Publication:

Relationship of degree of anemia as direct or indirect causes of heart failure and its impact on maternal and fetal outcome

Background Objective of current study was to determine the impact of anemia as cause of heart failure in pregnancy and its associated maternal and fetal outcome.

Methods It was a prospective study conducted in department of obstetrics and gynecology GSVM medical college, Kanpur, from January 2012 to august 2013 with total number of subjects being 6800. All maternal and fetal records were reviewed.

Results Total number of antenatal patients admitted to our hospital during 20 month duration were 6800, out of which 48 (0.17%) had heart failure. 47.91% patients among them had severe anemia as direct cause of heart failure, whereas anemia was associated as indirect cause of heart failure in 52.08% of patients. Poor maternal and fetal outcome were observed in patient with increasing severity of anemia.

Conclusions With increase in degree of anemia susceptibility to heart failure increases and it was observed that there was increased incidence of adverse maternal and neonatal outcome in severe anemia when compared to mild and moderate anemia.