The Prevalence of Premature Rupture of Membranes (PROM) in Anemic and Non-anemic Pregnant Women at a Tertiary Level Hospital

Abstract

The incidence of maternal and fetal morbidities and mortalities are very high in anemic patients. According to WHO anemia is the most common medical disease in pregnancy in south east Asian region. 18-20 pregnant women are anemic in developed countries as compared to the incidence is as high as 40% to 75% in south east Asian region. According to Center of Disease Control (CDC) anemia in pregnancy means hemoglobin is less than 11 g/dl (Hematocrit; {Hct} < 33%) in the first and third trimester and less than 10.5 g/dl (Hct < 32%) in the second trimester. According to World Health Organization (WHO), anemia in pregnancy is defined as Hb level is less than 11gm/dl. As physiological hemodilution occurs during pregnancy, pregnant women are at higher risk of anemia and more commonly iron deficiency anemia. The aim of the study is to compare the risk of PROM between anemic pregnant women and non-anemic pregnant women. It is a prospective observational study held in Z.H.Sikder women’s medical college & hospital from April,2020 to march,2021. 100 cases of anemic and 100 cases of non-anemic pregnant women were purposively taken as study population. The prevalence of PROM equaled to 64% in pregnant anemic group. In bivariable analysis, the risk factors of anemia such as, maternal working condition, socio economic status and maternal age were studied. The risk of PROM is higher in anemic pregnant women than in non-anemic pregnant women. Doctors and healthcare workers should be more careful to prevent and treat anemia in pregnancy to avoid the adverse outcomes.