ANEMIC PATIENTS

RELATIONSHIP OF FREQUENCY AND SEVERITY OF IRON DEFICIENCY ANEMIA WITH PRETERM LABOR AND EVENTUAL PERINATAL OUTCOME Tayyaba Majeed1, Rabia Adnan2, Zahid

Abstract

Pregnant women are particularly considered to be the most vulnerable group
because of the additional demands that are made on maternal stores during pregnancy. The
iron deficiency anemia is the most common nutritional deficiency problems in females and is
responsible of high maternal death rate in our society. Objectives: To determine the relationship
of frequency and severity of iron deficiency anemia to preterm labor and eventual perinatal
out come in anemic patients. Study Design: It was a case control study. Study Setting: In
Obstetrics and Gynecology Unit-III, Sir Ganga Ram hospital, Lahore from July 2012 to June
2013. Methodology: The study was conducted on 200 patients (100 cases and 100 controls)
were studied. Cases were patients admitted in labor room with preterm labor and Controls
were females in labor at term at. Convenience sampling was done. On admission relevant
history taking examination and investigation were done. The data was collected on a Performa.
Results: There were 50 patients with anemia amongst the patients with preterm labor. In the
control group, 40 patients were suffering from anemia. In the patients with preterm labor the
mean hemoglobin was 9.83 grams/deciliter. In the control group the mean hemoglobin was
10.3gm/dl. (Pregnant women having hemoglobin <10gm/dl are considered to be anemic). The
odds ratio was calculated to be 3.4 and P value was <0.05. Conclusions: Iron deficiency
anemia was associated with increased risk for low birth weight, preterm delivery, and perinatal
mortality. The frequency of iron-deficiency anemia was seen in both groups of pregnant women.