Study of hematological parameters in anemia in pregnancy
Abstract
Background: To evaluate the major hematological parameters and morphological typing in anemic pregnant females and correlation of the above findings with the trimester and gravid status of the patient.
Material and Methods: This study was conducted on 250 pregnant women attending antenatal OPD having hemoglobin level less than 11 gm/dl in 1st and 3rd trimesters and less than 10.5 gm/dl in the 2nd trimester. Age, gravida, trimester, educational status of each pregnant subject was noted as well as grading and morphological typing of anemia was done.
Results: Maximum number of cases were found in age group of 21-30 years i.e. 79.2% (198 cases out of 250 cases). Maximum number of cases of anemic pregnant subjects were primigravidae i.e. 42%. Highest percentage of anemia was in third trimester i.e. 52.4% (131 out of 250 cases). Among all morphological types microcytic hypochromic anemia was most predominant i.e. 89.2%. Moderate anemia was the predominant grade of anemia i.e. 67.6% (169 out of 250). On correlating age group with grade of anemia, moderate anemia was found to be predominant among all age groups. Out of 169 cases of moderate anemia, 74 cases (43.8%) were in 21-25 age group.
Conclusion: All the four factors i.e. age, gravida, trimester and educational status were correlated with grade and morphological type of anemia. Microcytic hypochromic anemia was the predominant morphological type of anemia in all age ranges, all gravidae and all trimesters. There was statistically significant association between age and morphological type of anemia.
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References
2. Salhan S, Tripathi V, Singh R, Gaikwad HS. Evaluation of hematological parameters in partial exchange and packed cell transfusion in treatment of severe anemia in pregnancy. Anemia. 2012;2012.
3. Elgari M. Evaluation of hematological parameters of Sudanese pregnant women attending at Omdurman Al Saudi maternity hospital. Acad. J. Biolog. Sci. 2013;5(1):37-42.
4. Das S, Char D, Sarkar S, Saha TK, Biswas S. Study of hematological parameters in pregnancy. IOSR J Dent Med Sci. 2013;12(1):42-44.
5. Sifakis S, Pharmakides G. Anemia in pregnancy. Ann N Y Acad Sci. 2000;900(1):125-136. doi: 10.1111/j.1749-6632.2000.tb06223.x.
6. Osonuga IO, Osonuga OA, Onadeko AA, Osonuga A, Osonuga AA. Hematological profile of pregnant women in southwest of Nigeria. Asian Pac J Trop Dis. 2011;1(3):232-234. doi: 10.1016/S2221-1691(12)60083-5.
7. van den Broek NR, Letsky EA, White SA, Shenkin A. Iron status in pregnant women: which measurements are valid? Br J Haematol. 1998;103(3):817-824. doi: 10.1046/j.1365-2141.1998.01035.x.
8. Idowu OA, Mafiana CF, Dapo S. Anaemia in pregnancy: a survey of pregnant women in Abeokuta, Nigeria. Afr Health Sci. 2005;5(4):295-299. doi: 10.5555/afhs.2005.5.4.295.
9. Lokare PO, Karanjekar VD, Gattani PL, Kulkarni AP. A study of prevalence of anemia and sociodemographic factors associated with anemia among pregnant women in Aurangabad city, India. Ann Nig Med. 2012;6(1):30-34. doi: 10.4103/0331-3131.100213.
10. Gautam VP, Bansal Y, Taneja DK, Saha R. Prevalence of anemia amongst pregnant women and its sociodemographic associates in a rural area of Delhi. Indian J Community Med. 2002;27(4):10-12.
11. Ahmad N, Kalakoti P, Bano R, Aarif SM. The prevalence of anaemia and associated factors in pregnant women in a rural Indian community. Australasian Medical J. 2010;3(5):276-280. doi: 10.4066/AMJ.2010.286.
12. Khan H, Khan K, Raziq F, Naseem A. Iron deficiency anemia; red cell distribution width (RDW) and red cell indices in the prediction of among healthy women in third trimester of pregnancy. Profes Med J. 2014;21(01):100-105.
13. Sultana F, Ara G, Akbar T, Sultana R. Knowledge about Anemia among Pregnant Women in Tertiary Hospital. Medicine Today. 2019;31(2):105-110. doi: https://doi.org/10.3329/medtoday.v31i2.41962.
14. Kurhade GA, Khanorkar SV, Puranik BM, Kher JR, Patwardhan SA, Agrawal S. Serum level of iron and transferrin in pregnancy and postpartum period. Indian J Physiol Pharmacol. 1994;38(1):34-38.
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