Outcome of Severe Anemia in Pregnancy; Experience at a Tertiary Care Hospital:

Sadia Afzal Randhawa; Shahida Husain  Tarar; Sadaf Zahra  Syed; Mahnoor Ahsan  Bhoon; Jawairiah  Liaqat

doi:10.29054/apmc/2024.1542

Sadia Afzal Randhawa Assistant Professor, Department of Gynecology & Obstetrics, Allama Iqbal Medical College / Jinnah Hospital, Lahore Pakistan
Shahida Husain Tarar Associate Professor, Department of Obstetrics and Gynecology, Nawaz Sharif Medical College, Gujrat, Pakistan
Sadaf Zahra Syed Assistant Professor, Department of Gynecology & Obstetrics, Sir Ganga Ram Hospital, Lahore Pakistan
Mahnoor Ahsan Bhoon House Officer, CMH, Lahore Pakistan
Jawairiah Liaqat Assistant Professor, Department of Obstetrics and Gynecology, Islam Medical College, Sialkot, Pakistan

DOI: https://doi.org/10.29054/apmc/2024.1542

Keywords: Anemia, Maternal outcome, Perinatal outcome, Pregnancy

Abstract

Objective: The study was aimed at observing demographic diversity among pregnant women admitted to the labour room with Hemoglobin of less than 7gm/dl. It also observed perinatal and maternal outcomes and their associated complications. Study Design: Retrospective observational study. Settings: Gynae Unit I, Jinnah Hospital, Lahore Pakistan. Duration: 1^st January 2022 to 30^th June 2022. Methods: It is a retrospective observational study carried out in Gynae Unit I, Jinnah Hospital Lahore in between 1^st January 2022 to 30^th June 2022. All Patients presenting with Hemoglobin less than 7gm/dl and admitted in the Labour room were included in the study, and followed until delivery. A predesigned performa was filled for each of the 63 patients after their consent. Results: During the study period, 2130 deliveries were carried out in the labour room, out of which 63 patients had a recorded level of Hemoglobin below 7gm/dl. The prevalence of severe anemia in our study was 2.9%. Most patients (51) were in the age group 20-35 years. Majority of the patients (45) were un-booked while only 18 were booked patients. 40 patients were in the gestational age group of 34-37 weeks. 30 were gravida 2-5, 25 of parity more than 5 and only 13 primigravida’s. 29 out of 63 patients had no complications while 34 had complications. Conclusion: Severe Anemia is a preventable cause, the focus needs to be on early and proper antenatal check-up’s, early diagnosis, and timely referral from rural and less equipped medical centres to better equipped hospitals.