PATTERN OF HEMATOLOGICAL DISORDERS IN VARIOUS TRIMESTERS OF PREGNANCY

Vinodkumar S, Suganya R, Sarada V

Abstract


Pregnancy is a state of many physiologic changes affecting the hematologic indices like anemia, neutrophilia and thrombocytopenia where it requires earliest treatment. The objective is to study the various hematological patterns in different trimesters in pregnancy and to correlate the clinical manifestations and possible etiology. Blood samples were collected for analyzing complete hemogram, peripheral smear and coagulation profile. In this study, out of 100 pregnant women, 43%, 30% and 27% were are from 1st, 2nd and 3rd trimesters. From this most of them are from reproductive age group of less than 25 years. Many are suffering from the microcytic hypochromic anemia during the 1st trimester. About 12 cases presenting in the 3rd trimester are in the need of blood transfusion and 12 cases are suffering from macrocytic anemia so they should be scanned for neural tube defects. Thrombocytopenia was observed in 7 cases out of which 5 were identified as immune thrombocytopenic purpura and were mostly among the primi from the first trimester. Pregnancy causes a number of physiologic changes in the blood. Recognizing and treating them during pregnancy is difficult owing to the paucity of evidence to guide consultants.


Keywords


Pregnancy, trimesters, hematogram

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