Sumanlata Sahu, Deepa Rani, Shikha Sachan, Priyanka Agrawal, Lalit Prashant Meena

CLINICO-HEMATOLOGICAL EVALUATION OF ANEMIA IN PREGNANT WOMEN

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Background- According to the WHO, the prevalence of anaemia in pregnant women in developed countries is 14%; in developing countries, it is 51%; and in India, it varies from 65% to 75%. To study the complete clinico-haematologi Aims- cal prole of pregnant anaemic women in different trimester, analyse the characteristics of various types of anaemia, predict the role of Mentzer index for differentiating iron deciency anemia and to screen for cases of thalassemia in eastern Uttar Pradesh. This was Methods: a prospective observational study conducted on 200 pregnant anaemic women. Blood samples were taken in an EDTA vial for a complete blood count, screening for thalassemia, and peripheral blood smears were examined along with their complete clinical and obstetric history. Out of Results: 200 cases of anaemia, 44% of patients have normocytic normochromic anaemia and 31% have microcytic hypochromic anaemia. The sensitivity and specicity of Mentzer index for iron deciency anemia in our study was 98.25% and 16.67%. The risk factors for anaemia noted in this study are low social and economic status, low occupational status, low educational status, and demographic status. In this study, anaemia was more commonly found in the third trimester of pregnancy. Conclusions: With improved social and economic conditions, early detection, good antenatal care, awareness regarding available treatment, a healthy diet, routine antenatal counselling, and adequate iron supplementation, anaemia in pregnancy can be avoided.

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