Incidence of preeclampsia in 200 antenatal anaemic mothers attending a tertiary care refferal centre at the time of admission and maternal mortality in anaemia associated pre eclampsia

Poorana Devi, V (2014) Incidence of preeclampsia in 200 antenatal anaemic mothers attending a tertiary care refferal centre at the time of admission and maternal mortality in anaemia associated pre eclampsia. Masters thesis, Madras Medical College, Chennai.

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Abstract

OBJECTIVES AND BACKGROUND: Anemia during pregnancy is a major public health problem especially in developing countries like India. This prospective study is aimed to find out the incidence of preeclampsia in mild, moderate, and severe anemia and to analyse the synergistic effect of anemia with preeclampsia in pregnancy associated Morbidity and Mortality. METHODS: This prospective observational study was carried out at Govt. KasturbaGandhi Hospital for women and children, Madras medical college, Chennai,during the period of December 2012 to December 2013 on 200 patients. Pregnant women attending the antenatal out patient department and labour ward in Govt.Kasturba Gandhi Hospital with hemoglobin value less than 11gms and after 20 weeks of gestation were selected for the study. After recording the base line data, patients with moderate and severe anemia were advised admission for anemia evaluation and treatment. In these patients the incidence of preeclampsia at the time of admission were calculated. The patients with preeclampsia were admitted for preeclampsia evaluation The selected patients were monitored and followed till delivery. RESULTS: In this study 83% of the patients were in the moderate anemia with Hb 7.to 10 gms. 11% of the patients were in the severe anemia with Hb less than7grams and 6% of the cases were in the mild anemia (Hb 10-11gms). This study was showed the association between anemia and the preeclampsia, anemic patients were more prone to develop preeclampsia due to associated hypo proteinemia. More severe the anemia, greater the chance to get preeclampsia. Incidence of preeclampsia in the study was 18.5%, the p value shows .000 highly significant Incidence of severe preeclampsia was 11.5% and incidence of mild preeclampsia was 7%. Maternal outcome of the study showed that AtonicPPH -6%. Pulmonary edema -1.5%, Death occurred in one case in the studypopulation.Both HELLP and DIVC occurred in one case 0.5%. Abruptio placenta occurred in 1%. Eclampsia occurred in 2% of the cases. CONCLUSION: Anemia during pregnancy is still continues to be a major problem in developing countries with maternal and fetal complications The coexistence of preeclampsia in anemic women’s worsening the situation. In preeclampsia, there was already intravascular volume depletion hence anemia gets masked the patients are not able to cope up even with mild blood loss during delivery. Correct diagnosis and treatment of the underlying cause can improve the maternal outcome. We have to counsel the pregnant mothers during their antenatal checkup regarding the importance of blood pressure monitoring, screening and correction of anemia prior to pregnancy and Iron and folic acid supplementation. The Tenth plan strategies has to be effectively implemented to all pregnant women with anemia to reduce the maternal mortality and morbidity and long term consequences of anemia.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Incidence of preeclampsia ; 200 antenatal anaemic mothers ; tertiary care refferal centre ; maternal mortality ; anaemia associated pre eclampsia.
Subjects: MEDICAL > Obstetrics and Gynaecology
Depositing User: Devi S
Date Deposited: 24 Jun 2018 10:21
Last Modified: 24 Jun 2018 10:23
URI: http://repository-tnmgrmu.ac.in/id/eprint/8595

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