scholarly journals Foetal outcome in pregnant women with anaemia

2018 ◽  
Vol 18 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Neerja Singal ◽  
Bal Krishan Taneja ◽  
Geetanjali Setia ◽  
Kiran Kumar Singal

Objective: To find out the situation and causes of anaemia in pregnant women at MMIMSR during the study period with special reference to the severity of the disease and to find out foetal outcome in pregnant women with anaemia. Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala(India). The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria. Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia. Adverse foetal outcome in the form of preterm birth (17%), still birth (3.5%), low birth weight babies (27.5%), neonatal morbidity (23.3%) was more in the anaemic group than non anaemic controls Conclusion: Anaemia in pregnancy has adverse foetal outcome in the form of decreased birth weight, increased perinatal morbidity and mortality. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.63-72

2018 ◽  
Vol 17 (4) ◽  
pp. 583-592 ◽  
Author(s):  
Neerja Singal ◽  
Geetanjali Setia ◽  
Bal Krishan Taneja ◽  
Kiran Kumar Singal

Background: Anaemia in pregnancy is one of the most important and common public health problem not only in India but also in most of the South East Asian countries. Anaemia is the most common nutritional deficiency disorder in the world. There is predominance of iron deficiency anaemia (nutritional anaemia). In pregnancy, it is one of the leading causes responsible for maternal and perinatal morbidity and mortality.Objective: To find out the risk factors associated with anaemia in pregnant women at MMIMSR during the study period with special reference to the severity of the disease.Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala. The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria.Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia.Conclusion: In the present study maternal illiteracy, low SES, inadequate antenatal care, close birth spacing, poor nutrition were all risk factors for anaemia in pregnancy Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.583-592


2018 ◽  
Vol 17 (3) ◽  
pp. 446-454 ◽  
Author(s):  
Neerja Singal ◽  
Geetanjali Setia ◽  
Bal Krishan Taneja ◽  
Kiran Kumar Singal

Background: Anaemia in pregnancy is one of the most important and common public health problem not only in India but also in most of the South East Asian countries. Anaemia is the most common nutritional deficiency disorder in the world. There is predominance of iron deficiency anaemia (nutritional anaemia). In pregnancy, it is one of the leading causes responsible for maternal morbidity and mortality.Objective: To find out the maternal outcome in pregnant women with anaemia at MMIMSR during the study period with special reference to the severity of the disease.Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala(India). The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria.Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia. Higher incidence of preterm (17%), PPH (7.5%), maternal morbidity (14.5%) was found in anaemic group as compared to non anaemic controls.Conclusion: Anaemia in pregnancy has adverse maternal outcome in the form of maternal morbidity, preterm labour, and increased incidence of operative delivery.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.446-454


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Pankaj Bhardwaj ◽  
Deepak Saxena ◽  
Nitin Joshi ◽  
Neha Mantri ◽  
Praveen Suthar

Abstract Background Rajasthan has been documenting severe anaemia in pregnancy, resulting in low birth weight. Current study was planned to explore potential linkages between exposure to fluoride, anaemia in pregnancy and low birth weight in infant. Methods Antenatal mothers from one fluoride endemic district (FD) and one non-fluoride endemic district (NFD) of western Rajasthan were recruited and followed up till delivery. Data included socio-demographic, lifestyle, diet, medication history. Lab Investigations included Hb, Urinary Fluoride. Results Out of total 1401 women, mean age of women from FD were 23.87 (+ 3.8) yrs and from NFD were 25.53(+ 3.82) yrs. Mean fluoride values in the urine samples of pregnant females were found to be 2.06 (0.0 to 14.4 mg/L) in FD and 1.43 (0.00 to 12.7 mg/L) in NFD. Mean fluoride values in water samples were 0.72 (0.0 to 3.80 mg/L) in FD and 0.21 (0.0 to 2.69 mg/L) in NFD. Mean weight of newborn from FD were 2.92 (+ 0.47) yrs and from NFD were 2.94 (+ 0.56) kg. 22% Newborn in FD and 18% in NFD had low birth weight. Conclusions Infants born in Fluoride endemic area have lower birth weight as compared to non-Fluoride endemic area. Antenatal women in Fluoride endemic areas are more anaemic. Key messages Fluoride endemicity is an important factor to be considered while addressing Anaemia in pregnancy and Low Birth Weight Babies in Western Rajasthan, India.


