AETIOPATHOLOGICAL AND CLINICAL STUDY OF ANEMIA IN NEWBORNS ADMITTED TO A TERTIARY CARE CENTRE
Arakhita Swain*, Shantisena Mishra, Trilochan Murmu, Saroj Kumar Satpathy, Dr. Saiprasanna Behera
ABSTRACT
Background: Anemia possesses a special diagnostic problem during neonatal period because at no other time in life, is anemia known to occur due to such varied causes, as occurs in the first week of life. Numerous physiological changes lead to rapid changes in normal haematological parameters after birth, and throughout the neonatal period. Present study was conducted to determine the aetio-clinico-pathological study of anaemia in Newborns in our institute. Aims and Objectives: The study was carried out with the objectives to find out the prevalence of anemia in neonatal age group and to study the clinical and aetiopathological aspects of anemia in neonatal age group in hospitalised patients. Materials and Methods: Hospital based observational study conducted over a period of 2 years (Oct 2013 to Oct 2015) at neonatal wing of SCB medical college Cuttack, India. All enrolled Newborn cases were screened in detail for anemia. Questionnaire technique was applied for data collection along with various lab investigations. Various data obtained were displayed in tables and charts, statistical analysis of the observations were done using percentages, averages & t tests. Results: Out of 272 cases, 106 were anemic with a prevalence of 39%. Prevalence of anemia in male babies (43.42%) were more than that of female babies (33.33%). Anaemia was more prevalent among term (43.48%) than that of preterms, and was more prevalent in 1st week of life (41.1%). The major neonatal associated factors of anemia were maternal anemia, birth asphyxia (47.17%), neonatal sepsis (36.63%), APH & neonatal hyperbilirubinemia. Conclusion: Prevention of neonatal anemia should be started from the antenatal period with special emphasis on maternal factors, proper perinatal monitoring, preventing maternal anemia followed by creating awareness and boosting confidence of mothers regarding better child rearing habits. The public should be made aware about anemia and adolescent girls should be counselled regarding cost effective healthy diets and its advantages in future life.
[Full Text Article] [Download Certificate]