scholarly journals Anemia among Pregnant Women at Nepalgunj Medical College

2022 ◽  
Vol 19 (1) ◽  
pp. 81-83
Author(s):  
Durga BC

Introduction: Anemia in pregnancy is major health issue of developing countries responsible for adverse maternal and fetal outcome. According to World health organization pregnant women with hemoglobin level less than 11 gm/dl in first trimester and less than 10.5gm/dl in second and third trimester are considered to be anemic. Iron deficiency anemia is common during pregnancy followed by megaloblastic anemia. Aims: To find out the prevalence of anemia during pregnancy. To correlate the maternal and fetal complications associated with anemia during pregnancy. Methods: This is a prospective hospital based study done at department of obstetrics and gynecology Nepalgunj Medical College from July 2020 to January 2021. All pregnant women with hemoglobin level <11 gm/dl were enrolled in the study. Data were collected from antenatal clinic and biochemistry laboratory. Results: In this study maximum participants were of age group 20-25 consisting of 38.5%. Anemia was more common in multiparous i.e. 60% as compared to primipara i.e. 40%. In this study maximum participant had vaginal delivery (57%) followed by LSCS (29%) then instrumental delivery (14%). These ladies had complications like postpartum hemorrhage (27.7%), preterm labor (16.9%), pregnancy induced hypertension (9.2%). similarly 10.8% had sepsis and 20% had no complications. About 23.1% babies delivered by anemic ladies required neonatal intensive care.  Intrauterine growth restriction was seen in 12.3%, preterm birth in 10.3% and 53.8% babies had no complications. Conclusion: The prevalence of anemia during pregnancy is high leading to adverse maternal and fetal outcome.

Author(s):  
Shradha S. Maka ◽  
Sangamesh B. Tondare ◽  
Mahesh B. Tondare

Background: Anemia during pregnancy is highly prevalent in developing countries like India. Mostly is nutritional, of which iron deficiency anemia is predominant. Pregnancy is a state of hemodilution, also there is increased requirement of iron and folic acid during pregnancy. The incidence varies with socioeconomic status, literacy. Anemia has adverse outcome on both mother and fetal health. Poor fetal outcome like increase in preterm deliveries, increase in intrauterine growth restriction, increase in NICU admission, intrauterine death is seen. Maternal complications increase with anemia. This study aims to study the prevalence, type of anemia and its effect on mother and fetus. Objective of present study were to investigate the type and degree of anemia and to study the maternal and perinatal outcome.Methods: This study was done in department of obstetrics and gynecology in M. R. Medical college kalaburagi for 1 year. Study was conducted on 100 pregnant women. Haemoglobin estimation was done for all woman in 3rd trimester. Severity of anemia was detected by ICMR (Indian Council of Medical Research) classification. Depending on degree and type of anemia all were treated and followed up for maternal and perinatal outcome.Results: The incidence of mild, moderate, severe anemia were 28%, 54%, 18% respectively. Most of the anemic woman belonged to low socioeceonomic status 84%. 16% had maternal complications. Poor perinatal outcome was seen in unbooked and referred cases.Conclusions: Anemia continues to be a major problem in developing countries with poor maternal and neonatal outcome. Early diagnosis and treatment can improve both maternal and neonatal outcome.


Author(s):  
Manjari G. Jain ◽  
Neeraj K. Jain ◽  
Mita Mazumdar

Background: A prospective clinical trial to evaluate the prevalence of thyroid disorder among pregnant women and obstetrical and fetal outcome was done in a tertiary health centre (RKDF Medical College and Research Centre, Bhopal) located in central India.Methods: This prospective study was carried out in antenatal women in their first trimester attending antenatal OPD in RKDF Medical College and Research Centre, Bhopal, Madhya Pradesh to know the prevalence of thyroid disorder and its association with pregnancy outcome.Results: In this study prevalence of thyroid disorder was 12.4%, subclinical hypothyroidism 7.2%, overt hypothyroidism 3.4%, subclinical hyperthyroidism 1.4%, overt hyperthyroidism 0.4%. Thyroid disorder is responsible for several obstetrical and fetal complication like pre-eclampsia, preterm delivery, abortion, IUGR and low birth weight.Conclusions: Thyroid disorder associated with poor obstetrical outcome and fetal complication. so timely diagnosis and treatment is required. Universal screening should be preferred over high-risk screening because of high prevalence of the disease in India.


