scholarly journals PREVALENCE AND DETERMINANTS OF SEVERE ANAEMIA AMONG ANTENATAL WOMEN ATTENDING A TERTIARY CARE HOSPITAL IN MANIPUR

2020 ◽  
pp. 1-4
Author(s):  
Namoijam Basanti ◽  
Ningthoukhongjam Romita Devi* ◽  
Ningombam Joenna Devi ◽  
Ningthoukhongjam Shugeta Devi ◽  
Shugeta Devi Tutor Community Medicine Thangjam Netajini Devi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Post Partum ◽  
Severe Anaemia ◽  
Health Concern ◽  
Care Hospital ◽  
Severe Anemia ◽  
Post Partum Haemorrhage

Introduction: WHO defines anaemia in pregnancy as haemoglobin <11gm/dl and severe anaemia as haemoglobin < 7gm/dl.Anaemia is a major health concern during pregnancy particularly for the developing countries like India. Not many studies have been done so far regarding this health issue in this part of the country.Hence,this study was done to estimate the magnitude of the problem with focus on severe anemia. Objectives: To determine the prevalence of anaemia among pregnant women attending JNIMS Hospital, Manipur and classify the grades of anaemia and determine the factors leading to anaemia and study the outcomes of severely anaemic patients. Materials and methods: A prospective, hospital-based study was conducted in the Department of Obstetrics and Gynaecology,Jawaharlal Nehru Institute of Medical Sciences (JNIMS),Porompat,from August 2017 to April 2019 among pregnant women in second and third trimesters in a 20 months' duration,in a twice weekly survey,recruitment was done on all eligible women attending Obstetrics and Gynecology OPD, JNIMS using a pre-tested semi-structured questionnaire. Haemoglobin was measured using colorimetry method. All the very severely anaemic study-subjects were followed up for any interventions given and the pregnancy outcome until discharged alive or death. Data was analysed by SPSS version 20. Mean, standard deviation, Chi square test etc. were used for analysis. The study was approved by the Institutional ethics committee. Results: The prevalence of anaemia was found to be 30.8%; mild anaemia was found in 288(17.9%), moderate in 124 (7.8%) and severe anaemia was 82 (5.1%). Severe anaemia was found to be significantly associated with age group 34 years and above, Muslim community, rural residence, being illiterate, ANC less than three times, never taken supplemental iron,with increasing gravida and booking ANC visit after 12 weeks.Blood transfusion was given to 62 out of 82 (75.6%) patients and 20 patients (24.3%) received parenteral iron. Six patients (7.3%) had associated preeclampsia, 3 (3.6%) had ante-partum haemorrhage, and 4 (4.8%) had associated post-partum haemorrhage. There were 6 (7.3%) intrauterine deaths,10 preterm deliveries (12.1%),and 7 low birth weight babies (8.5%). There was one maternal mortality with the baby in utero. Conclusion: Almost around a third of the pregnant women suffered from anaemia with a sixth of them having severe anaemia.Three fourths of the pregnant women having severe anaemia received blood transfusion. Severe anemia was associated with pre-eclampsia, ante-partum haemorrhage and post-partum haemorrhage, intra-uterine deaths, preterm deliveries, low birth weight and maternal mortality. Regular antenatal checkups, adequate intake of iron and folic acid tablets and proper age at the time of pregnancy should be encouraged.

scholarly journals Severe anemia and adverse pregnancy outcome in a tertiary care hospital in North India

2018 ◽  
Vol 7 (2) ◽  
pp. 483
Author(s):  
Premlata Yadav
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Peripheral Blood ◽  
Tertiary Care ◽  
Significant Risk ◽  
North India ◽  
Deficiency Anemia ◽  
Care Hospital ◽  
Severe Anemia ◽  
In Pregnancy

