IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME

Objective: To determine association between maternal anemia and poor perinatal outcome. Study Design: Cohort study. Place and Duration of Study: Department of Gynaecology and Obstetrics, PNS Shifa Karachi, from Apr 2017 to Sep 2017. Material and Methods: A total of 643 women fulfilled the i...

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Autores principales: Rabiah Anwar, Kashif Razzaq, Nusrat Noor
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2019
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Acceso en línea:https://doaj.org/article/313dc14670e048f78959fc2a19c14826
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spelling oai:doaj.org-article:313dc14670e048f78959fc2a19c148262021-11-15T02:44:21ZIMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME0030-96482411-8842https://doaj.org/article/313dc14670e048f78959fc2a19c148262019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2762/2167https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine association between maternal anemia and poor perinatal outcome. Study Design: Cohort study. Place and Duration of Study: Department of Gynaecology and Obstetrics, PNS Shifa Karachi, from Apr 2017 to Sep 2017. Material and Methods: A total of 643 women fulfilled the inclusion criteria. Of these, 342 women were anaemic (haemoglobin <11g/dl in labor and on two previous occasions in current pregnancy) and were labeled as group A. A total of 301 women had haemoglobin >11g/dl at all times during pregnancy and were labeled as non-anaemic group B. Perinatal outcomes included preterm delivery, low birth weight (LBW) at delivery, intrauterine growth restriction, APGAR score at 1 and 5 min, intrauterine fetal death (IUD) were calculated and compared among the two groups. Results: There were 229 (66.9%) cases of preterm delivery in group A compared to 44 (14.66%) in group B. Low birth weight (LBW) was observed in 124 (36.2%) cases in anaemic group and in 44 (14.6%) cases in non-anemic group B. There were 5 (1.4%) cases of stillbirth in anemic group as compared to 2 (0.66%) in non anemic women. In group A, new born of 109 (31.8%) cases showed Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score <5 at 1 minute compared to 14 (4.6%) cases in other group. Similarly, the score <7 at 5 minutes was observed in 70 (20.4%) deliveries in group A and 12 (3.98%) in group B. Conclusion: Low maternal haemoglobin levels are associated with increased risk of preterm delivery, LBW babies, APGAR score <5 at 1 min and IUD.Rabiah AnwarKashif RazzaqNusrat NoorArmy Medical College Rawalpindiarticleanaemiaapgar scorepreterm deliverylow birth weightstillbirthMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 397-402 (2019)
institution DOAJ
collection DOAJ
language EN
topic anaemia
apgar score
preterm delivery
low birth weight
stillbirth
Medicine
R
Medicine (General)
R5-920
spellingShingle anaemia
apgar score
preterm delivery
low birth weight
stillbirth
Medicine
R
Medicine (General)
R5-920
Rabiah Anwar
Kashif Razzaq
Nusrat Noor
IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
description Objective: To determine association between maternal anemia and poor perinatal outcome. Study Design: Cohort study. Place and Duration of Study: Department of Gynaecology and Obstetrics, PNS Shifa Karachi, from Apr 2017 to Sep 2017. Material and Methods: A total of 643 women fulfilled the inclusion criteria. Of these, 342 women were anaemic (haemoglobin <11g/dl in labor and on two previous occasions in current pregnancy) and were labeled as group A. A total of 301 women had haemoglobin >11g/dl at all times during pregnancy and were labeled as non-anaemic group B. Perinatal outcomes included preterm delivery, low birth weight (LBW) at delivery, intrauterine growth restriction, APGAR score at 1 and 5 min, intrauterine fetal death (IUD) were calculated and compared among the two groups. Results: There were 229 (66.9%) cases of preterm delivery in group A compared to 44 (14.66%) in group B. Low birth weight (LBW) was observed in 124 (36.2%) cases in anaemic group and in 44 (14.6%) cases in non-anemic group B. There were 5 (1.4%) cases of stillbirth in anemic group as compared to 2 (0.66%) in non anemic women. In group A, new born of 109 (31.8%) cases showed Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score <5 at 1 minute compared to 14 (4.6%) cases in other group. Similarly, the score <7 at 5 minutes was observed in 70 (20.4%) deliveries in group A and 12 (3.98%) in group B. Conclusion: Low maternal haemoglobin levels are associated with increased risk of preterm delivery, LBW babies, APGAR score <5 at 1 min and IUD.
format article
author Rabiah Anwar
Kashif Razzaq
Nusrat Noor
author_facet Rabiah Anwar
Kashif Razzaq
Nusrat Noor
author_sort Rabiah Anwar
title IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
title_short IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
title_full IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
title_fullStr IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
title_full_unstemmed IMPACT OF MATERNAL ANEMIA ON PERINATAL OUTCOME
title_sort impact of maternal anemia on perinatal outcome
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/313dc14670e048f78959fc2a19c14826
work_keys_str_mv AT rabiahanwar impactofmaternalanemiaonperinataloutcome
AT kashifrazzaq impactofmaternalanemiaonperinataloutcome
AT nusratnoor impactofmaternalanemiaonperinataloutcome
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