Open AccessTO ASSESS THE MATERNAL ANAEMIA, INTRA-UTERIAN GROWTH RESTRICTION AND NEONATAL OUTCOME IN TERTIARY CARE HOSPITAL, BIHAR
Author(s) -
Rashmi Kumari,
Ushā Kumārī,
Krishna Sinha
Publication year - 2020
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v4i8.1388
Subject(s) - medicine , obstetrics , low birth weight , intrauterine growth restriction , birth weight , pregnancy , observational study , obstetrics and gynaecology , pediatrics , gestation , anemia , prospective cohort study , genetics , biology
Aim: To assess the maternal anaemia, intra-uterian growth restriction and neonatal outcome.
Materials and methods: a prospective, observational study conducted in Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar India. A total of 240 consecutive clinically suspected cases of IUGR with singleton pregnancies at 34-40 weeks of gestation were included in the study. Their socio-demographic profile and hemoglobin levels were recorded. A descriptive analysis of the data was performed.
Results: Of 240 study subjects with IUGR at 34-40 weeks, 70.4% were anaemic, (48.8% had mild, 20.8% had moderate, 0.83 % had severe anaemia) while 29.6% were not anaemic. Significantly, the ratio of anaemic to non anaemic in antenatal IUGR pregnancies was 2.48:1. A birth weight of less than 2.5 kgs was recorded in 84% of pregnancies with moderate anaemia and 83.8% pregnancies with mild anaemia. Out of the 240 clinically diagnosed cases of IUGR 71.25% (n=171) were from the rural background and 28.75% (n=69) were urban area.
Conclusion: Mild to severe anaemia in IUGR may increase the chances of low birth weight and adverse neonatal outcomes but larger studies with standardized definitions and measurements of exposure outcomes to bring about uniformity are required to determine an accurate assessment of association between low maternal hemoglobin and IUGR