Hemoglobin Evaluation in Hypertensive Disorders of Pregnancy

Authors

  • Rabia Sattar Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.
  • Ghazal Mansoor Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.
  • Sana Qanber Abbasi Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.
  • Qurat ul Ain Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.
  • Sana Javaid Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.
  • Nazish Jamil Department of Physiology, Sharif Medical and Dental College Lahore, Pakistan.

Keywords:

Anemia, Haemoglobin (Hb), Eclampsia (Ec), Pre-eclampsia (PE)

Abstract

Objective: To evaluate the maternal hemoglobin (Hb) concentration and its levels in hypertensive pregnant patients during the third trimester of gestation.

Methods: A prospective cross-sectional study was conducted in an Obstetrics and Gynecology department of teaching hospital affiliated to The University of Lahore from November 2017 to June 2018. All pregnant women aged 18-40 years having third trimester of gestation, who came for antenatal check up or admitted to hospital were consecutively included. The demographic characteristics of pregnant women were documented and Hb concentration was assayed in the hematology laboratory and evaluated in pregnant females with hypertension (Hypertensive pregnant group) and healthy normotensive pregnant women. Hypertensive pregnant group were further categorized as pregnancy induced hypertensive (PIH), pre-eclampsia, and eclampsia.

Results: Of 78 pregnant women (62 hypertensive and 16 normotensive), the median age was 25 (23–29) years. Of 62 hypertensive women, PIH was observed in 33 (42.3%) women, pre-eclampsia in 17 (21.8%), and eclampsia in 12 (15.4%). The median HB level was observed in 11.5 (10-12) g/dL. The median Hb level in normotensive pregnant women was significantly higher as compared to hypertensive pregnant women, i.e., 11.9 (11.6-12.0) vs. 11.0 (9.5-12.0) respectively (p-value 0.006). Furthermore, among hypertensive women, the median Hb level was insignificantly higher in eclamptic women [11.5 (11.1-12.0)] as compared to PIH [10.7 (9.4-12.2)] and pre-eclamptic women [9.9 (9.5-11.7)] (p-value 0.079).

Conclusion: In the present study, the evaluation of Hb shows a statistically significant deterioration in Hb levels among hypertensive pregnant patients as compared to normotensive pregnant women.

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References

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Published

2021-04-06 — Updated on 2022-01-15

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How to Cite

Sattar, R., Mansoor, G., Abbasi, S. Q., Ain, Q. ul, Javaid, S., & Jamil, N. (2022). Hemoglobin Evaluation in Hypertensive Disorders of Pregnancy. Journal of the Dow University of Health Sciences (JDUHS), 15(1), 10–16. Retrieved from https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/1094 (Original work published April 6, 2021)

Issue

Vol. 15 No. 1

Section

Original Articles

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Copyright (c) 2021 Ahsan Rabia Muhammad, Ghazal Mansoor, Sana Qanber Abbasi, Qurat ul ain, Sana Javid, Nazish Jamil

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