Author(s):  
Mukesh Lekhala ◽  
Rekha Acharya

Background: Anemia in pregnancy is a worldwide problem, but it is most prevalent in the developing world. Anemia during pregnancy affects both mother’s and her child’s health. Globally, the prevalence of anemia is 74% among pregnant women, and in India, it ranges from 19% to 61%. Anemia during pregnancy will lead to consequences such as fetal anemia, low birth weight, preterm delivery, intrauterine growth restriction, and perinatal mortality. Anemia during pregnancy and its consequences can be prevented and treated if diagnosed on time. Methods: A cross-sectional study was conducted at maternity wards of P B M hospital, attached to S P Medical College, Bikaner. The study was conducted for a period of 2 months. Women aged 15-49 yrs. Who had undergone delivery and having ANC record were include in the study after taking informed consent for participation in the study. The data were collected using semi?structured questionnaire. Results: Out of 1090 women 91.3% women were anemic. Prevalence of anemia was higher(95.3%) in women with less than 3 ANC visit as compare to women with 3 or more ANC visit. Conclusion: The prevalence of anemia among pregnant women was high in our study and also seen is various studies in different parts of the country. This continuing high burden of anemia could be mainly due to lack of utilization of the services provided by the government Keywords: Anemia; Hemoglobin Status; Pregnant Women


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Pritania Astari ◽  
Hanggoro Tri Rinonce ◽  
Fadli Kasim ◽  
Maria Fransiska Pudjohartono ◽  
Josephine Debora ◽  
...  

ABSTRAK Pada tahun 2013, terdapat 37% kasus anemia pada ibu hamil di Indonesia. Kejadiannya di Agats, Asmat, Papua masih merupakan fenomena gunung es yang belum banyak mendapat sorotan. Pusat Kesehatan Masyarakat (Puskesmas) Agats menjalankan Program 1000 Hari Pertama Kehidupan (HPK) sejak tahun 2016 untuk meningkatkan kualitas kehamilan dan kelahiran. Penelitian ini bertujuan untuk mengetahui prevalensi anemia pada ibu hamil peserta Program 1000 HPK serta menganalisis faktor-faktor yang berpengaruh terhadap anemia pada ibu hamil di Agats, Asmat, Papua. Penelitian ini merupakan penelitian deskriptif observasional, menggunakan data sekunder dari laporan evaluasi Program 1000 HPK Puskesmas Agats Oktober 2017, yang diambil pada periode pelaksanaan Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), 17 Maret sampai 30 April 2018. Sebanyak 97 ibu hamil dari 230 peserta Program 1000 HPK dilibatkan dalam penelitian ini. Data yang diambil meliputi umur kehamilan, kadar hemoglobin (Hb), lingkar lengan atas (LLA), berat badan, dan pemberian suplemen zat besi. Kadar Hb < 11 g/dL pada trimester I atau < 10.5 g/dL pada trimester II dan III digolongkan sebagai anemia. Dilakukan pula analisis kemungkinan faktor risiko anemia berdasarkan hasil observasi di Agats dengan tinjauan pustaka. Dari total 97 ibu hamil