ANEMIA OF PREGNANCY: A TERTIARY CARE HOSPITAL BASED STUDY ON PREGNANCY SPECIFIC ANXIETY OUTCOMES FROM HYDERABAD, SINDH, PAKISTAN

Abstract

This study aims to investigate the effects of gestational anemia on adverse outcomes of pregnancy specific anxiety at tertiary care hospitals of Hyderabad. The primary focus of the study is to compare different adverse outcomes related to PSA and gestational anemia among pregnant women.A woman's pregnancy is an essential stage of life, but it also carries a higher risk of various difficulties for both the mother and the fetus. Anemia and Pregnancy specific anxiety among developing nation are most rising complications that people deal among such countries including Pakistan, both Anemia and PSA are assumed to be linked to the majority of pregnancy-related bad outcomes, such as greater rates of acute morbidity and mortality in newborns or mothers, low birth weight, fetal impairment, preterm birth, maternal hemorrhage and preeclampsia. The mother's and the child's life could be in danger as a result of these issues.A descriptive and co relational approach was utilized involving sampling that insured the representation accurse different age groups and socio-economic status. In the present study the data is collected at the “Wards of Department of Gynecology & Obstetrics” of LUH Hyderabad. A total of 362 women in their 3rd trimester with singleton pregnancy age 25-38 years have been investigated in this study. Their blood samples have been taken between 8 am to 11 am. Pregnant women with the condition of essential hypertension, women already on anti-hypertensive therapy, not attended regular antenatal care follow-ups, using anti -depression / anti-psychotic, and those who had endocrinological disorders were excluded.

It is accomplished from the collected data. Mean age of the women was 29.12 +/- 4.96 years. Mean serum Cortisol level (nmol/L) was 431.57 +/- 112.14 (nmol/L). Hamilton anxiety scale was used to assess anxiety score, mean score was 19.06+/-11.14. The maximum ratio of the age group was below 30 years (62%) while women age group above 30 years was (38%). In these 362 patients, 235 pregnant women were found anemic (65%). The patients with mild anemia were 28.5%, moderate anemic ware 23% and severe anemic patient were about 13.5%. Patients having pregnancy specific anxiety were as High as 159 (44%). Pregnancy related feto-meternal complications noted are pregnancy induced hypertension (16%), PPH (9%), LBW (31%), APGAR Score <7 (41%), preeclampsia (20%), preterm (13%) and still birth (3.3%) in overall subjects. When we stratified above complication in four distinct groups, The group having both PSA & GA was estimated to have highest numbers & frequencies of complications such as “pregnancy induced hypertension” 43 (34%), “PPH” 23 (18%), “LBW” 75 (60%), “APGAR Score <7” 105 (83%), “Preeclampsia” 47 (37%), “Preterm” 30 (24%) and still birth 8 (6%).

These findings suggest a substantially significant co relation between adverse outcomes of PSA and gestational anemia and it is concluded that complications related to pregnancy are more prevalent in PWs suffering from both GA and PSA so it is suggested that there is higher risk of wellbeing of both mother and fetus if Anemia and anxiety coexist during third trimester of pregnancy.