Background: Anaemia is commonest medical disorder in pregnancy with 88% prevalence in India mainly due to ignorance, poverty and gender bias. 40-60% of maternal deaths in developing countries. According to the recent standard laid down by WHO anemia is present when the hemoglobin (Hb) concentration in the peripheral blood is less than 11 gm/dl. The most common cause of anemia in pregnancy is iron deficiency. Anemia is diagnosed by estimating the hemoglobin concentration and examining a peripheral blood smear for the characteristic red blood cell changes. The aim of the study was to determine the association between severe anemia, maternal and perinatal complications.Methods: Case control study was done in department of Obstetrics and Gynecology, Rajendra Institute of Medical Sciences Ranchi, India from February 2016 to July 2016. 100 pregnant women, admitted for delivery and having severe anemia were studied and compared with 100 non-anaemic women of similar demographic features. Maternal and perinatal complications were observed. Pearson, chi-square and Fischer exact tests were used to calculate significance of results.Results: Of the severely anaemic mothers, 36% babies were low birth weight (p=0.042) and 20% were small for gestational age (p = 0.026), as compared to 18% and 10% of controls, respectively.Conclusions: Severe maternal anemia carries significant risk of hemorrhage and infection in the mother. It is also associated with preterm birth, low birth weight.

scholarly journals Study of fetomaternal outcome of teenage pregnancy in a tertiary care hospital-MGMGH

2018 ◽  
Vol 8 (1) ◽  
pp. 303
Author(s):  
Gayathrie Devi ◽  
Kayalvizhi . ◽  
Poovathi M.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Health Problem ◽  
Teenage Pregnancy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Normal Vaginal Delivery ◽  
Care Hospital

Background: The objective is to study the fetomaternal outcome in teenage pregnancy at MGMGH for the study period of 6 months from April 2018 to September 2018. Teenage pregnancy is a worldwide health problem. WHO defined adolescence as the period from 10-19 years. It is a serious health problem in a developing country like India. Teenage pregnancy is associated with high risk of prematurity, low birthweight, preeclampsia and anaemia. The NHFS IV 2015 -2016 estimates that overall teenage pregnancy in India 7.9%.Methods: It is a retrospective study conducted in a tertiary care hospital at MGMGH, Trichy over a period of 6 months.251 teenage pregnant women delivered at our institution were selected for the study out of 4508 total deliveries during the study period. Parameters including incidence, age, parity, booking status, educational and socioeconomic status, medical disorders, antepartum, intrapartum, postpartum complications, mode of delivery and neonatal outcome were studied.Results: Study showed the incidence of teenage pregnancy at our MGMGH is 5.56%. Among these teenage pregnant women 47.1% had anaemia, 23.1% had gestational hypertension,4.8% of women had eclampsia, 22.3% % had preterm delivery. Lscs rate was 27.1%,70.29 % had Normal vaginal delivery,1.6% had instrumental deliveries, 31.5% had low birth weight babies,28.2 % NICU admissions, 2.9% perinatal deaths.Conclusions: Teenage pregnancy is associated with increased incidence of anaemia, pre-eclampsia, eclampsia, preterm delivery, instrumental delivery, low birth weight and perinatal death. By improving socio economic status, education, nutrition, good antenatal care, public awareness, institutional delivery and postnatal care help in reducing maternal and perinatal morbidity and mortality in adolescent pregnancy.

scholarly journals Burden of Anemia, Perinatal Outcome Community Based Study among Rural Tribal Pregnant Women in an Extremely Low Resource Region

2021 ◽  
Vol 2 (3) ◽  
pp. 193-198
Author(s):  
S Chhabra ◽  
V Rathod
Keyword(s):  
Pregnant Women ◽  
Perinatal Outcome ◽  
Post Partum ◽  
Severe Anaemia ◽  
Health Concern ◽  
Global Public Health ◽  
Community Based ◽  
Neonatal Deaths ◽  
Care Services ◽  
Term Births