2020 ◽  
Vol 6 (3) ◽  
pp. 55-58
Author(s):  
Moushumi Biswas ◽  
Rupali Baruah

Background: The relationship between iron deficiency anaemia and low-birth-weight babies during pregnancy remains significant. Low birth weight babies are an increasing risk affecting infant mortality and poor developmental abilities is a rising concern. We aimed to identify the changes in hemoglobin level during pregnancy and study their impact on birth outcomes. This study aimed also to investigate and compare the prevalence of anaemic and non anaemic pregnant women in Boko Bongaon block, Assam in relation to maternal, antenatal and birth-associated factors. Subject/Methods: The study setting is in a rural area of Boko-Bongaon, Kamrup situated 85km away from Guwahati city. The Study design is a community based cross-sectional study done during the period from August 2012 to July 2013. A total of 160 pregnant women were selected by simple random sampling and data collected by house to house visit. Interview was conducted with the use of Predesigned, Pretested structured schedule. Results: We analysed deliveries of 160 pregnant women of which 156 were full term births and 4 still births. There was a statistical significant association between anaemia and birth weight of the babies. Anaemia (Hb<11g/dl), was prevalent in 86% of women, but was not significantly related to the birth outcomes. Conclusion: The present study highlights the importance of regular monitoring of haemoglobin level at intervals during pregnancy to prevent anaemia. Future studies should explore other related risk factors and the reasons for poor birth outcomes in mothers in this population, to inform the design of appropriate public health policies that address this issue


Author(s):  
Tanwi Singh ◽  
Anshuman Sinha

The major risk associated with low platelet count in pregnancy is the increased risk of bleeding during the childbirth or post that. There is an increased blood supply to the uterus during pregnancy and the surgical procedure requires cutting of major blood vessels. Women with thrombocytopenia are at increased risk of losing excessive blood. The risk is more in case of caesarean delivery as compared to vaginal delivery. Hence based on above findings the present study was planned for Assessment of the Platelet Count in the Pregnant Women in IGIMS, Patna, Bihar. The present study was planned in Department of Pathology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India. The present study was planned from duration of January 2019 to June 2019. In the present study 200 pregnant females samples received for the platelet estimation were enrolled in the present study. Clinically platelet indices can be a useful screening test for early identification of preeclampsia and eclampsia. Also platelet indices can assess the prognosis of this disease in pregnant women and can be used as an effective prognostic marker because it correlates with severity of the disease. Platelet count is a simple, low cost, and rapid routine screening test. Hence the data generated from the present study concludes that platelet count can be used as a simple and cost effective tool to monitor the progression of preeclampsia, thereby preventing complications to develop during the gestational period. Keywords: Platelet Count, Pregnant Women, IGIMS, Patna, Bihar, etc.


2020 ◽  
Vol 3 (2) ◽  
pp. 499-507
Author(s):  
Sulistiani Sulistiani

Based on the data from WHO in 2015, incident of low birth weight in Indonesia is still high. As many as 15,5% of babies born in Malang district. in 2018, total babies born were 38.421 and 1261 babies were born with low birth weight (BPS Kab. Malang). Meanwhile in puskesmas dau, there were 30 babies birth with low birth weight. Factors that can influence LBW include maternal weight before pregnancy, maternal weight during pregnancy, arm circumference, alcohol consumption, cigarette use, symptoms of depression or anxiety and eating pattern. This study is a descriptive study with a linear regression analysis design multiple analysis to analyze physical, psychological, and dietary factors in tribulan III pregnant women against LBW events at Puskesmas Dau. Samples were taken by simple random sampling method with a total of 175 pregnant women. The result shows that these three factors had a significant influence on LBW events with a t-count of 2,200 physical condition factors, a t-count of 8,165 psychologic factors, and a t-count of 3,612 eating conditions. Based on the result of this study, it can conclude that there is significant effect between physical factor, psychological factor and eating pattern to low birth weight event in Puskesmas Dau. The conclusion of this study shows that psychological factors that have the most significant influence on LBW events when compared with other factors. Suggestions that can be given from researcher to Puskesmas Dau are to maintain and improve services to psychological conditions by always involving families in solving problems so that low birth weight will decrease


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.


