الفهرس | Only 14 pages are availabe for public view |
Abstract Anemia is the most common hematologic disorder during pregnancy, which can lead to a preventable maternal morbidity and mortality and serious perinatal outcomes, Iron deficiency anemia shared about 80 of causes of anemia in pregnant women, the most common leading factor is malnutrion especially in middle and low-income countries. Maternal complications due to anemia are breathing difficulties, fainting, tiredness, palpitations and sleep difficulties during pregnancy, with increased incidence of post-partum hemorrhage and susceptibility to infection due to defective humoral immunity, and finally increase risk of blood transfusion. Fetal complications include preterm birth, low birth weight and intrauterine growth restriction in severe forms of maternal anemia, and presence of hemodynamic changes in the form of cerebral vasodilatation and brains paring effect. Neonatal complications include an increased risk of developing perinatal infection, and bleeding. Post-partum cognitive impairment and behavioral difficulties, Low iron stores at birth and IDA in infancy may also adversely influence cognitive, emotional, motor, and neurophysiological development. The aim of the current study is to evaluate the fetal hemodynamic adaptive changes in pregnant females with severe iron deficiency anemia compared with non-anemic pregnant females and if they are reversible after treatment of anemia or not. The study was a prospective cohort and comparative study, conducted in Department of Obstetrics and gynecology in Shebin El-kom Teaching Hospital, Menoufia, between May 2017 and December 2018. |