PREGNANT WOMEN WITH SEVERE ANAEMIA IN LABOUR: PREVELENCE, SOCIODEMOGRAPHIC DETERMINANT AND OBSTETRICS OUTCOME

Abstract

Background: Anaemia is most common hematological issue encountered during pregnancy and one of the major cause for maternal and perinatal morbidity due to disturbed physiological milieu. Our objective was to study the pregnancy outcome in women with severe anaemia in labour. Method: A Prospective observational study was conducted by collecting data from medical records of around 100 consecutive consenting women with severe anaemia in labour with >28weeks of pregnancy which admitted in a labour room of a tertiary health care center of south Gujarat over a period of one year after HREC approval. Results: In our study Majority of the subjects (73 %) were in the age group of 19 – 29 years, Majority (70%) subjects were unbooked. 75% subjects were with severe anaemia (Hb = 4 – 7 gm/dl) and 25% subjects were of very severe anaemia (Hb < 4 gm/dl). Majority of the (69 %) subjects were multipara and (31%) subjects were primipara. In multipara, majority (73.91%) subjects were having < 2 years of birth spacing interval. 84% subjects had microcytic hypochromic anaemia. 62% subjects had vaginal delivery and 36% subjects were undergone for Emergency LSCS. Conclusion: Increasing utilization of healthcare facility at every step(rural/urban) by needy women can improve obstetric & perinatal outcome associated with maternal anaemia. To overcome complications of anemia during pregnancy & in labour early detection of cases & early catching of mild to moderate cases of anaemia & their timely management required. All these can improve our clinical & Reproductive outcome