Evaluation of Risk Factors and Treatment of Peri-Partum Anemia

Abstract Iron deficiency anemia (IDA) in pregnancy, i.e., prepartum anemia, is associated with premature birth, low birth weight, and small for gestational age of the newborn and is furthermore closely associated with the occurrence of anemia after delivery of a child, i.e., in the postpartum period .Post partum anemia is a common problem throughout the world. Through this study, aim of the work (frequency of post partum anemia and risk factors for its development) & objectives was done. The study showed that percentage of antepartum anemia was about 64.3% this percentage postpartum increased to about 65.4% and 13.6% of those with antepartum normal hemoglobine level became anemic and there were 12.5% anemic improved postpartum and became normal. The major causes of postpartum anemia are prepartum iron deficiency/anemia in combination with excessive blood losses at delivery. Post partum anemia is not affected by demographic data, obstetric history, ante-partum u/s and partum history. Antepartum hemorrage was not significantly associated with postpartum anemia. The more the estimated blood loss during labor the more the postpartum anemia. Through follow up of post partum anemia cases and treated it according type of anemia (oral, intravenous, folate supplementation and blood transfusion) Outcome of treatment of anemia after 8 weeks 61.02 % is improved & 38.98% is not improved.Conclusion: The major causes of postpartum anemia are prepartum iron deficiency/anemia in combination with excessive blood losses at delivery. The study showed that percentage of antepartum anemia was about 64.3% this percentage postpartum increased to about 65.4% and 13.6% of those with normal antepartum hemoglobine level became anemic postpartum and there were 12.5% anemic improved postpartum and became normal.