CLINICO PATHOLOGICAL STUDY OF PATTERNS OF ANEMIA DURING PREGNANCY

Abstract

Chamakuri Nirmala1, I. Vijaya Bharathi2, D. S. Arpitha3, B. V. S. Kartheek4, P. Sreevalli5, A. Bhagyalakshmi6

Anemia is defined as haemoglobin level in the blood below the lower extreme of the normal range for the age and sex of the individual. According to WHO, in developing countries the prevalence of anemia among pregnant women averages 60%, ranging between 35 to 100% among different regions of the world. A hemoglobin concentration below 11.0g/dl or packed cell volume (PCV) of less than 33.0% is regarded as anemia during pregnancy by the WHO. It occurs in 40-80% of the pregnant women. Iron and folic acid deficiencies, malaria, intestinal parasitic infections and hemoglobinopathies are the principal causes of anemia in pregnancy. Predisposing factors include young age, grand multiparity, low socioeconomic status, illiteracy, ignorance and short intervals of pregnancy. AIM AND OBJECTIVES: 1. To study various patterns of anemia in pregnant women having haemoglobin level < 11 gm%. 2. To determine the most common pattern of anemia in pregnancy based on red cell morphology. MATERIALS AND METHODS: This study is a prospective study over a period of one year from September 2014 to August 2015 in the department of pathology, Andhra medical college, Visakhapatnam. The study was conducted on 120 pregnant women whose haemoglobin level is <11 gm/dl. All the haemotological parameters & peripheral blood smear stained by Leishman’s stain were evaluated. Complete clinical & obstetric history was recorded. Socioeconomic status was also noted.

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