peserta Program 1000 HPK, sebanyak 45.4% orang menderita anemia, meskipun 43.4% di antaranya telah mendapatkan suplementasi zat besi. Sebanyak 24.7% ibu hamil memiliki LLA < 23 cm. Beberapa kemungkinan faktor risiko anemia pada ibu hamil di Agats meliputi letak geografis Asmat, rendahnya tingkat pendidikan masyarakat, minimnya tenaga kesehatan serta fasilitas pelayanan kesehatan, kurangnya perhatian masyarakat terhadap kesehatan, keadaan sosioekonomi rendah, dan status gizi ibu hamil. Prevalensi anemia pada ibu hamil peserta Program 1000 HPK di Agats, Asmat, Papua pada Oktober 2017 lebih tinggi dari prevalensi nasional. Penelitian lebih lanjut dibutuhkan untuk mengetahui kaitan pasti antara kejadian anemia pada ibu hamil di Agats dengan faktor-faktor risiko tersebut.KATA KUNCI anemia; kehamilan; 1000 hari pertama kehidupan; Asmat; Papua ABSTRACT In 2013, it was found that 37% pregnant women in Indonesia suffered from anemia. However, in Agats, Asmat, Papua, this phenomenon has not gained enough attention. In order to improve the quality of birth and pregnancy, Pusat Kesehatan Masyarakat (Puskesmas) Agats is currently implementing the First 1000 Days of Life (1000 HPK) Program since 2016. This study aimed to discover the prevalence of anemia in pregnancy of the 1000 HPK participants in Agats and to understand the possible contributing risk factors. This study was descriptive observational study using secondary data from the evaluation report of 1000 HPK Program in Puskesmas Agats during October 2017. From 230 participants of 1000 HPK Program, 97 of them who were pregnant, were taken as the sample. The data (gestational age, hemoglobin level, upper arm circumference, body weight, and history of iron supplementation) were obtained during the implementation of Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), from March 17th to April 30th, 2018. Hemoglobin level in the first trimester < 11 g/dL or in the second and third trimester < 10.5 g/dL were classified as anemia. The observed risk factors were then analyzed using literature review. From 97 participants of 1000 HPK Program, 45.4% suffered from anemia, even though 43.4% of them had received iron supplementation. Moreover, 24.7% of the pregnant women had mid-upper arm circumference < 23 cm. Several observed influencing risk factors included the geographic profile of Asmat, low educational status, lacking of health personnels, facilities and the general awareness of the citizens regarding maternal health, low socio-economical status, and low maternal nutritional status. The prevalence of anemia in the pregnant participants of 1000 HPK Program in Agats, Asmat, Papua, during October 2017 was higher than the national prevalence. Further study needs to be conducted in order to find the correlation between the prevalence of anemia in the pregnant participants of 1000 HPK Program in Agats and the suspected risk factors.KEYWORDS anemia; pregnancy; first 1000 days of life; Asmat; Papua


Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 3389-3389 ◽  
Author(s):  
Grace Tang ◽  
Andrea Lausman ◽  
Jameel Abdulrehman ◽  
Jessica Petrucci ◽  
Rosane Nisenbaum ◽  
...  

Background Iron deficiency (ID) is the most common and widespread nutritional deficiency in both developing and developed countries (Mei et al., 2011; World Health Organization, 2001). Women of childbearing potential are at highest risk of ID due to regular menstrual losses as well as the increased iron demands of pregnancy and lactation (Lynch, 2011; McMahon, 2010). During pregnancy, the risk for ID and iron deficiency anemia (IDA) increases due to the additional iron requirements to support expansion of blood volume/red cell mass and growth of the fetus and placenta (McMahon, 2010; Mei et al., 2011). Common symptoms of ID with or without anemia during pregnancy include fatigue, shortness of breath, difficulty concentrating, higher rates of preterm delivery, and red blood cell transfusions (World Health Organization, 2001). Poor prenatal iron status is also associated with diminished cognitive performance, language ability, and motor functions in the child (Tamura et al., 2002). Despite international recommendations and guidelines on the screening and management of ID in pregnancy, it remains a problem of epidemic proportions and is often left unrecognized and untreated. To increase recognition and appropriate management of ID and IDA in pregnancy, we developed and implemented a quality improvement project, the IRON Deficiency project in Pregnancy: Maternal Iron Optimization (IRON MOM). This project was implemented January 1st, 2017 at St. Michael's Hospital (SMH), an inner-city tertiary centre in Toronto, Canada. The IRON MOM included educational resources for clinicians and patients, standardized oral iron prescriptions, modified lab requisitions, and clinical pathways to guide the screening, diagnosis and management of ID for obstetricians. Objective The primary objective of this study was to assess the prevalence of ID and IDA in unselectively screened pregnant women after the implementation of the IRON MOM quality improvement project. Methods We performed a retrospective audit of administrative laboratory data collected from all obstetrical clinics between January 1 and December 31, 2017. ID was defined as a serum ferritin <50μg/L (Guyatt et al., 1992) . IDA was defined as a dual diagnosis of ID and anemia based on hemoglobin levels <110 g/L and ferritin levels <50μg/L. Descriptive statistics were used to calculate frequencies and proportions. SAS version 9.4 was used to perform the analyses. Results A total of 1830 pregnant women were screened for ID during their obstetrical visit. Of the 1830 pregnant women, 1307 had one ferritin test and 523 pregnant women had two or more tests. A total of 91.3% (1193/1307) of pregnant women were iron deficient (ferritin <50μg/L) where 31.5% (411/1307) had ferritin levels between 15-29μg/L, and 49.4% (645/1307) had severe ID (ferritin <15μg/L). For the women who had two or more ferritin tests, 78.6% (411/ 523) were iron deficient at the first visit which then increased to 96.2% (503/523) by their second visit. When ferritin and hemoglobin values were linked and measured on the same day, 25.9% (346/1336) of pregnant women had IDA over the course of their outpatient care. Conclusion After the implementation of the IRON MOM, we found an extremely high prevalence of ID in our pregnant patient population in the outpatient setting. This confirms that ID remains an underappreciated problem, even at a tertiary care centre. Our findings highlight a tremendous gap in awareness, which demands strategies to improve knowledge translation. Future directions include the simplification and digitization of IRON MOM to empower pregnant women to advocate for their care. Disclosures Sholzberg: Novartis: Honoraria; Amgen: Honoraria, Research Funding.


2021 ◽  
Vol 6 (2) ◽  
pp. 1545-1548
Author(s):  
Chandra Bhushan Jha ◽  
Hem Sagar Rimal ◽  
Ram Bhakta Subedi

Introduction: Childhood pneumonia is the leading cause of serious illness and death worldwide. In developing countries, pneumonia is the biggest single cause of childhood death under the age of 5 years. Globally, anemia is a major nutritional problem of immense public health significance. Iron deficiency anemia in children occurs most frequently between the age of 6 months and 3years, the same period of age when repeated infections occur. Objective: The main objective of this study is to determine the prevalence of anemia among children diagnosed with pneumonia. Methodology: This is a hospital based cross sectional study carried out in the Department of Paediatrics, Birat Medical College Teaching Hospital, from 15th February 2020 to 15th August 2020. This study was performed on 150 pneumonic children between 6 to 60 months of age. History regarding fever, cough and fast breathing was taken.  All the data were recorded in the preformed proforma. Data was analyzed using SPSS version 16. Results:  This study was performed on 150 pneumonic children, in which male babies (n=93; 62%) outnumbered the female babies (n=57; 38%). The majority of children were in the age group of 6 to 24 month (n=85; 56.7%). The mean hemoglobin level was 9. 49±1.39 gm/dl. The hemoglobin level less than 11 gm/dl was seen in 102 (68%) cases. Microcytic hypochromic anemia was present in 73 (71.6%) children. Conclusion: The prevalence of anemia among the pneumonic children of 6-60 months is 68% that is higher than the national data (52.6%) of prevalence of anemia in the same age group. While treating childhood pneumonia, checking hemoglobin on regular basis will be very useful to diagnose and manage concurrent anemia


2020 ◽  
Vol 57 (1) ◽  
pp. 43
Author(s):  
Archana Prabhat ◽  
Meghana .