Background: Persisting burden of anaemia during pregnancy, global public health concern, is commonest disorder globally. Severe anaemia is potentially fatal for mother and baby. Objective: Present study was carried out to know about burden of anaemia and perinatal outcome in rural tribal pregnant women. Material methods: Prospective community based study was conducted in 100 villages, where mother, child care services were initiated after having created a health facility in one, using pretested tool to get information required as per objectives. Results: Of 3713 women who delivered, 2617 (70.5%) were anaemic, 1351 (36.4%) mildly, 964 (26.0%) moderately, 211 (5.7%) severely and 91 (2.5%) very severely anaemic during pregnancy. Amongst 2617 anaemic women, 8.6% had Preterm (PT), 91.4% term births, 4% of 225 PT were Intra Uterine Foetal Deaths (IUFDs), 0.9% of 2392 term IUFDs, seventeen (7.5%) of 225 PT babies were Stillborn (SB), 5.2% of 2392 term SB, 78.6% of 225 PT were Low Birth Weight (LBW), 73.4% of 2392 term LBW, 70.2% of 225 PT were Small for Gestational Age (SGA) babies and 36.5% of 2392 term SGA. Total 1.8% babies had early Neonatal Deaths (NNDs) and 0.7% late NNDs. Amongst 1096 non-anaemic women, 1.3% had PT, 98.7% term births, no IUFD, All 14 PT births were SB, 3.9% term born were SB, 1.2% PT were LBW, 30.5% term LBW, 0.6% PT SGA, 3.8% term SGA. Total 0.09% early NNDs occurred in non-anaemic women. Of 10 women who died, five had severe anaemia, three of them died of post-partum haemorrhage, one congestive cardiac failure, one puerperal sepsis with multi-organ failure. Conclusion: Anaemia was very common in rural tribal pregnant women, quite a few were very severely anaemic with many LBW, SGA babies, perinatal and maternal deaths.

scholarly journals ANEMIA AND LOW BIRTH WEIGHT IN HOSPITAL OF ANUTAPURA PALU

2019 ◽  
Vol 2 (2) ◽  
pp. 63
Author(s):  
A. Fahira Nur
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Severe Anemia ◽  
Cross Sectional ◽  
Significance Level ◽  
The World ◽  
Observational Design ◽  
Infant Birth

Background & Objective: Low Birth Weight (BBLR) is a major problem in the world, because it can lead to impaired fetal growth, so that the next generation of the nation will have an effect. This study aims to determine the association of anemia with low birth weight occurrence at hopstilal of Anutapura Palu. Material and Methods:  The type of research used is quantitative with analytic observational design with Cross sectional approach. The number of samples is 91 respondents determined by Accidential sampling technique. Data analysis is che-square test with a significance level of p <0.05. Results: The results showed that pregnant women who were anemia were 72.5% and LBW was 40.7%. Severe anemia is 4.39%, moderate is 37.3%, and mild is 30.7%. Anemia level has a significant effect on birth weight (ρ = 0,000). Anemia has a significant relationship with the incidence of low birth weight (ρ = 0,000) at Hospital of Anutapura Palu . Conclusion: Anemia in pregnant women has a positive correlation with infant birth weight and is associated with the incidence of low birth weight

scholarly journals Maternal factors of low birth weight babies in an antenatal care hospital in Bangladesh

2020 ◽  
Vol 5 (4) ◽  
pp. 271-279
Author(s):  
Musammet Rasheda Begum ◽  
Soma Chowdhury Biswas
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Hospital ◽  
Gestational Length ◽  
Cross Sectional ◽  
Average Birth Weight ◽  
National Public Health ◽  
Mid Upper Arm Circumference

Low birth weight (LBW) has been considered as the strongest predictor of child morbidity and mortality. The goal of this study was to inspect the socio-demographics and nutritional status of mother and its impact on neonatal birth weight. A cross-sectional study was conducted among 85 mothers with third trimester’s pregnancy period of age between 17 to 35 years in maternal health care centers at Chittagong, Bangladesh. Average age of mothers was 24 04 years and age at marriage it was 18 03 years. Height and MUAC of the respondents were 153 5.37 cm and 25.53 3.09 cm respectively. Half of participants suffered from anemia (Hb level <11 g/dL). Average birth weight was 2759.7 561.42 g. The preterm birth was 10.6% and about 22.35% babies delivered by C section. Twenty eight percent of offspring were born with low birth weight (LBW), among the LBW babies, 11.76 % were born at home and 16.47 % at hospital. Maternal height (AOR: 2.79; 95% CI: 1.02-8.44), Mid Upper Arm Circumference (MUAC) (AOR 2.73; 95% CI 1.03-8.01) and gestational age (AOR 8.92, 95% CI: 1.76-45.16) were significantly associated with LBW of babies after adjusting the education level of mothers. The proportion of LBW was not negligible which still national public health concern in Bangladesh. Proper nutrition and monitoring on gestational length might minimize small size babies. Asian J. Med. Biol. Res. June 2019, 5(4): 271-279

scholarly journals Prevalence of maternal periodontitis and its association with preterm and low birth weight infants: a hospital-based study

