Evaluation of Anemia and Hematological Parameters in Antenatal
Keywords:
Anemia, Antenatal, Hematological, Pregnancy
Abstract
Background: Anemia is one of the most commonly encountered medical disorders during pregnancy. The haematological profile have both an impact on pregnancy as well as its outcome. The hematologic status in a pregnant woman can be evaluated by measuring different blood indices such as haemoglobin concentration, packed cell volume (PCV), red blood cell count, total WBC count etc. The present study was undertaken to monitor haematological parameters during antenatal visits and the ability to predict and /or improve pregnancy outcome, with the help of hematological parameters. Methods: The present study is a cross sectional study comprising of 173 pregnant females attending the antenatal care of the Department of Obstetric and Gynaecology Result: Among the 173 pregnant females, majority 44.50% had mild anemia with hemoglobin levels between 10-10.9gm/dl while moderate anaemia was seen in 42.19% of patients. However severe anemia was seen in 13.29% patients. Conclusion: The hematological status in pregnant women can be evaluated by measuring different hematological parameters and indices. RBC count is one of the important indications of anemia and indices like MCV, MCH, MCHC provide information about the hemoglobin content and size of blood cells which are useful in typing of anemia. The need of the hour is to monitor the various hematological parameters during pregnancy as anemia has very deleterious effects on both mother and fetus and is an easily preventable cause.References
1. Shen C, Jiang YM, Shi H, Liu JH, Zhou WJ, Dai QK, Yang H. A prospective, sequential,
and longitudinal study of haematological profile during normal pregnancy in Chinese
women. J Obstet Gynaecol. 2010;30:357–61.
2. Chaudhari SJ, Bodat RK. Tracking Of Haematological Parameters In First And Second Trimester Of Pregnancy. NJMR 2015;5:259-61
3. Das S, Char D, Sarkar S, Saha TK, Biswas S. Study of Hematological Parameters in Pregnancy JDMS 2013;12:42-4.
4. UNICEF and Micronutrient Initiative. Vitamin and mineral deficiency: a global progress report March 2004.
5. Focussing on anemia: Towards an integrated approach for effective anemia control. Joint statement by the world Health Organization and the United National Children’s Fund. World Health Organization..2004, anaemia statement.pdf. May 10, 2007
6. World Health Organization .The prevalence of anemia in women: A Tabulation of Available Information; second edition .Geneva: WHO, 1992. (WHO/MCH/MSM/92.2).
7. World Health Organization .The prevalence of anemia in women: A Tabulation of Available Information; second edition .Geneva: WHO, 1992. (WHO/MCH/MSM/92.2).
8. Centers for disease Control ,Criteria for anemia in children and childbearing aged women .MMWR 1989;38:400-4.
9. Sharma P, Nagar R. Hematological profile of anemic pregnant women attending antenatal hospital. IOSR Journal of Nursing and Health Science 2013; 1:11-15.
10. Suryanarayana R, Santhuram AN, Chandrappa M, Shivajirao P, Rangappa SS. Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health 2016;5:454-58.
11. Ahmad N, Kalakoti P, Bano R, Syed MMA. The prevalence of anemia and associated factors in pregnant women in rural Indian community. Australas Med J 2010;3:276–80.
12. WHO, Iron deficiency anemia: assessment, prevention and control .WHO/NHD/ 01.3,Geneva.2001.
13. Sharma JB, Shankar M. Anemia in Pregnancy. JIMSA 2010;23:253-60.
14. Lund CJ, Donovan JC. Blood volume during pregnancy. Significance of plasma and red cell volumes. Am J Obstet Gynecol. 1967;98(3): 394–403.
15. Singh P, Singh S, Topesh. Hematological parameters in anaemic pregnant women attending the antenatal clinic of tertiary care hospital. Int J Res Health Sci [Internet]. 2014; 31;2:981-6.
16. Shah AR, Patel NDl, Shah MH. Hematological parameters in anaemic pregnant women attending the antenatal clinic of rural teaching hospital. Innovative Journal of Medical and Health Science 2012;70-3.
