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Research Article

JCDR. 2022; 13(2): 94-100


Study of Efficacy and Compliance of Iron Sucrose in Iron Deficiency Anaemia in Pregnancy

Sarada Bandaru, Murahari Suguna Shobha Rani.


Abstract

Introduction
Iron deficiency anemia in pregnancy is one of the commonest problem in developing world.
About 70% of the pregnant women in south east asian region suffer from nutritional anemia
which is mainly caused by iron deficiency. According to WHO 500,000 maternal deaths per
year and 20,000,000 morbidity cases are attributed to anaemia.
Objective
To study efficacy of intravenous iron sucrose in moderate iron deficiency anemia (7-10
gm/dl) in pregnancy between 14-34 weeks of gestational age.
Material and Methods
The present study was carried out in Department of Obstetrics and Gynaecology, Apollo
Institute of Medical Sciences and Research, Chittoor.
Results
In the present study the frequency is high in (42%) in 22 -24yrs age group.The mean age of
the patients is 22.9000.About 26%patients are primi ,46% are second gravida,24% are third
gravida ,4% are fourth gravida.
In the present study vegetarians are 60 % and Non vegetarians are 40 %.
Discussion
Measurements of serum hemoglobin concentration or hematocrit are the primary screening
lists for indentifying anaemia. Measurements of serum ferritin levels has the highest
sensitivity and specificity for diagnosing iron deficiency anaemia levels of less than 10-
15ug/l confirms iron deficiency anaemia.Oral Iron is the first line therapy in pregnancy with
anemia. However, the compliance of pregnant women is much less because of untoward
effects. The stores in Indian women are deficient and they need 100 mg elemental iron per
day for prophylaxis. For treatment, the dose recommended is 200mg of elemental iron per
day.
Conclusion
Iron deficiency anemia is most common problem in pregnancy.As anemia is associated with
increased maternal mortality & morbidity, the modern alternate is to treat with intravenous
iron because it is well tolerated & restores iron stores rapidly which is safe and effective in
the treatment of iron deficiency anemia during pregnancy

Key words: IDA- Iron Deficiency Anemia, APH- Antepartum Hemorrhage, HB – Hemoglobin, MEH - Mean Corpuscular hemoglobin, MCHC - Mean Corpuscular hemoglobin concentration, MCV - Mean Corpuscular Volume, PCV - Packed Cell Volume, TIBC - Total Iron Binding capacity, ISC - Iron Sucrose Complex, IPC - Iron Polymaltose Complex.






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