Tayyaba Majeed, Rabia Adnan, Zahid Mahmood, Ishrat Majeed, Kanwal Saba, Hamis Mahmood, Sardar Fakhar Imam, Muhamamd Al-fareed Zafar, Mulazim Hussain Bukhari.
ANEMIC PATIENTS; Relationship of frequency and severity of iron deficiency anemia with preterm labor and eventual perinatal outcome.
Professional Med J Jan ;22(12):1550-4.

Pregnant women are particularly considered to be the most vulnerable group because of the additional demands that are made on maternal stores during pregnancy. The iron deficiency anemia is the most common nutritional deficiency problems in females and is responsible of high maternal death rate in our society. Objectives: To determine the relationship of frequency and severity of iron deficiency anemia to preterm labor and eventual perinatal out come in anemic patients. Study Design: It was a case control study. Study Setting: In Obstetrics and Gynecology Unit-III, Sir Ganga Ram hospital, Lahore from July 2012 to June 2013. Methodology: The study was conducted on 200 patients (100 cases and 100 controls) were studied. Cases were patients admitted in labor room with preterm labor and Controls were females in labor at term at. Convenience sampling was done. On admission relevant history taking examination and investigation were done. The data was collected on a Performa. Results: There were 50 patients with anemia amongst the patients with preterm labor. In the control group, 40 patients were suffering from anemia. In the patients with preterm labor the mean hemoglobin was 9.83 grams/deciliter. In the control group the mean hemoglobin was 10.3gm/dl. (Pregnant women having hemoglobin <10gm/dl are considered to be anemic). The odds ratio was calculated to be 3.4 and P value was <0.05. Conclusions: Iron deficiency anemia was associated with increased risk for low birth weight, preterm delivery, and perinatal mortality. The frequency of iron-deficiency anemia was seen in both groups of pregnant women.

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