Effect of Beta Thalassemia Trait in Pregnancy

Community Based Medical Journal Pub Date : 2024-01-24 DOI:10.3329/cbmj.v13i1.71083

M. Roy, Md. Golam Robbani, Rahnuma Karim, Nasrin Hasan

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Abstract

A cross-sectional, observational study was conducted to determine the effects of beta thalassemia trait in pregnancy. A total of 150 pregnant women diagnosed with beta thalassemia trait in Bangladesh Navy Ship (BNS) Patenga Hospital, at Chattogram, Bangladesh, having regular antenatal care and delivery, between January and December of 2022, were included in the study. Thalassemia status was diagnosed by Hb-electrophoresis. Most of the patients belonged to the age group 19-35 years. 30.46% of women had normal hematocrit level. During pregnancy women suffered from severe anemia (14%) and mild anemia (55.33%) (P<0.001). Blood transfusion needed during 1st trimester (1.3%), 2nd trimester (4.6%), 3rd trimester (8%) and at postpartum period (9.3%) (P>0.05). Most of the women (76.66%) delivered babies at her 36-39 weeks of gestational age,18.67% delivered at or after 40 weeks of gestation and 4.67% delivered baby before 36 weeks (P<0.05). 66.67% had normal vaginal delivery, while 33.33% underwent Caesarean section operation due to several complications. Observed obstetric complications were: pregnancy induced hypertension (6.6%), gestational diabetes (4%), oligohydramnios (11.33%, premature rupture membrane (3.3%), preterm labor (8.66%), and placental abruption (1.33%). Adverse fetal outcomes observed were: prematurity (4.6%), intrauterine growth retardation (5.33%), still birth (0.6%), and fetal asphyxia (3.33%). Neonatal admission at NICU was needed in 2(1.33%) cases. CBMJ 2024 January: vol. 13 no. 01 P: 77-82

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β地中海贫血特质对妊娠的影响

我们开展了一项横断面观察研究，以确定β地中海贫血特质对妊娠的影响。共有 150 名孕妇在 2022 年 1 月至 12 月期间在孟加拉国 Chattogram 的孟加拉国海军舰艇（BNS）Patenga 医院定期接受产前检查和分娩，并被确诊患有地中海贫血症。地中海贫血状态通过血红蛋白电泳进行诊断。大多数患者的年龄在 19-35 岁之间。30.46%的妇女血细胞比容水平正常。妇女在怀孕期间患有重度贫血（14%）和轻度贫血（55.33%）（P0.05）。大多数妇女（76.66%）在孕 36-39 周分娩，18.67% 在孕 40 周或 40 周后分娩，4.67% 在孕 36 周前分娩（P<0.05）。66.67%的产妇经阴道正常分娩，33.33%的产妇因多种并发症接受了剖腹产手术。观察到的产科并发症有：妊娠高血压（6.6%）、妊娠糖尿病（4%）、少血畸形（11.33%）、胎膜早破（3.3%）、早产（8.66%）和胎盘早剥（1.33%）。观察到的胎儿不良结局有：早产（4.6%）、宫内发育迟缓（5.33%）、死胎（0.6%）和胎儿窒息（3.33%）。有 2 例（1.33%）新生儿需要入住新生儿重症监护室。 CBMJ 2024 年 1 月：第 13 卷第 01 期页码：77-82

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Community Based Medical Journal

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