2016 ◽  
Vol 35 (2) ◽  
pp. 141-147
Author(s):  
Garima Chawla ◽  
Baljeet Maini ◽  
Anand Kumar Bhardwaj

Introduction: India faces lot of neonatal morbidity. Non-invasive blood pressure (NIBP) monitoring is being used for monitoring sick new borns as a safe and cost effective method of blood pressure monitoring. But there is no available information on normal values of NIBP for neonates in India. With more stress of government (and advancement) in new born care, establishing normative data of NIBP in Indian newborns should be high priority. Material and Methods: This was an observational cohort study done in a level III neonatal intensive care unit. 164 clinically stable babies on day 1 of life were included. Blood pressure was measured by the Oscillometric method.Results: Progressive increase of blood pressure was seen with increasing birth weight. 10th, 50th, 75th, 95th Centile curves were drawn from available data. For very low birth weight babies (< 1500grams), the values of systolic, diastolic and mean BP (±2standard deviations (S.D.)) were found to be 53.7 ± 1.7, 29.1 ± 1.7 and 41 ± 1.1 mm Hg respectively. For low birth weight babies, i.e. with birth weight 1500-2499 grams, the values for systolic, diastolic and mean BP(±2 S.D.) were 62.2 ± 2.5, 34.8 ± 2.4 and 46.6 ± 2.4 mm Hg respectively. For normal weight babies (more than 2499 grams), the systolic, diastolic and mean BP (±2 S.D.) were 72.8 ± 4.2, 43 ± 4 and 55.3± 4 mm Hg respectively. The rise in systolic blood pressure with rising birth weight was highly significant (p <0.001). Similar were the results for diastolic and mean BPs, (p<0.001 for both),Conclusion: Blood pressure on day 1 of life appears to be directly related to birth weight. The effect is seen in all (i.e. systolic, diastolic and mean) blood pressure values.J Nepal Paediatr Soc 2015;35(2):141-146


2021 ◽  
pp. 69-71
Author(s):  
Preeti Gupta ◽  
Manila Jain ◽  
Nand K Gupta ◽  
Umesh K Gupta

BACKGROUND: Thyroid disorder is very common disorders in pregnancy. It is well established that overt and subclinical thyroid dysfunction has adverse effects on mother and the foetus like miscarriages, preterm delivery, preeclampsia, eclampsia, polyhydramnios, placental abruption, postpartum haemorrhage, low birth weight, fetal distress, NICU admission. With this background, we are conducting a study to know the effect of thyroid disorder on pregnancy and its maternal and foetal outcome. METHODS: The present study was carried out in Index Medical College, Indore, MP, India in Department of physiology in collaboration with Department of Obstetrics & Gynecology. It is a prospective random cross-sectional study done over 180 pregnant women (90 pregnant women with thyroid disorder and 90 with normal thyroid) which includes known cases of thyroid disorder. Serum thyroid stimulating hormone (TSH), fT3, and fT4 tests were apart from the routine blood sample investigations as per FOGSI-ICOG good clinical practice recommendation. Patients are followed up till delivery, and their obstetrics and perinatal outcomes are noted. RESULTS: In our study prevalence of thyroid dysfunction was 10.4%. Out of these 90 patients with thyroid dysfunction, complications associated were pre-eclampsia (14.4%), abortions (13.3%), maternal anaemia (11.1%), preterm labour (7.8%), still birth (5.6%), abruption placenta (4.4%). Out of 90 patients with thyroid dysfunction, foetal complications seen were low birth weight (22.2%), NICU admission (15.6%), hyperbilirubinemia (14.4%) and foetal distress (5.6%). CONCLUSIONS: Our result demonstrated that the thyroid disorders during pregnancy have adverse effects on maternal and foetal outcome emphasizing the importance of routine antenatal thyroid screening.


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