2019 ◽  
Vol 8 (5) ◽  
pp. 1767
Author(s):  
Priyanka S. ◽  
Sowmya Koteshwara ◽  
Anitha Subappa
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Gestational Age ◽  
Tertiary Care ◽  
Care Hospital ◽  
Low Birth Weight Infants ◽  
Mortality And Morbidity ◽  
Severe Periodontitis ◽  
Gestational Age At Delivery

Background: Preterm deliveries and low birth are important causes of infant mortality and morbidity. The aim of this study was to evaluate the association between maternal periodontitis and preterm and low birth weight at delivery and to correlate the severity of periodontitis with obstetric outcome.Methods: This was a prospective observational study conducted in Outpatient Department of Tertiary Care Hospital. Pregnant women who had regular antenatal checkup at were screened clinically for periodontitis. Those who were diagnosed with periodontitis and satisfied the inclusion and exclusion criteria were considered as cases (n=45) and equal number of pregnant women without periodontal disease (n=45) were included in the study as controls. These patients were followed up and gestational age at delivery and baby’s birth weight was noted and correlated to the maternal periodontal status.Results: The prevalence of maternal periodontitis was found to be 11.4%. Mean age, socioeconomic status and educational status was comparable. 33.3%, 40% of the cases v/s 17.8%, 24.4% of controls had preterm deliveries and LBW infants respectively. 26.8% of cases with mild periodontitis and all cases of moderate and severe periodontitis had preterm birth. Additionally, 34.1% of cases with mild periodontitis and all cases with moderate and severe periodontitis had low birth weight infants (p=0.02).Conclusions: Maternal periodontitis is found to be associated with preterm and low birth weight deliveries. The severity of periodontitis is inversely related to gestational age at delivery and birth weight of infant. Thus, periodontitis is suggested to be a modifiable risk factor for preterm and low birth deliveries.

scholarly journals PREGNANT WOMEN WITH LOW BMI (<19)

2011 ◽  
Vol 18 (04) ◽  
pp. 592-597
Author(s):  
UZMA UROOJ ◽  
SHEHLA BAQAI ◽  
ASMA ANSARI
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Gestational Age ◽  
Fetal Weight ◽  
Military Hospital ◽  
Care Hospital ◽  
Maternal Weight ◽  
Obstetrics And Gynaecology ◽  
Low Bmi

Introduction: A strong relationship between maternal weight and birth weight has been demonstrated consistently and low maternal weight is considered as a preventable risk factor for low birth weight. Objectives: To determine the frequency of preterm labour and fetal outcome in terms of low birth weight in pregnant women with low body mass index < 19. Study Design: Descriptive case series. Setting: Outpatient Department of Obstetrics and Gynaecology, Combined Military Hospital, Quetta, a tertiary care hospital. Duration of study: Six months from 01-05-2009 to 01-11-2009. Subjects and methods: Total 114 pregnant women at 16 weeks of gestational age with singleton pregnancy reporting to obstetrics and Gynaecology Department Combined Military Hospital, Quetta were selected. Results: Mean age was observed 27.6±3.9 year. Out of total 114 patients, 15 (13.1%) belonged to <37 weeks of gestation while 99 (86.9%) patients had >37 weeks gestation. Mean gestational age observed 38.5±4.1. Out of 15 preterm deliveries, 10 (66.7%) had uterine contractions >4/10 min 5 and (33.3%) patients had Cervical dilatation >2cm. Out of 114 patients, 12 (10.5%) cases had fetal weight <2.5 kg and while remaining 102 cases (89.5%) had fetal weight 2.5-4 Kg. Conclusions: In conclusion, this study demonstrates that low BMI is associated with preterm delivery and low birth weight babies.

