Study to Feto-Maternal Outcome in Patients of Moderate and Severe Anemia in Pregnancy

Abstract

Background: Anemia during pregnancy is one of Bangladesh's most significant and pervasive public health challenges. It is one of the most common reasons of a poor fetal outcome during pregnancy. Objective: To observe the feto-maternal outcome in pregnant women with moderate to severe anemia. Materials and Methods: This study was carried out in 250 bedded General Hospital, Naogaon during 01 January 2021 to 31 December 2021. It consisted of a study 100 anemic pregnant women who had delivered in our hospital included in this study. Anemia was defined according to WHO classification (mild: 10 - 10.9 gm/dl, moderate: 7 - 9.9 gm/dl, severe: < 7 gm/dl). The threshold of significance was set at p value <0.05. Results: In moderate anemia, (77.6%) patients got prenatal care; whereas in severe anemia, (48.5%) patients received antenatal treatment. This resulted in a statistically significant (p0.05) result. Severe anemia is more common in babies weighing less than 1.5 kg at birth. Preterm delivery neonates were reported to have moderate anemia (15.7%) and severe anemia (19.7%). Eleven (16.4%) newborns were found to have moderate anemia (APGAR score of 7 at 1 minute) and 12 (37.5%) were found to have severe anemia (APGAR score of 7 at 1 minute), which were significant statistically (p0.05). Conclusion: Severe anemia has received less prenatal care; severe anemia is more likely in kids weighing less than 1.5 kg at birth; preterm delivery; Low APGAR score.