Hematological Profile of Women in Pregnancy in a Hilly District of Himachal Pradesh
DOI:
https://doi.org/10.47203/IJCH.2020.v32i03.008Keywords:
HematologicalAbstract
Introduction: Anemia during pregnancy is a major public health problem throughout the world, especially in the developing countries. Anemia during pregnancy can lead to morbidity and mortality in mother as well as fetus. Anemia cannot be diagnosed only clinically, several blood tests are required for complete characterization. Aim of the present study was to know the prevalence of anemia during pregnancy in District Solan of Himachal Pradesh, classify its types and determine the effect of pregnancy on hematological parameters in Anemia. Material and Methods:In the present study Hematological parameters of 150 pregnant females in advanced pregnancy (of gestational age 32 to40 weeks) were analyzed and the results were compared with 90 age matched control cases. Results: The pregnant study group exhibited statistically significant lower values of haemoglobin, PCV, MCV, MCHC and lymphocyte and platelets while neutrophil and total WBC counts were significantly elevated. Conclusion: Hematological parameters are a simple and cost effective investigation which can aid in early recognition of anemia during pregnancyand thereby improve the outcome of pregnancy.
Downloads
References
Shah AR, Patel ND, Shah MH. Hematological parameters in anaemic pregnant women attending the antenatal clinic of rural teaching hospital. Innovative Journal of Medical and Health Science 2012 Sep-Oct;2(5):70-3.
De Mayer EM, Tegman A. Prevalence of anemia in the World. World Health Organ Qlty1998;38:302-16.
Nutritional anaemias. Report of a WHO scientific group. Geneva, World Health Organization, 1968. (WHO Technical Report Series, No. 405). Available at http://whqlibdoc.who.int/trs/WHO_TRS_405.pdf
Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ; Comparative Risk Assessment Collaborating Group. Selected major risk factors and global and regional burden of disease. Lancet. 2002 Nov 2;360(9343):1347-60. doi: 10.1016/S0140-6736(02)11403-6. PMID: 12423980.[PubMed].
AbouZahr C, Royston E. Maternal mortality: A global factbook. Geneva: World Health Organisation, 1991.
PRITCHARD JA. CHANGES IN THE BLOOD VOLUME DURING PREGNANCY AND DELIVERY. Anesthesiology. 1965 Jul-Aug;26:393-9. doi: 10.1097/00000542-196507000-00004. PMID: 14313451.[PubMed].
Yip R. Significance of an abnormally low or high hemoglobin concentration during pregnancy: special consideration of iron nutrition. Am J Clin Nutr. 2000 Jul;72(1 Suppl):272S-279S. doi: 10.1093/ajcn/72.1.272S. PMID: 10871593.[PubMed].
Sharma JB, Shankar M. Anemia in Pregnancy. JIMSA 2010 Oct-Dec;23(4):253-60.
World Health Organisation (WHO). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011.Available at http://apps.who.int/iris/bitstream/10665/85839/3/WHO_NMH_NHD_MNM_11.1_eng.pdf?ua=1
Singh P, Singh S, Topesh. Hematological parameters in anaemic pregnant women attending the antenatal clinic of tertiary care hospital. Int J Res Health Sci 2014 Oct 31;2(4):981-6.
Peña-Rosas JP, De-Regil LM, Dowswell T, Viteri FE. Intermittent oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2012 Jul 11;7(7):CD009997. doi: 10.1002/14651858.CD009997. Update in: Cochrane Database Syst Rev. 2015;(10):CD009997. PMID: 22786531; PMCID: PMC4053594.[PubMed]
Seshadri S. Prevalence of micronutrient deficiency particularly of iron, zinc and folic acid in pregnant women in South East Asia. Br J Nutr. 2001 May;85 Suppl 2:S87-92. PMID: 11509095.[PubMed].
Vanderjagt DJ, Brock HS, Melah GS, El-Nafaty AU, Crossey MJ, Glew RH. Nutritional factors associated with anaemia in pregnant women in northern Nigeria. J Health Popul Nutr. 2007 Mar;25(1):75-81. PMID: 17615906; PMCID: PMC3013266.[PubMed].
State Fact Sheet Himachal Pradesh - National Family Health Survey – 4 2015 -16 available from: http://www.rchiips.org/nfhsAccessed July 12, 2020.
Bharati P, Som S, Chakrabarty S, Bharati S, Pal M. Prevalence of anemia and its determinants among nonpregnant and pregnant women in India. Asia Pac J Public Health. 2008;20(4):347-59. doi: 10.1177/1010539508322762. PMID: 19124329.[PubMed].
Das S, Char D, Sarkar S, Saha TK, Biswas S. Study of Hematological Parameters in Pregnancy. IOSR Journal of Dental and Medical Sciences 2013 Nov-Dec;12(1):42-4.
PurohitG, Shah T, HarsodaJM. Hematological profile of normal pregnant women in Western India. Sch. J. App. Med. Sci. 2015 Sept;3(6A):2195-9.
Chaudhari SJ, BodatRK. Are there any difference in haematological parameters in pregnant and non-pregnant women? Ntl J of Com-munity Med 2015; 6(3):429-432.
Verma A, Chaudhary H. Study of Haematological Parameters in AdvancedPregnancy. International Journal of Recent Trends in Science and Technology 2013;7(1):16-9.
Panigrahi A, Sahoo PB. Nutritional anemia and its epidemiological correlates among women of reproductive age in an urban slum of Bhubaneswar, Orissa. Indian J Public Health. 2011 Oct-Dec;55(4):317-20. doi: 10.4103/0019-557X.92415. PMID: 22298143.[PubMed].
Ramsay M. Normal hematological changes duringpregnancy and the puerperium. In: Pavord S and HuntB, Eds. The Obstetric Hematology Manual. Cambridge: Cambridge University Press, 2010; p 3-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Indian Journal of Community Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
