Original Research Paper
TO STUDY THE IMPACT OF ANAEMIA DURING PREGNANCY AND ITS OBSTETRICAL OUTCOME
Anaemia is commonest medical disorder in pregnancy. Anaemia among pregnant women is a serious global health concern. According to World Health Organization (WHO) report, about 32.4 million pregnant women suffer from anaemia worldwide, of which 0.8 million women are severely anaemic. Moreover, 50% cases of anaemia are attributable to iron deficiency anemia (IDA). WHO defines anaemia in pregnant women as haemoglobin level < 11 gm/dl and a hematocrit of < 0.33.Anaemia in postpartum females is defined as Hb less than 10 g/dl by WHO. The FOGSI-WHO has estimated that prevalence of anaemia in developed and developing countries in pregnant women as 14% and 51% respectively and 65-75 per cent in India. The main causes of anaemia in developing countries include: inadequate intake and poor absorption of iron, malaria, hookworm infestation, diarrhea, HIV/AIDS and other infections, genetic disorders (e.g., sickle cell and thalassemia), blood loss during labor and delivery, heavy menstrual blood flow and closely spaced pregnancies. Anaemia is also associated with increased risk of preterm labor (28%), pre-eclampsia(31%) & puerperal sepsis, lactation failure and delayed wound healing. Iron deficiency and anaemia during pregnancy are associated with low birth weight, iugr, preterm delivery, increased perinatal and neonatal mortality, inadequate iron stores for the newborn, increased risk of maternal morbidity and mortality.
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