Study of Foetal Outcome in Pregnancy with Iron Deficiency Anaemia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background: In pregnancy the demand for iron is increased to meet the needs of the expanding red cells mass and requirements of the developing foetus and placenta. Current knowledge indicates that iron deficiency anaemia in pregnancy is a risk factor for preterm delivery and subsequent low birth weight and possibly for inferior neonatal health. Methods: This study was conducted in the department of Obstretics and Gynaecology, Regional Institute of Medical Sciences, Imphal, Manipur State from February 2014 to January 2016. Hundred pregnant women in their last trimester, irrespective of parity,and whose Hb level is below 11.0 gm/dl attending antenatal OPD/admitted in antenatal ward during the period were included for the study. For the iron deficiency anaemia the cut off level for serum ferritin is taken as 12ug/l and below. Fifty randomly selected non-anaemic healthy pregnant women in their last trimester were selected as control group. Results: Maximum number of anaemic cases were seen in the age group between 21- 30 years of age and gravity1.The red cell morpholgy examination showed that majority of cases were of normochromic normocytic. A high incidence of preterm labour was noted in anaemic group as against cases in control group which was statistically significant. The incidence of low birth was higher in anaemic group as compare to control group.A correlation between Apgar Score and haemoglobin levels (mean and SD) are made and found to be significant. Conclusion: Iron deficiency is well correlated with foetal outcome when preterm labour, low birth weight, Apgar score, and other haematological and biochemical iron profile were considered.
Authors and Affiliations
Dr. L. Bimolchandra Singh, Dr. Kh. Ambala Devi, Dr. Jaya Ningthoujam
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