<p>Anemia during pregnancy is a global public health challenge facing the world today. It is one of the potentially lethal complications of pregnancy leading to large number of maternal and foetal losses but it is preventable and curable. The study was aimed to screen and identify the pregnant women of first trimester (10-12 weeks) who are having iron deficiency anemia and to evaluate the effectiveness of multigrain supplement (malt powder) among the pregnant women with iron deficiency anemia in improving the level of haemoglobin. This descriptive study was conducted among pregnant women of age group (18-30 years) residing in rural place Kanamadagu of Kudligi taluk. Sixety of them were randomly selected based on Haemoglobin (Hb) level &lt;10 gm/dL and interviewed with help of self-structured questionnaire tool. Collected data was analyzed for descriptive and inferential statistics. The overall prevalence of anemia was found to be 99.5% and about three fourth of subjects were falling within the mild (10-11 gm/dL) category of anemia. Most significant raise in Hb level found to be in 4<sup>th</sup> week compared to intermediated weeks of malt consumption. Use of multigrain supplement was found to be the most effective way to overcome anemia i.e. from mild to normal range Hb level.</p>


2021 ◽  
Vol 15 (6) ◽  
pp. 1185-1187
Author(s):  
S. Zaffar ◽  
Q. U. Khan ◽  
H. Tanveer ◽  
I. R. Chattha ◽  
N. Rashid ◽  
...  

Background: Iron deficiency anemia afflicts masses of all ages, worldwide. The disease tends to be prominent in the adolescence, students being more vulnerable due to their dynamic lifestyle, dietary habits and demanding growth spurt. Use of iron supplements can greatly reduce the burden of disease and associated morbidity. The objective of this study was to estimate the prevalence of anemia and use of iron supplements in MBBS students of CMH Medical College, Lahore. Methods: A cross sectional study was conducted in CMH Medical College, Lahore. A predesigned questionnaire was used to obtain information regarding use of iron supplements. Afterwards, hemoglobin level was measured using conventional Sahli’s method. The collected data was analyzed with SPSS 25 software. Results with p value < 0.05 were taken as significant. Results: Mean hemoglobin level was found to be 14.3±1.3 g/dL in males and 11.6±1.4 g/dL in females. Prevalence of anemia was found to be 38.7%. Anemia was found to be more prevalent in female students (57.8%) as compared to the male students (14.9%). Difference between prevalence of anemia in hostellites and day scholars was not found to be statistically significant (p = 0.17). Frequency of anemia was observed to be significantly higher in students who did not use oral iron supplements (p=0.03). Conclusion: Iron deficiency anemia is more common in female students than male students, of CMH Medical College Lahore. Majority of the anemic students do not take oral iron supplements. There is no difference in the prevalence of anemia among hostellites and day scholars. MeSH words: anemia, hemoglobin, iron supplements


2021 ◽  
Vol 8 ◽  
pp. 2333794X2199915
Author(s):  
Haymanot Mezmur ◽  
Nega Assefa ◽  
Tadesse Alemayehu

Background: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. Methods: Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. Results: High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( P < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. Conclusion: teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.


Author(s):  
Seema B. N.

Background: Anemia is the nutritional deficiency disorder and 56% of all women living in developing countries are anaemic according to World Health Organization. India has the highest prevalence of anaemia and 20% of total maternal deaths are due to anemia. To determine the prevalence of anemia and factors influencing its causation among pregnant women.           Methods: This is the study of 1769 pregnant women which was conducted in a rural population of Koppal district, Karnataka, India, from June 2016 to November 2016 i.e. a period of 6 months. This longitudinal prospective observational study was conducted in the district hospital of Koppal. Anemia was classified as per the Indian Council of Medical Research (ICMR) criteria. The diagnosis of anemia was undertaken by peripheral blood smear examination and standard hemoglobin estimation by shale’s method.Results: The average age of pregnant women was 23.5 years, ranging between 18 and 40 years. Most of the women belonged to below poverty line (BPL) families (84.6%) and Hindu religion (98%). Regarding education, 28.9% were illiterates. The mean haemoglobin level was found to be 8.95. Prevalence of anemia was 96.5% among the pregnant females in this region of rural Koppal. Out of these 22.47% had mild anemia, 56.30% had moderate anemia, 14.98% had severe anemia and 2.73% very severe anemia according to ICMR classification of anemia.Conclusions: High prevalence of anemia among pregnant women indicates anemia to be a major public health problem in the rural community and indicates strict implementation of National Nutrition Anemia prophylaxis programme. Factors such as socioeconomic status, education, birth interval, and gravida contribute to this high prevalence.


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