Samina Asghar, Uzma Naz, Faryal Awan, Ali Awan.
Obstetric outcome of iron deficiency anemia.
Pak J Med Health Sci Jan ;5(2):303-6.

Objectives: To determine the frequency of iron deficiency anemia in pregnancy, the impact of iron deficiency anemia on maternal and fetal outcome and to reduce the frequency of iron deficiency anemia in pregnancy by antenatal detection and iron supplementation. Design: A cross-sectional study. Setting: Sir Ganga Ram Hospital from 1st June to 31st December 2010 .(6 months ongoing study) Patients and methods: All pregnant women attending outpatient department and emergency unit of Sir Ganga Ram Hospital for antenatal and delivery with a hemoglobin concentration of <11/dl were included in the study and their obstetric outcome was monitored through follow up. The patients were divided into mild anemia (Hb 8 -10.9 g/dl) moderate anemia (Hb 4—7.9 g/dl) and severe anemia (Hb, 4g/dl).Hb estimation was done in lab of SGRH on automated counter. All pregnant ladies attending Gynae III department of SGRH for antenatal or delivery during study period. All women with anemia who were not pregnant and all pregnant ladies diagnosed with anemia due to other causes including thalassemia or Sicke cell anemia. Results: During a 6 month study 661/1128 women were admitted in Gynae unit III with hemoglobin concentration of <11g/dl with a total admission of 1128.. Frequency of iron deficiency anemia is 58.5%. 649 women (98%) of them had moderate anemia (Hb 7—10.9g/dl). and.63 women (9.5%) women had severe anemia (Hb <4g/dl) and 69 women (10.4%) had mild anemia ( Hb 8—10.9g/dl). Out of these 661 women 99 women(15.0%) presented with preterm prelabour rupture of membranes and delivered before 37 completed weeks. 13 women (2%) presented with abruption , 99 (15%) pregnancies were complicated with pre-eclampsia. Postpartum hemorrhage was seen in 79 women (12%) uterine atony was the main cause of postpartum hemorrhage. 4 women ( 0.6 % ) underwent obstetric hysterectomy for uncontrolled PPH, out of which one expired( 0.15% ) due to cardiac failure staying on ventilator for six days.. Ceasarean section was done in 86 women (13%) due to fetal distress. 216 babies (32.7%0 were low birth weight < 2000g. the neonatal admission rate was high but all babies survived. Conclusion: Iron deficiency anemia is a major health probelum among women of reproductive age group, particularly in developing countries. Preterm labour, Prelabour rupture of membranes, prematurity, low birth weight and abruption and preclampsia are common in pregnancy complicated with iron deficiency anemia.

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