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Background: Iron deficiency anaemia during pregnancy leads to preterm birth, low birth weight and small-for-gestational age babies and increases incidence of postpartum haemorrhage (PPH) and the reason for the incidence of PPH is higher in India compared with the rest of the world. The objective of this study was to find association between maternal anaemia and neonatal complications and to find long term morbidity and mortality of babies born to anaemic mothers.Methods: It is a prospective study done at Obstetrics and Gynecology Department, Dr. B. R. Ambedkar Medical College and Hospital, Bangalore during October 2009 to October 2011. All subjects were analyzed in full details and haemoglobin estimation done during 1st visit, at 30th week and 36th week of gestation.Results: Study observed moderate anaemia observed in almost 53.0% cases followed by mild (29.5%) and severe (17.5%) respectively. Risk factors present in 58.0% cases and maternal complications in puerperium observed in 14.5% cases. High incidence of adverse foetal outcome in the form of preterm (20%), IUGR (28%), NICU admission (25.5%) and IUD (3%) seen in present study. Study found association between space between pregnancy, LSCS and fetal outcome with severity of anaemia. Ensuring maternal iron sufficiency during gestation is the most cost-effective method of preventing perinatal iron deficiency and related morbidities.Conclusions: Iron supplementation during pregnancy in iron deficient mothers improves iron status during pregnancy and postpartum period, thus providing some protection against iron deficiency in the subsequent pregnancy. Proper antenatal care is the basic requirement for prevention, early detection and treatment of anaemia.

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A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital, Gujarat, India ABSTRACT Background: Improving maternal health is one of the eight-millennium development goals (MDGs). Since 1990, maternal deaths worldwide have dropped by 47%. This study aimed to determine the level of knowledge, attitude, and practice on ANC among pregnant women attending the antenatal clinic at a tertiary care hospital in Gujarat and their association with various sociodemographic factors. Methods: A cross-sectional study was carried out among 384 pregnant women in their 3 rd trimester attending the antenatal clinic in a tertiary care hospital of Gujarat during April 2018 to September 2018. Pretested questionnaire was used for collecting data by interview after obtaining informed consent. Statistical analysis was performed using SPSS version 20 and Epi Info software. Results: Study reveals that about 58% women had adequate knowledge regarding ANC. It was found that almost all the variables such as age, education, occupation, parity, type of family, and socioeconomic status (SES) had a significant association with awareness about ANC. 100% women were having a positive attitude toward ANC. Around 70%, women were practicing adequately, and variables such as education and SES had a significant association with practices about ANC. Conclusions: These findings can be used to plan a health intervention program aiming to improve the maternal health practices and eventually improve the health status of the women.

BACKGROUND: Anemia during pregnancy is highly prevalent in India. There is predominance of iron deficiency anemia (nutritional anemia). Pregnancy is the condition which increases requirement of nutrients especially iron and folic acid & also causes hemodilution. Because of these reasons, anemia gets aggravated in pregnancy. The incidence varies with literacy, socioeconomic status, family support and financial stability. Anemia in pregnancy has adverse effects on maternal and fetal health. Chronic anemia during pregnancy can cause glossitis, stomatitis, changes in nails and skin, breathlessness, cardiac failure in mother. Obstetrical complications like low birth weight babies, IUGR, increased rate of preterm deliveries & increased perinatal mortality are also known. PPH also worsens the situation. Severe anemia in mother may lead to serious neurological damage in the fetus. This study is aimed at finding out the prevalence and type of anemia during pregnancy. This study will definitely help to decrease the burden of anemia and its complications. OBJECTIVES: To study the Hb level in pregnant women during first visit, 30th week, and 36th weeks of gestation. To note the type and degree of anemia. To note the need for medical therapy and its route of administration and/or blood transfusion. To note the maternal and neonatal outcome thereafter. METHODS: The study was carried out in the Department of Obstetrics and Gynaecology, Dr. B. R. Ambedkar Medical College and Hospital, Bangalore for a period of two years. A prospective randomized study conducted on 200 pregnant women. All subjects were analyzed in full details and hemoglobin estimation done during 1st visit, at 30th week and 36th week of gestation. They were classified according to WHO criteria. According to degree of anemia all the subjects were treated and maternal and perinatal outcome were studied. RESULTS: The incidence of mild anemia 29.5%, moderate anemia 53% and 17.5% severe anemia noted. In the booked cases, perinatal outcome was good compared to unbooked and referred cases. The parameter of poor fetal outcome like preterm birth, IUGR, IUD and NICU admission were more in the unbooked and referred cases. CONCLUSION: Anemia in pregnancy continues to be a major problem in developing countries with maternal and fetal complications. Correct diagnosis and treatment of the underlying cause can improve the diagnosis. Ensuring maternal iron sufficiency during gestation is the most cost effective method of preventing perinatal iron deficiency and related morbidities.