Association between Anemia during Pregnancy and post partum hemorrhage and perinatal outcome among women with vaginal Births in slemani maternity teaching hospital

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Rozhan Yassin Khalil


anemia, postpartum hemorrhage, vaginal birth, perinatal


Over more than half a million women die due to complications of pregnancy and childbirth each year. In the developing countries the risk of dying in childbirth is 175 times that of developed countries.

   Postpartum hemorrhage, is the leading cause of maternal death in developing countries characterized by bleeding (>500 mL) after birth of the baby.

 Aim of the study: To evaluate whether maternal anemia contributes to greater blood loss at childbirth and 24 hours postpartum.

 Patients and methods: This study is a cross sectional descriptive study, the target 233 patients will be pregnant ladies in labour seen in labour ward in slemani maternity teaching hospital, throughout the period of January first 2017 to August first 2017, evaluated the state of anemia in her third trimester, the hemoglobin level was measured for all the studied women, then they were divided in to groups according to their HB level.

Results: The median age of studied women was 28.5years, and the median gestational age duration was 38.8 weeks, 44.6 percent were hemoglobin level was less than 11 gram / dl, 20.6 percent of these patients developed post partum hemorrhage. 6.4 percent need blood transfusions, 28.9 percent need medical treatment. Commonest causes of post partum hemorrhage among these patients were inertia, genital injury respectively.

Conclusions: The finding of this study support the association between anemia at delivery and the potential risk of PPH which remains currently debated.

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