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BACKGROUND: Anemia in pregnancy is a globally health-related issue, that affects both mothers and their newborn. Anemia during pregnancy across the world involves approximately 38% of the world population. To evaluate the effect of gestational anemia on perinatal outcome in the population. The aim of present study is to evaluate the effect of gestational anemia on perinatal outcome in the population of Hyderabad, Sindh, Pakistan. METHODS: A cross-sectional comparative analysis was conducted among pregnant mothers who were listed to give birth at Liaquat University of medical and health sciences Jamshoro/Hyderabad during the period of September 2018 to September 2019. The study population 400 were selected by convenient random sampling, and grouped into 2 on the basis of their Hb levels, with Hb < 11 gm% they were classified as anemic mothers, Hb ≥ 11 gm% were termed as non-anemic mothers, data was collected on the preformed questionnaire, and was analyzed on SPSS 21. RESULTS: The prevalence of anemia was 51.5% in in total population out of which, the incidence of normocytic normochromic anemia was highest 52.4 %microcytic hypochromic anemia was found in 19.4%, Overall, extremely low Apgar was found in 53 anemics, and 8 non. anemic mother's infants, LBW incidence was 47.5 %; in anemic mothers, and 15.4 % in non-anemic group, the term, small for gestational age infants were 14.5% in anemic mothers, and 3.6% in non-anemic mothers, there were 36 preterm births to anemic mothers and 10 in non-anemic mothers. The incidence of caesarian section is 53.3% in anemic mothers compared to 30.9% in non-anemic mothers. CONCLUSIONS: Anemia in pregnancy significantly increases risks of low Apgar, LBW, term SGA, preterm birth, and an increase incidence of caesarian section.
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Introduction Pakistan has the third-highest incidence of maternal, fetal, and child mortality, according to a recent systemic analysis of global mortality. Thirty-four percent of maternal deaths are attributed to eclampsia among those who are admitted into tertiary care hospitals in Pakistan for delivery. In this study, we determine the risk factors associated with pre-eclampsia and eclampsia in the rural city of Sukkur, Pakistan. Methods and materials In this prospective observational study, a semi-structured questionnaire was developed to record information about maternal age, education status, parity, the status of chronic hypertension, gestational diabetes, anemia, body mass index (BMI), and history of cardiac disease of all women attending the antenatal clinic. Women diagnosed with pre-eclampsia and eclampsia were placed in a group, and their characteristics were compared with women with any pre-eclampsia and eclampsia. Results The incidence of pre-eclampsia and eclampsia was 5.6% (n=112/2212). Identified risk factors for pre-eclampsia and eclampsia included hypertension (28.7%), gestational diabetes (25.9%), anemia (14.9%), maternal age > 35 years (9.3%), BMI greater than 30 kg/m2 (8.1%) and 35 kg/m2 (11.7%), nulliparity (6.5%), unbooked status (i.e., lack of antenatal care; 6.4%), and low education level (5.8%). Conclusion It is important to identify the markers for pre-eclampsia and eclampsia, as they will help physicians and caregivers to reduce maternal and fetal mortality and the complications associated with it.
