THE EFFICACY OF INTRAVENOUS IRON SUCROSE IN WOMEN WITH ANAEMIA DURING PREGNANCY
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Keywords
pregnancy, iron deficiency anaemia, intravenous iron sucrose
Abstract
Background: The World Health Organization refers to this condition as anemia when hemoglobin is less than 11 gram/dl and hematocrit is less than 33. It is also known as the most common medical disorder in pregnancy. Anaemia is indirectly responsible for 40 percent to 50 percent of maternal deaths, especially in developing countries. All around the world, the most common cause of anaemia in pregnancy is a deficiency of iron. If anaemia is severe in pregnancy, there are poor maternal and fetal results. Preeclampsia, postpartum haemorrhage, preterm labor, sepsis, and an increase in the need for blood transfusion are some maternal effects.
Objective: The aim of this research is to identify the efficiency of intravenous iron sucrose in anaemic pregnant women.
Study design: A cross-sectional study
Place and Duration This study was conducted in Sandeman Provisional Hospital Quetta from March 2022 to March 2023
Methodology: All of the patients were aged between 20 years to 38 years. All of these participants were presented at the outpatient clinic with a singleton fetus and a gestational age of 26–34 weeks by checking through ultrasound. All of the participants were diagnosed with hypochromic microcytic anaemia, which was identified through blood examination. The target haemoglobin was 11g/dl. An intravenous injection was used to give iron sucrose on alternative days. Haemoglobin was repeated after 3 weeks of the last dose of intravenous iron.
Results: There were a total of 120 people selected for this research. A large number of participants were between 26 and 30 years old. The average age calculated was 32.3 years. A total of 60% of the cases were those whose gestational age was 31 to 34 weeks. At the end, the treatment was effective for 90 (75%) of the total participants.
Conclusion: The iron sucrose complex effectively elevated haemoglobin to an acceptable level in severely anaemic, iron-deficient pregnant women, demonstrating safety and good tolerance.
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Sakina Ali
Consultant Obstetrics and Gynaecology, Sandeman Provisional Hospital Quetta Pakistan.
Hira Afreen
Senior Specialist Obstetrics and Gynaecology, Alkhidmat Welfare Foundation Hospital Tando Allahyar Pakistan.
Huda Akram
Senior Registrar Obstetrics and Gynaecology, Sohail Trust Hospital Korangi Karachi Pakistan.
Hina
Consultant Obstetrics and Gynaecology, Liaquat University of Medical & Health Sciences Jamshoro/Hyderabad Pakistan.
Aneela Gul Shaikh
Associate Professor Obstetrics and Gynaecology, Lady Willingdon Hospital Khairpur Medical College Khairpur Mir’s Pakistan.
Makiya Sharif
DMS, Mayo Hospital Lahore Pakistan.