RESUMEN
To evaluate the effect of maternal anemia on perinatal outcome. Cohort study Department of Obstetrics and Gynecology, Liaquat University Hospital Sindh Pakistan from March 2007 to December 2007. A total number of 1012 women were delivered during the study period. All singleton pregnant women who attended the out patient department before 18 weeks of gestation were included while women with multiple pregnancies, past history of preterm delivery and medical illness except anemia were excluded from the study. Relative risk and a 95% confidence interval were calculated through. Demographic and socioeconomic features of both groups were compared by Chi-Squared test using SPSS 17. A p-value of or less than 0.05 was considered as significant. A total of 818 women fulfilled the inclusion criteria, 407 in anemia group and 411 in non-anemic group. Hemoglobin range of anemic group was from 5 to 10 gram/dl. While in non anemic group hemoglobin ranges from 11 to 13gram/dl [mean11.87 +/- 0.54]. Risk of premature birth and low birth weight among anemic women was 3.92 and 2.2 times more than nonanemic women, which was statistically significant. Risk of IUGR was 2.2 times greater in anemia than non-anemic group. However this was statistically significant. Our study shows that risk of preterm delivery and low birth weight were greater in anemic group than non anemic group, which was statistically significant. Preconceptional evaluation along with planned pregnancy is important in decreasing the frequency of maternal anemia and its effect on fetus and newborn
RESUMEN
The purpose of our study was to find the outcome, frequency, maternal morbidity and perinatal outcome due to eclampsia in our set up. Descriptive study. This study was conducted in the department of obstetrics and gynae from 1st January 2007 to 1st January 2008 in Gynecology and obstetric department: unit 1 of Liaquat University hospital Hyderabad. Total 39 patients who had eclampsia were included in this study while other obstetric patients who had no eclampsia were excluded from the study After an informed consent information was recorded on predesigned proforma regarding maternal age, parity, duration of pregnancy, B.P at admission mode of delivery maternal morbidity and perinatal outcome. Results were analyzed through computer software programme SPSS version 11 and percentages were used to describe the data. Total 1415 deliveries were conducted during the study period. Out of these 39 patients had eclampsia. So the frequency of eclampsia was 2.7% Majority of patients i.e. 15 [38.4%] were less than 20 years. Out of 39 patients 32 [82.0%] patients were primigravida while 4 [10.2%] were multigravida and 3 [7.6%] patients were grandmultigravida. Majority of the patients i.e. 28 [71.7%] were unbooked. 18 [46.1%] patients had fit during antenatal period 14 [35.8%] patients had fit in postpartum period one case with eclampsia was received on 6th postnatal day. Serious maternal morbidity was pulmonary edema seen in 6 [15.3%] HELLP Syndrome in 3 [7.6%] and acute renal failure in 4 [10.2%] patients. Regarding perinatal outcome 28 [71.7%] babies were born alive out of these 11 [39.2%] were died in early neonatal period 8 [20.5%] babies born, were still birth while 3 [7.6%] were macerated IUD. In our study majority of patients who developed eclampsia were young and primigravida Major maternal morbidity was pulmonary edema chest infection and acute renal failure. Perinatal mortality was also high