Adverse Perinatal Outcomes: Their Association with Maternal Anemia : Perinatal Outcomes with Maternal Anemia

Amna Aziz; Shahida Parveen; Bushra Khan; Hajra Sultana; Asma Akhtar; Kanwal Raza

doi:10.54393/pjhs.v6i1.2109

Authors

Amna Aziz Department of Obstetrics and Gynecology, Nishtar Medical University, Multan, Pakistan
Shahida Parveen Department of Obstetrics and Gynecology, Quaid-e-Azam Medical College, Bahawalpur, Pakistan
Bushra Khan Department of Obstetrics and Gynecology, Bakhtawar Amin Medical and Dental College, Multan, Pakistan
Hajra Sultana Department of Obstetrics and Gynecology, Nishtar Medical University, Multan, Pakistan
Asma Akhtar Department of Obstetrics and Gynecology, Nishtar Medical University, Multan, Pakistan
Kanwal Raza Department of Obstetrics and Gynecology, Nishtar Medical University, Multan, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i1.2109

Keywords:

Anemia, Pregnancy, Perinatal outcomes, Hemoglobin, Iron supplementation

Abstract

The incidence of anemia during the third trimester of pregnancy correlates with a heightened risk of negative postnatal outcomes. Objective: To access the relationship between hemoglobin levels in laboring women and perinatal outcome. Methods: A prospective cohort study was done at Department of Obstetrics and Gynecology, Nishtar Hospital, Multan from September 2020 to December 2021 using non-probability purposive sampling technique. A total of 135 anemic pregnant women (Group A) fulfilling inclusion and exclusion criteria was recruited for the study from labour room plus 135 non-anemic women were also recruited as control group (Group B). The data was recorded and explored. Results: 135 anemic laboring pregnant ladies were taken in this study having mean age 25.63 ± 4.53 years (range; 19-37 years) and 85.2% had ages less than 30 years. Cesarean section deliveries were noted to be in 50.4% in group A (anemic women) versus 48.1% in group B (non-anemic women). Preterm birth was noted to be 29.6% in group A versus 6.7% in group B. Small for gestational age was 53.3% in group A versus 12.6% in group B. Low birth weight was 54.8% in group A versus 16.3% in group B. Still birth was 7.4% only in anemic women while it was not observed in control group. Conclusions: The results of this study supported strong relationship of low haemoglobin in mothers with untoward perinatal outcome; growth retarded babies, preterm, Low birth weight and cesarean section rate. Strong media awareness campaigns should be launched for awareness for iron supplementation among targeted population.

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