Prevalence and Management of Postpartum Anaemia in a Tertiary Care Hospital in North India

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dc.contributor.authorSharma, Preetien_US
dc.date.accessioned2020-01-02T06:11:32Z
dc.date.available2020-01-02T06:11:32Z
dc.date.issued2019-05
dc.description.abstractPostpartum iron deficiency anaemia (IDA) is common in women in resource-poor countries. Most women are treated with either oral iron or blood transfusion. The aim of our study was to find out the prevalence of postpartum anemia; and to compare the effect of treatment with either oral ferrous sulphate or intravenous iron sucrose on postpartum IDA. Methods: 102 postpartum women with proven iron deficiency anemia with hemoglobin <9gm/dl and serum ferritin <15 µgm/l were included in the study. They were randomized to receive either oral ferrous sulphate 200 mg twice daily for 6 weeks (group 1) or intravenous ferrous sucrose 200 mg , two to three doses given on alternate days (group 2). Total iron deficit was calculated using standard formula and results analyzed. Main outcome measures: Hemoglobin, hematocrit, red cell indices and ferritin were measured on day 2-3, 1-2 weeks and 6 weeks postpartum. Result: The prevalence of postpartum anaemia was 19.92%. By 1-2 weeks, hemoglobin level in women treated with intravenous iron had risen from 7.81± 0.849 to 9.88± 0.760 gm/dl which was more than those treated with oral iron (p<0.0001); although by 6 weeks, there was no significant difference between the two groups. Ferritin levels rose rapidly in those treated with intravenous iron and remained significantly higher than in those treated with oral iron (p<0.0001). Conclusion: Intravenous iron sucrose increases the hemoglobin level more rapidly than oral ferrous sulphate in women with postpartum IDA. It also replenishes iron stores more rapidly.en_US
dc.identifier.affiliationsAssistant Professor, Department of Obstetrics & Gynaecology, Muzaffarnagar Medical College, Uttar Pradesh, India.en_US
dc.identifier.citationSharma Preeti. Prevalence and Management of Postpartum Anaemia in a Tertiary Care Hospital in North India. Annals of International medical and Dental Research. 2019 May; 5(3): 1-4en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/189272
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber3en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.3.OG1en_US
dc.subjectPostpartum Iron deficiency anaemiaen_US
dc.subjectFerritinen_US
dc.subjectIron sucroseen_US
dc.subjectferrous sulphateen_US
dc.titlePrevalence and Management of Postpartum Anaemia in a Tertiary Care Hospital in North Indiaen_US
dc.typeJournal Articleen_US
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