17. Dhariwal SK, Narang S, Singh A, Nema S. Evaluation of haematological indices, neutrophils and platelets in pregnant women attending tertiary care centre. Indian Journal of Pathology and Oncology, April-June 2016;3;297-304.
18. Sharma J.B. Nutritional anemia during pregnancy in non- industrial countries, Progress in Obst. & Gynae (Studd) 2003;15:103-22.
19. Malhotra M, Sharma JB, Batra S, Sharma S, Murthy NS, Arora R. Maternal and perinatal outcome in varying degrees of anemia. Int J Gynaecol Obstet. 2002;79:93-100.
and longitudinal study of haematological profile during normal pregnancy in Chinese
women. J Obstet Gynaecol. 2010;30:357–61.
2. Chaudhari SJ, Bodat RK. Tracking Of Haematological Parameters In First And Second Trimester Of Pregnancy. NJMR 2015;5:259-61
3. Das S, Char D, Sarkar S, Saha TK, Biswas S. Study of Hematological Parameters in Pregnancy JDMS 2013;12:42-4.
4. UNICEF and Micronutrient Initiative. Vitamin and mineral deficiency: a global progress report March 2004.
5. Focussing on anemia: Towards an integrated approach for effective anemia control. Joint statement by the world Health Organization and the United National Children’s Fund. World Health Organization..2004, anaemia statement.pdf. May 10, 2007
6. World Health Organization .The prevalence of anemia in women: A Tabulation of Available Information; second edition .Geneva: WHO, 1992. (WHO/MCH/MSM/92.2).
7. World Health Organization .The prevalence of anemia in women: A Tabulation of Available Information; second edition .Geneva: WHO, 1992. (WHO/MCH/MSM/92.2).
8. Centers for disease Control ,Criteria for anemia in children and childbearing aged women .MMWR 1989;38:400-4.
9. Sharma P, Nagar R. Hematological profile of anemic pregnant women attending antenatal hospital. IOSR Journal of Nursing and Health Science 2013; 1:11-15.
10. Suryanarayana R, Santhuram AN, Chandrappa M, Shivajirao P, Rangappa SS. Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health 2016;5:454-58.
11. Ahmad N, Kalakoti P, Bano R, Syed MMA. The prevalence of anemia and associated factors in pregnant women in rural Indian community. Australas Med J 2010;3:276–80.
12. WHO, Iron deficiency anemia: assessment, prevention and control .WHO/NHD/ 01.3,Geneva.2001.
13. Sharma JB, Shankar M. Anemia in Pregnancy. JIMSA 2010;23:253-60.
14. Lund CJ, Donovan JC. Blood volume during pregnancy. Significance of plasma and red cell volumes. Am J Obstet Gynecol. 1967;98(3): 394–403.
15. Singh P, Singh S, Topesh. Hematological parameters in anaemic pregnant women attending the antenatal clinic of tertiary care hospital. Int J Res Health Sci [Internet]. 2014; 31;2:981-6.
16. Shah AR, Patel NDl, Shah MH. Hematological parameters in anaemic pregnant women attending the antenatal clinic of rural teaching hospital. Innovative Journal of Medical and Health Science 2012;70-3.
17. Dhariwal SK, Narang S, Singh A, Nema S. Evaluation of haematological indices, neutrophils and platelets in pregnant women attending tertiary care centre. Indian Journal of Pathology and Oncology, April-June 2016;3;297-304.
18. Sharma J.B. Nutritional anemia during pregnancy in non- industrial countries, Progress in Obst. & Gynae (Studd) 2003;15:103-22.
19. Malhotra M, Sharma JB, Batra S, Sharma S, Murthy NS, Arora R. Maternal and perinatal outcome in varying degrees of anemia. Int J Gynaecol Obstet. 2002;79:93-100.
Published
2018-08-27
Issue
Section
Original Article
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
