Revista de embarazo y salud infantil

Abstracto

The Impact of Severity of Antenatal Anaemia on Maternal and Perinatal Outcome in Hospital Serdang, Central Malaysia

Maiza Tusimin, Aishah Yazit, Nur Syaza Zainulddin, VS Selvavaani KN Vaiappuri and Sabariah Md Noor

Introduction: Anaemia in pregnancy is one of the most common public health issues in developing countries, affecting approximately 60% of pregnant woman worldwide. Severity of antenatal anaemia had been robustly linked with complications in maternal and perinatal outcome. Objective: This study aimed to analyze the relationship of antenatal anaemia with maternal and perinatal outcome among parturient delivering in Hospital Serdang. Materials and method: This retrospective cross-sectional study was conducted in a tertiary public hospital in Serdang, Selangor. 473 anaemic mothers were recruited from the electronic medical database by clinical notes and cross-referencing to the datasets of relevant test. All subjects received antenatal oral iron supplementation. Results: Multiparous mother contributed to majority of the anemia cases in pregnancy (60.5%). Out of 473 anaemic mother suffering from Iron Deficiency Anemia (IDA), 61.3% (n=290) mothers had mild anaemia, 38.5% (n=182), and 0.2% (n=1) mothers had moderate and severe anaemia respectively. A significant association was demonstrated between severity of anaemia with post-partum haemorrhage and small for gestational age. On contrary, severity of maternal anaemia was non-significantly associated with placenta abnormalities, pre-eclampsia and sepsis. Conclusion: Anaemia amongst pregnant women especially multipara imposed a spectrum of health problems to both, mother and child. Prevention is not insurmountable; hence active intervention by all level of health care provider is imperative in order to decrease poor maternal and perinatal outcome.