A Study on Prevalence of Sickle Cell Disease among Pregnant Women and Its Outcome
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Background: Medical experts for many years have daunted the occurrence of pregnancy in homozygote sickle cell patients. This is because of associated high risk for mother and fetus. The aim of his study is to determine the prevalence and maternal and fetal outcome of pregnant mothers with sickle cell disease in maharani hospital, jagdalpur,C.G. Materials And Methods: this is a hospital based cross sectional study of all booked pregnant mothers who attended the antenatal clinic of the hospital from 2016 to 2017. The parameters extracted from the folders included :age ,hemoglobin genotype, full blood count , complications of pregnancy,APGAR score ,and birth weight. Results: A total of 180 cases were booked for antenatal care, 142patients (78.89%) were heterozygous (HbAs) and 38 cases (21.11%) were homozygous (HbSS). Age distribution of women ranged from 18 to 43 year of age with mean of 24.39+4.12 year in HbAs group and 23.47 +3.24 year in HbSS group. Out of 173 deliveries 84.39% were vaginal and 15.60% were LSCS.Cesarean section required in 17.99% of cases in HbAS and 5.88% of cases in HbSS group. In HbAS group 82.01% of cases delivered vaginally and 94.12% in HbSS. Out of 139 births in HbSS and 34 births in HbAS, intrauterine death seen in 39.47% and 9.15% cases respectively. Perinatal mortaliy was significantly higher in HbSS group compared to HbAS group 44.74% vs 16.2 %;(p<0.05%) CONCLUSION: It was found that women with sickle cell disease have a higher risk for maternal morbidity and perinataladverse outcomes when compared with carriers of sickle cell trait.
Authors and Affiliations
Dr. Sitalakshmi Vuppu
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