STUDY OF SOCIO-DEMOGRAPHIC AND CLINICAL PROFILE OF PREGNANT WOMEN WITH FETOMATERNAL OUTCOME IN WOMEN WITH SEVERE ANAEMIA IN SOUTH GUJARAT- INDIA

Abstract

Abstract

Anaemia among pregnant women is a major public health problem. Anaemia is considered as a leading cause of maternal and perinatal morbidity. Anaemia contributes to 20-40% of direct and indirect maternal deaths due to its association with cardiac failure, sepsis, preeclampsia and antepartum haemorrhage.

Objective: To study the socio-demographic and obstetric profile of pregnant women of south Gujarat and documented the feto-maternal outcome.

Material and Methods: This prospective observational study was conducted at the Obstetrics and Gynaecology department of tertiary care hospital of South Gujarat in 100 women with severe anaemia in labour and pregnancy beyond 28 weeks gestation. Data related to socio-demographic factors, clinical conditions, maternal and foetal outcomes were collected from the mothers' medical records. Women with 4-7 gm Hb were classified as Severe anaemic and <4 gm Hb were classified as very severe anaemic.

Results: Current study found majority of women were 19-29 years old (73%), Illiterates (68%), housewife (85%), from lower socio-economic class (50%), with poor nutrition conditions (44%).  Obstetric history found majority were multigravida (69%), Preterm (66%), LBW babies (57.8%). More than One-thirds (39%) has not taken treatment for anaemia. Further, 47 women has intrapartum, 30 women has post-partum complication, and 24 women require ICU admissions and oxygen requirements. Among 100 new-borns, 40% were preterm, 6% were still born.    

Conclusion: Anaemia significantly impacts both maternal and perinatal outcomes, leading to increased morbidity and mortality. Early identification and management of mild to moderate cases of anaemia during pregnancy and labour are crucial in preventing complications.