Prevalence of anemia in pregnant women and its impact on SNCU outcome
Abstract
Introduction: For India to reach sustainable development goal neonatal mortality should be decreased by half in the next 12 years. The present study was aimed to observe the prevalence of anemia in the mothers whose babies are admitted in our SNCU and its impact on neonatal mortality.
Aims: 1. To study the prevalence and severity of anemia among mothers of babies who are admitted in Special New Born Care Unit (SNCU), district hospital, Vizianagaram. 2. To study the effect of maternal anemia on outcome of babies admitted into SNCU.
Methods: It is a retrospective analytical study, conducted in the department of SNCU, District hospital, Vizianagaram, Andhra Pradesh, India. The 3-year data regarding mother’s hemoglobin concentration and neonatal outcome in the form of discharges, referrals and deaths was analysed irrespective of the reason for admission and the diagnosis. The data was collected from April 2016 to March 2019 retrospectively from the SNCU records. This study was done to assess the prevalence of anemia; a preventable cause of neonatal morbidity and mortality and its impact on outcome of neonates admitted into our SNCU irrespective of the reason for admission and the diagnosis.
Results: A total number of 7627 babies were admitted in SNCU, with various conditions in the above mentioned 3yr period. Out of which hemoglobin value was available for 6558 mothers. The hemoglobin data of these 6558 mothers and the outcome of their babies irrespective of their diagnosis and the reason for admission was analysed. Anemia was found in 5076(95%) mothers. Severe anemia (Hb: 4-6.9gm%) was found in 27(0.4%) mothers and it was significantly associated with increased referrals and neonatal deaths. whereas mild and moderate anemia didn’t have much impact on the SNCU outcome.
Conclusion: Severe maternal anemia is a significant, independent and preventable risk factor for neonatal mortality.
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References
2. Lone FW, Qureshi RN, Emanuel F. Maternal anemia and its impact on peri-natal outcome.Trop Med Int Health. 2004; 9(4):486–90. doi:10.1111/j. 1365-3156. 2004. 01222.x
3. Stangret A, Wnuk A, Szewczyk G, Pyzlak M, Szukiewicz D. Maternal hemoglobin concentration and hematocrit values may affect fetus development by influencing placental angiogenesis.J. Matern. Fetal Neonatal Med. 2017;30(2):199–204. doi: 10.3109/ 1476 7058. 2016.1168395.
4. World Health Organization. Worldwide prevalence of anemia 1993-2005: WHO global data base on anaemia. http://whqlibdoc.who.int/publications/ 2008/ 9789241596657_eng.pdf.
5. Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet. 2011;378(9809): 2123-2135. doi: 10.1016/S0140-6736(10)62304-5
6. Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women from 1995–2011: a systematic analysis of population-representative data. Lancet Glob Health. 2013;1(1):e16-e25. doi: 10.1016/ S2214-109X (13)70001-9. Epub 2013 Jun 25.
7. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public Health Nutr. 2009;12(4):444-454. doi: 10.1017/S1368980008002401. Epub 2008 May 23.
8. Bora R, Sable C, Wolfson J, Boro K, Rao R. Prevalence of anemia in pregnant women and its effect on neonatal outcomes in Northeast India. J Matern Fetal Neonatal Med. 2014;27(9):887-891. doi:10.3109 /14767 058.2013.845161
9. Manju Merina Bara, Manjula Srivastava, Annie Samuel. Prevalence of anemia in pregnancy: A retrospective study at Tertiary care hospital in Jharkhand, India IOSR J Dent Med Sci. 2018;17(4):25-28.
10. Rajamouli J, Ravinder A, SCK Reddy, Sujatha Pambi. Prevalence of anemia among pregnant women. Int J Contemp Res. 2016;3(8):2388-2391.
11. Haritha P, Lakshmi V, Veerraju P., Sarkar. B.N, Rao VR. Prevalence of Hemoglobinopathies among the Konda Kammaras of Visakhapatnam District, Andhra Pradesh. J Pharma Biol Sci .2012;2(4):6-8.
12. Kumar KJ, Asha N, Murthy DS, Sujatha MS, Manjunath VG. Maternal Anemia in Various Trimesters and its Effect on Newborn Weight and Maturity: An Observational Study.Int J Prev Med. 2013;4(2):193-199
13. Parks S, Hoffman MK, Goudar SS, Patel A, Saleem S, Ali SA et al. Maternal anemia and maternal, fetal, and neonatal outcomes in a prospective cohort study in India and Pakistan. BJOG. 2018;126(6). doi: 10.1111/ 1471-0528.15585.
14. Stephen G, Mgongo M, Hashim MH, Katanga J, Pedersen BS, Msuya SE,. Anemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia 2018. https:// doi.org/10.1155/2018/1846280
15. Zhang Q, Ananth CV, Rhoads GG, Li Z. The impact of maternal anemia on perinatal mortality: a population-based, prospective cohort study in China. Ann Epidemiol 2009; 19(11): 793-799. doi: 0.1016/j. annepidem. 2009.06.002.
16. Rahman MM, Abe SK, Rahman MS, Kanda M, Narita S, Bilano V, Ota E, Gilmour S, Shibuya K. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. Am J Clin Nutrit 2016; 103: 495–504. doi: 10.3945/ajcn.115.107896. Epub 2016 Jan 6.
17.Rani KU, Gupta J, Gupta R, Aggarwal KC. Maternal anemia and its severity: an independent risk factor for preterm delivery and adverse neonatal outcome. IJRCOG 2014;3(2):325-329. doi: 10.5455/ 2320- 1770. ijrcog20140607
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