Evaluation of sociodemographic factors and outcome associated with anaemia and its mode of correction in anaemic women (antenatal and non-antenatal) admitted in obstetrics and gynaecology department of tertiary care centre
Manideepa Roy, Geeta Chauhan
Objective: The aim of the study was to evaluate sociodemographic factors and outcome asassociated with anemia and its mode of correction. Materials and methods: A hospital-based cross sectional study of 200 anemic women of all age group was conducted in the department of obstetrics and gynecologyof FAAMCH Barpeta from June 2019 to August 2019. Cases were selected consecutively and data were collected employing the interviewer-administered questionnaireafter obtaining consent from participants. The result was analysed and presented using tables. Descriptive statistics were computed with percentages and proportions, chi square test. Variables with p value < 0.05 were considered statistically significant. Results: A total of 200 anemic women were included in the study. 70% were antenatal cases, 30% non antenatal. Majority of the cases were less than 20 yrs of age. More than 80 cases were married at early age and had 1 child before 20 years of age. Using multivariate analysis, the sociodemographic factors like age, age at marriage, age at first child birth (p<0.0001), illiteracy (p<0.0017), multiparity (p<0.0029) showed a significant association with risk of anaemia (p<0.05). Moderate degree of anaemia mainly found in pregnant women. On the other hand, non pregnant women mostly presented with severe anaemia. Among pregnant women, 47 % of cases are not able to attend a single antenatal visit. Regarding outcome of pregnancy, 22 cases (out of 140 antenatal) associated with prematurity, 64 cases with low birth weight, and 18 cases with early neonatal death. Out of 200 cases, 7 maternal deaths were noted. Most of the women (95%) undergone anaemia correction in which parenteral iron therapy followed by blood transfusion was the main mode of anaemia correction in antenatal cases and blood transfusion in non antenatal cases, (5%) include incomplete or no correction. Conclusion: In our study, sociodemographic factors like age, age at marriage, age at first childbirth, illiteracy, obstetrical data like multiparity, were significantly associated with risk of anaemia (p<0.05). Moderate to severe anaemia was more prevalent. Based on our findings, there is a need of more anaemia awareness programmes and nutritional interventions to prevent fetomaternal complications.