PMID- 35047305
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220121
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 12
DP  - 2021 Dec
TI  - Multigravida Women With Moderate to Severe Anaemia in Third Trimester: 
      Fetomaternal Outcomes.
PG  - e20493
LID - 10.7759/cureus.20493 [doi]
LID - e20493
AB  - BACKGROUND & OBJECTIVES: Anaemia has been reported to be associated with adverse 
      pregnancy outcomes, especially when presenting in the last trimester. In addition 
      to prevalent common causes of anaemia in pregnant women, poor replenishment of 
      iron stores after a pregnancy event is specific to women with higher birth 
      orders. Anaemic women presenting in the third trimester are more prone to 
      maternal complications such as infections, toxaemia, antepartum haemorrhage, 
      cardiac failure, pre-eclampsia as well as fetal hazards too such as low birth 
      weight, pre-term deliveries, developmental anomalies, and even neonatal death. 
      When presented near term there are higher chances of feto-maternal morbidity and 
      mortality. In the current study, analysis is done of feto-maternal outcomes, 
      routes of delivery of women, causes of anaemia in multigravida women in the third 
      trimester suffering from moderate to severe anaemia in a tertiary care centre of 
      Western Rajasthan of India. METHODS: A prospective observational clinical study 
      was conducted on patients attending Geetanjali Hospital over a period of 18 
      months. A total of 70 consecutive multigravida pregnant women having moderate to 
      severe anaemia in the third trimester were selected. Statistical analysis of the 
      data collected was done and a p-value <0.05 was taken as significant. RESULTS: 
      Moderate and severe anaemia in the study population were 44.28% and 55.71%, 
      respectively. The mean haemoglobin level of all study groups was 7.0 gm%. 
      Pre-eclampsia, placenta praevia, postpartum haemorrhage (PPH), congestive cardiac 
      failure (CHF), neonatal intensive care unit (NICU) admission, preterm birth 
      (PTB), low birth weight (LBW), intrauterine death (IUD), low Appearance, Pulse, 
      Grimace, Activity, and Respiration (APGAR) score, and birth asphyxia records were 
      investigated. Of the patients studied, 18.57% had PPH, 15.71% had pre-eclampsia, 
      8.57% had IUD, and 37.14% newborns were LBW. Interpretations and Conclusion: 
      Multiparity itself is a major risk factor of anemia. Anemia presenting in the 
      third trimester of pregnancy is a proxy indicator of care received by gravid 
      women in the early antenatal period. In combination, a multigravida in the third 
      trimester with less time to restock iron and vitamin stores may result in 
      considerable maternal as well as perinatal mortality and morbidity.
CI  - Copyright (c) 2021, Savaliya et al.
FAU - Savaliya, Kruti
AU  - Savaliya K
AD  - Obstetrics and Gynaecology, Pandit Deendayal Upadhyay Medical College and Civil 
      Hospital, Rajkot, IND.
FAU - Sharma, Nalini
AU  - Sharma N
AD  - Obstetrics and Gynaecology, Geetanjali Medical College and Hospital, Udaipur, 
      IND.
FAU - Surani, Rushikesh
AU  - Surani R
AD  - Obstetrics and Gynaecology, Geetanjali Medical College and Hospital, Udaipur, 
      IND.
FAU - Dhakar, Vimla
AU  - Dhakar V
AD  - Obstetrics and Gynaecology, Geetanjali Medical College and Hospital, Udaipur, 
      IND.
FAU - Gupta, Arun
AU  - Gupta A
AD  - Obstetrics and Gynaecology, Geetanjali Medical College and Hospital, Udaipur, 
      IND.
LA  - eng
PT  - Journal Article
DEP - 20211217
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8760018
OTO - NOTNLM
OT  - anemia
OT  - gravidity
OT  - hypertension pregnancy induced
OT  - infant low birth weight
OT  - iron
OT  - maternal death
OT  - parity
OT  - perinatal mortality
OT  - pregnancy outcome
OT  - pregnancy trimester third
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/01/21 06:00
MHDA- 2022/01/21 06:01
PMCR- 2021/12/17
CRDT- 2022/01/20 06:04
PHST- 2021/12/15 00:00 [accepted]
PHST- 2022/01/20 06:04 [entrez]
PHST- 2022/01/21 06:00 [pubmed]
PHST- 2022/01/21 06:01 [medline]
PHST- 2021/12/17 00:00 [pmc-release]
AID - 10.7759/cureus.20493 [doi]
PST - epublish
SO  - Cureus. 2021 Dec 17;13(12):e20493. doi: 10.7759/cureus.20493. eCollection 2021 
      Dec.