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Comparative study of hypochromic microcytic anaemia in primigravida and multigravida in interior Sindh
Medical Forum Monthly. 2011; 22 (12): 67-71
in English | IMEMR | ID: emr-122956
ABSTRACT
To evaluate the frequency of hypochromic microcytic anemia commonly due to iron deficiency in female primgravida and multigravida patients. This also entails comparing both groups in the context of hemoglobin, MCV and RDW as study tools. Cross sectional analytical study. This study was conducted at the Obstetrics Department, Peoples Medical College Nawabshah from July 2008 to Oct 2008. This cross sectional study was carried out on 200 women [100 primigravida and 100 multigravida] with anaemia in their third trimester of pregnancy attending the Obstetrics Department, Peoples Medical College Nawabshah from July 2008 to Oct 2008. Hemoglobin, MCV and RDW levels were assessed in all cases. Data was analyzed using SPSS and students t test was used for evaluation of significance. Mean Haemoglobin +/- SD in Primigravida [Group A, n=100] and Multigravida [Group B, n=100] were 7.85 +/- 1.33 and 6.26 +/- 1.65 with ranges 3.1-10.9 and 3.2-10.4 gm/dl respectively. Mean MCV +/- SD in Group A and B were 63.95 +/- 4.71 and 62.08 +/- 4.97 with ranges 54.4-73.7 and 48.2 -73.7 fl respectively. Mean Red Cell Distribution Width [RDW, SD] +/- SD in Group A and B of anaemic patients were 19.83 +/- 3.05 and 21.31 +/- 3.32 with ranges 14.0-27.4 and 14.0-29.2 x 10[3] /micro l respectively. The results were significant in both groups. In Interior Sindh both primigravida and multigravida females are at high risk of developing iron deficiency anaemia and more so in multigravida. Aggressive health measures need to be taken to control this major health problem in Interior Sindh in particular and in the country as a whole especially in remote areas by promotion of regular consumption of food rich in iron and folates. The identification and treatment of severely anaemic patients with provision of iron supplement, improving personal hygiene, pure water supply and early antenatal diagnosis and follow up can decrease the prevalence of anaemia in pregnant women nationally and internationally. Need of the days remains the preparation and implementation of national nutrition plan with a special emphasis of controlling iron deficiency anemia during pregnancy
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Index: IMEMR (Eastern Mediterranean) Main subject: Cross-Sectional Studies / Anemia, Iron-Deficiency / Gravidity / Pregnant Women / Anemia Type of study: Prevalence study Limits: Female / Humans Language: English Journal: Med. Forum Mon. Year: 2011

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Index: IMEMR (Eastern Mediterranean) Main subject: Cross-Sectional Studies / Anemia, Iron-Deficiency / Gravidity / Pregnant Women / Anemia Type of study: Prevalence study Limits: Female / Humans Language: English Journal: Med. Forum Mon. Year: 2011