Red Blood Cell Indices Along With Hemoglobin and Serum Ferritin Estimation At Internal Correlation In Pregnant Females
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2019, Vol 2, Issue 3
Abstract
Introduction: Anaemias occurring during pregnancy are known to increase maternal and perinatal morbidity and mortality, therefore it would be therapeutically important to be capable of selecting women who are in iron deficient prior to their developing a frank iron deficiency anemia. Red blood cell indices along with serum iron, serum ferritin, serum TIBC and serum transferrin parameters completely reflect the iron stores in pregnant females. Aim and Objectives: To study red blood cell indices in context and correlation to serum ferritin levels. To measure the red blood cell indices in pregnant females expecting the women prior to expected date of delivery. Materials and Method: The study was cross sectional type and carried out for two years in 100 consecutive pregnant women reporting to the antenatal OPD. Institutional ethical clearance was be obtained. The EDTA anticoagulated sample was used for estimation of Hb and the red cell indices on a Horiba Coulter Act 7part automated Haematology cell counter. The red cell indices were assayed. Result:Analysis of the difference of means of various indices showed Hb, MCV, MCH, MCHC and total RBC to be significantly lower (p ¼ 0.000, 0.000, 0.000, 0.000 and 0.012, respectively) and RDW-CV% to be significantly higher (p ¼ 0.010) in the IDA cases. Conclusion: In view of this, 58% of non-anaemic pregnant women had iron deficiency, we recommend that all pregnant women in India should get iron supplements unlike what is recommended in the developed countries where iron supplementation is based on serum ferritin levels.
Authors and Affiliations
Dr. Akanksha Wankhade
Keywords
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