THE EFFECT OF IRON SUPPLEMENTATION ON FETOMATERNAL OUTCOME: A PROSPECTIVE STUDY

Dr. Paribhashita T. Mishra* and Dr. Udit Mishra

ABSTRACT

Anaemia is responsible for variable symptoms ranging from mild weakness to increased cardiac output leading to cardiac failure, increase incidence of preterm labour, preeclampsia, sepsis, and haemorrhage. It causes increased perinatal morbidity and mortality by causing premature deliveries, low birth weight babies and intra uterine growth retardation. The aim of this study was to estimate body iron stores (serum ferritin) in anaemic pregnant women, to evaluate the efficacy and side effect of iron supplementation regimen in anaemia of pregnancy and to study the effect of treatment on fetomaternal outcome. This propective study was conducted over a period of 12 months A total of 40 pregnant women consecutively reporting were recruited for this study. Study subjects were randomly allocated into two groups of 20 each one group receiving oral and another parentral therapy before and after treatment. We also compared the results of oral versus parenteral iron supplementation on the anaemia status of pregnant wome. In oral group mean age was 24.05 and in parenteral group mean age was 24. We found that parenteral iron is better than oral iron given to anaemic women mainly in second trimester of pregnancy to improve their iron stores but with 100% compliance fetomaternal outcome is comparable in both groups.

Keywords: effect of iron, fetomaternal outcome, perinatal morbidity and mortality.