THE EFFECT OF DECREASED HEMOGLOBIN LEVELS AT FIRST TRIMESTER ON MATERNAL AND FETAL OUTCOME – A RETROSPECTIVE STUDY

2021 ◽  
pp. 16-18
Author(s):  
Manasa D.R. ◽  
Sadananjali Sadananjali ◽  
Ramkrishna Yadgude
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Early Pregnancy ◽  
Pregnancy Outcomes ◽  
Negative Impact ◽  
Post Partum ◽  
Fetal Mortality ◽  
Post Partum Haemorrhage

Background And Objective: Iron deciency anemia, especially during the rst trimester has a more negative impact on both maternal & fetal well being. Commonly associated conditions are post partum haemorrhage, birth asphyxia, preeclampsia, low birth weight, preterm, abortions, still born and many more. Thus the study was aimed to determine the levels of haemoglobin in early pregnancy and effect of pregnancy outcomes at Primary Health Care, Ankalagi, Belagavi. Methodology: A retrospective study was done from 2017 April to May 2020 April for a period of three years at PHC, Ankalagi, Belagavi. Over 718 pregnant women were enrolled. Regular ANC was done. Data was collected on Maternal Age, Body mass Index (BMI), Number of parity and Socio-economic determinants. Other Demographic characteristics included rst trimester haemoglobin levels, gestational age at delivery & mode, birth weight, and pregnancy outcomes were recorded. Hemoglobin levels were estimated by Sahil's hemoglobinometer method. Categorised into four groups a) Normal :more than11g/L b) Mild anemia :9-10.9g/dl c) Moderate anemia (7-8.9g/dl) and d) Severe anemia (<7.0g/dl) Results: Mean age was 18±39 yrs. Nearly 39.75% were anemic in early pregnancy. Mild anemic were 20.75%(149), moderate anemic were18.10%(130)and severe anemic were 0.4%(3)respectively. The pregnancy outcome of low level haemoglobins duing rst trimester showed miscarriage/abortions of about18.79%, LSCS mode of delivery of about 17.02%, low birth weight of about 9.21%, preterm baby of about 2.12%, neonatal admissions of about 2.12%, still born of about 1.06%, and post partum haemorrhage of 1.77% respectively. Conclusion: The above ndings suggests that anemia in rst trimester denitely has negative impact on both maternal &fetal health. Thus adequate iron intake in early trimester (prior to conception) is crucial for healthy pregnancy. It is one of the preventable causes which can decrease the maternal & fetal mortality. Should reinforce the health education from adolescent girls, with regular antenatal check up and active participation of ASHA workers. Mothers should receive appropriate nutritional advice and supplementation at their rst point of contact with health care professionals

scholarly journals LITERATURE REVIEW: DAMPAK ANEMIA DEFISIENSI BESI PADA IBU HAMIL

2021 ◽  
Vol 16 (3) ◽  
pp. 892-898
Author(s):  
Anjar Fifi Wulandari ◽  
Emi Sutrisminah ◽  
Is Susiloningtyas
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Postpartum Hemorrhage ◽  
Mental Development ◽  
World Health ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

In general, the most common cause of anaemia in pregnancy is iron deficiency, which arises from maternal-fetal iron transfer, which is often exacerbated by a decrease in maternal iron stores. According to the World Health Organization (WHO), pregnancy anaemia is a global health problem that affects almost half of pregnant women. The purpose of this study was to conduct a journal review of explanatory and experimental articles published in the last 5 years starting in 2016 on deficiency anaemia in pregnancy. The research method is carried out by literature study using an electronic reference library through Medline, PubMed, NCBI, Science Direct and Proquest by investigating the impact of anaemia in pregnant women. The results literature from research in various developing and developed countries show that there is an impact that occurs when the mother had anaemia during pregnancy, namely prematurity, low birth weight, postpartum hemorrhage, maternal mortality, cesarean delivery and mental development of children. The conclusion is that there are several effects of anaemia in pregnant women, which are prematurity, low birth weight, postpartum hemorrhage, maternal mortality, cesarean delivery and children's mental development.

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