Maternal and perinatal outcome in pregnancy with severe anaemia

Abstract

Anemia is the most preventable cause of maternal and perinatal mortality and morbidity. This study was carried out to evaluate the maternal and perinatal outcome in pregnancy with severe anaemia. This hospitalized based study was carried out in randomly selected 260 pregnant women in labour . Patient were divided into Group – A ( Haemoglobin <7.0gm/dl , n=130 women ) and Group – B (Haemoglobin ≥ 11 gm/dl , n=130 women ) . Their maternal and perinatal outcome , mode of delivery , duration of labour and postpartum complications were noted and analyzed . The maternal and perinatal complications were 31% significantly more in Group – A than in Group – B , Preterm labour (42.31% v/s 15.38% ) , Preeclampsia ( 22.31% v/s 3.08% ) , Sepsis ( 10% v/s 0% ) , CHF (6.15% v/s 0% ) , Low birth weight (47.69% v/s 14.62% ) , Still birth (4.62% v/s 0% ) , IUGR (11.54% v/s 2.31% ) , Birth Asphxia ( 12.31% v/s 0% ) and Admission in NICU (43.08 % v/s 12.31% ) . There was no significant difference in maternal mortality and early neonatal death among both groups. Severe anaemia was associated with significantly more maternal and perinatal complications which mandates screening for nutritional deficiency anaemia in pregnant women and also to treat those cases to improve maternal and perinatal outcome .