1Assistant Professor, Dept. of Obstetrics & Gynecology, G.R. Medical College, Gwalior
2Ex Prof & Head, Dept. of Obstetrics & Gynecology, G.R. Medical College, Gwalior
3Ex Resident, Dept. of Obstetrics & Gynecology, G.R. Medical College, Gwalior
*Corresponding Author: E-mail: drswati.agrawal@gmail.com
Online published on 18 December, 2015.
To determine different grades of anaemia, observe the effect of I/V sucrose in anaemic patients at different age groups, and to observe the combined effect of I/V iron sucrose and blood transfusion in anaemic patients to find out the impact of antenatal visits in improvement of anaemia in pregnant women presenting at Department of Obstetrics and Gynecology at Kamla Raja Hospital, Gwalior from 2007–2009.
50 antenatal primipara patients’ with anaemia having haemoglobin (Hb) <11 gm/dl in third trimester were
included in the study. Distribution of cases according to grading of anaemia and socioeconomic condition (SE) was calculated in to moderate (7 to10.9 gm/dL), severe (4 to 6.9 gm/dL) and very severe (<4 gm/dL) and SE status from I to V was tabled according to BGP Classification. Impact of antenatal visit was also tabled in to no antenatal, ≤2 antenatal visit and ≤3 antenatal visit. Blood smear was analysed for most common type of anaemia in study population. Intravenous route was used to administer iron sucrose.
The present study showed that moderate anaemia (76%) was more common among population. It was also found that incidence of anaemia was more common in illiterate (64%) and with SE status class IV (44%) patients. The most common predisposing factors for anaemia as shown by the present study were worm infestation (16%), malaria (14%), puberty menorrhagia (10%) and TB (6%). It was also observed that out of 50 patients, 44 (88%) had ≤ 2 antenatal visits. Present study also showed that microcyte hypochromic anaemia (72%) was most common followed by dimorphic anaemia among population. Present study did not find any sign of allergic reactions with i/v sucrose.
This study has shown that I/V Iron sucrose is the most effective and rapid therapy to correct anaemia especially in third trimester of pregnancy and in preoperative stage of patients in due time interval. It also decreases the requirement for blood transfusion in preoperative patients and in third pregnancy and correct anaemia rapidly.
Iron sucrose, anaemic pregnant women, iron deficiency anemia
