Evaluation of Post-Partum Anemia and Its Risk Factors and Treatment

Abstract

Iron deficiency anemia (IDA) in pregnancy, i.e., prepartum anemia, is associated with premature birth, low birth weight, and small for gestational age of the newborn and is furthermore closely associated with the occurrence of anemia after delivery of a child, i.e., in the postpartum period .Post-partum anemia is a common problem throughout the world. through this study aim of the work ( frequency of post-partum anemia and risk factors for its development) The study showed that percentage of antepartum anemia was about 64.3% this percentage postpartum increased to about 65.4% and 13.6% of those with antepartum normal hemoglobin level became anemic. The main causes of postpartum anemia are prepartum iron deficiency anemia in combination with excessive blood losses at delivery. Post-partum anemia is not affected by demographic data, obstetric history, ante-partum u/s finding and obstetric history. Antepartum bleeding was not significantly associated with postpartum anemia. The more the estimated blood loss during labor the more the postpartum anemia. Through follow up of post-partum anemia cases and treated it according type of anemia (oral, intravenous, folate supplementation and blood transfusion). Outcome of treatment of anemia after 8 weeks, 61.02 % was improved and 8.98 % was not improved, due to malabsorption or non-adherence to drug usage. Conclusion: The main causes of postpartum anemia in this study are prepartum iron deficiency anemia and the amount of blood loss at delivery. this study’s results suggest that screening of women with peri delivery Hb