Farzana Rizwan, Qamaru Nisa, Habib Ullah, Amna Memon.
Prevalence of anemia in pregnant women and its effects on maternal and fetal morbidity and mortality.
Pak J Med Sci Jan ;26(1):92-5.

Objective: To determine the frequency of anemia in pregnant women and its effect on maternal and fetal morbidity and mortality. Methodology: It is a prospective study of 500 pregnant women attending OPD of obstetrics and gynaecology department, Muhammad Medical College Hospital, Mirpurkhas Sindh during one year from 1st April 2007 to 31st March 2008. The patients were selected randomly irrespective of their gestational age. Data was entered on a pro forma, blood CP was done and those with anemia were selected for further study.Results: Out of 500 pregnant women randomly selected for the study, 375 were diagnosed to have anemia of different severity and etiology. About 20 % of them were in their first trimester, 25.8% in 2nd and 54.2% in the 3rd trimester.Majority of women had moderate anemia (i.e 52%) while 36% were mildly anemic. Severe anemia was seen in 12% of patients. About nine percent of women delivered before term, and 12.5% of babies were born with low birth weight. Prevalence of perinatal mortality was 2.1%. Two women suffered from abruption while 15 women had post partum haemorrhage (PPH). Conclusions: There is a very high prevalence of anemia with pregnancy, especially during third trimester and significantly affects the maternal and fetal outcome in pregnancy

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