A PROSPECTIVE CLINICAL RESEARCH ASSESSING THE FREQUENCY OF SEVERE ANAEMIA AND RELATED FETO-MATERNAL OUTCOMES IN WOMEN REFERRED FOR LABOUR

Abstract

ABSTRACT

Background: Pregnant women are more likely to have anaemia due to a number of factors, including close spacing

between pregnancies, multiparity, inadequate prenatal care, poor socioeconomic position, ignorance, and illiteracy. Aim: The purpose of this study was to determine the prevalence of severe anaemia in pregnant women with haemoglobin levels below 7% and to evaluate the effects of this anaemia on the foetus after birth. Methods: Anaemia was assessed in a sample of one thousand pregnant participants. The feto-maternal outcomes of the pregnant females with a Hb% of less than 7g% during labour were assessed.

Results: Among the subjects with severe anaemia, 2.46% (n=2), 2.46% (n=2), 8.64% (n=7), 7.40% (n=6), 2.46% (n=2), and 7.40% (n=6) experienced wound gaping, episiotomy, lactation failure, sepsis, and pyrexia, respectively. Among the subjects with very severe anaemia, the rates were 12.12% (n=4), 3.03% (n=1), 15.15% (n=5), 18.18% (n=6), 6.06% (n=2), and 9.09% (n=3). 3.03% (n=1) of the subjects with extremely severe anaemia died. In 27.16% (n=22) of the participants with severe anaemia and 45.45% (n=15) of the subjects with very severe anaemia, morbidity was seen. The research individuals' foetal outcomes were also assessed. In 7.40% (n=6) of the patients with severe anaemia and 6.06% (n=2) of the cases with very severe anaemia, low birth weight was observed.

For individuals with severe anaemia, the rates of neonatal death and morbidity were 1.23% (n = 1) and 13.58% (n = 11), respectively, and for those with very severe anaemia, the rates were 6.06% (n = 2) and 24.24% (n = 8). Birthaplasia was seen in 1.23% (n=1) and 3.03% (n=1) of the subjects with severe and very severe anaemia, respectively, sepsis in 1.23% (n=1) and 3.03% (n=1) of the subjects with severe and very severe anaemia, and IUGR in 1.23% (n=1) of the subjects with severe anaemia in the current research.

Conclusion: The current study comes to the conclusion that active participation from a range of governmental and non-governmental organisations can aid in the provision of inexpensive  and easily available prenatal care as well as nutritional support to enhance the outcomes for foetuses.