Lohit S Vaishnao

Abstract

Background: Anemia is a major public health problem especially among the poorer segments of the population in developing countries like India and hence there was a need to study the risk factors, complications and outcome of the impact of anemia on maternal and fetal outcome. Materials and Methods: A hospital-based cross-sectional study was conducted on 400 ANC anemic women. A face to face interviews was taken and data of demographics and history of patient was collected using a standard questionnaire in a tertiary care hospital in a central India. Results: In the present study, most of the patients, (50.5%) were from age group 21 to 25 years. Most of them 66.8% were house maker and 68% visited hospital > 4 times, 60.75% were multi-gravida and 83% have normal BMI. 17% have severe, 67% have moderate and 16% had mild anemia. Conclusion: There was significant positive correlation between maternal haemoglobin and BMI and birth weight. Most common Foetal complication was LBW and IUGR.   Keywords: Anemia, IUGR, LBW, Fetal outcome, Impact of anemia.

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Abstract

Background: India is one of the few countries to legalize abortion since 1971. However, legalizing abortion has not translated into safe and affordable services. The birth sex ratio in India has been declining since the 1901. Despite the attempts by government to monitor radiologists and genetic laboratories, the Census of India 2011reported a dip in the child sex ratio in states like Maharashtra between 2001 and 2011. Materials and Methods: The present study was conducted as a cross-sectional questionnaire based study in clinics of participating doctors in a district in tribal region of central India. With the help of pre-validated questionnaire the knowledge and perception of registered gynaecologists were noted regarding the recent abortion laws. Results: 72% respondents were aware of the recent amendments in abortion laws but surprisingly only 54% participants have successfully enumerated them and 28% participants were unaware of the recent amendments in the Act. Only 24% participants said that amendments in MTP act was very good but still 12% doctors believed that there is a scope for further amendments. According to 64% participants the PCPNDT Act is acceptable but 12% said record keeping is very difficult and 6% felt that it needs lots of amendments. Conclusions: Majority of the respondents were aware about the MTP & PCPNDT Acts, surprisingly only 54% participants have successfully enumerated them. According to only 24% participants recent amendments was good, According to 12% they were necessary but still 12% believed that there is a scope for further amendments.   Keywords: MTP, PCPNDT, Abortion, Sex-ratio.

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