal and fetal outcomes. Materials and methods: A total of 680 patients diagnosed with severe anemia in pregnancy during the study period were included and relevant parameters were analyzed. Results: The prevalence of severe anemia was 4.4%, with 21.80% of those having very severe anemia. Preterm labor (26.2%) was the most common adverse maternal outcome, followed by preeclampsia/eclampsia (10.3%), sepsis (6.5%), and wound gape (5%). Low birth weight (LBW)-intrauterine growth restriction (IUGR) (45.0%) was the commonest adverse fetal outcome, followed by LBW-prematurity (28.8%), birth asphyxia (6.1%), and intrauterine device (IUD)/stillbirth (3.3%). Associated risk factors were rural residence (60.4%), referral from periphery (59.3%), lower socioeconomic status (89.1%), unbooked pregnancy (76.2%), multigravida (63.8%), and no iron/folic acid supplementation during pregnancy (44.7%). Conclusion: Severe anemia in pregnancy remains a major concern, both from the maternal and fetal point of view. Early detection and management are recommended to prevent adverse obstetric outcomes. [ABSTRACT FROM AUTHOR] |
