Haematological Indices and Obstetric Outcomes among Pregnant Women with Preeclampsia at Iringa Regional Tanzania

Abstract

Salum Suleimani Luyeko27341*, Athanase Lilungulu27342 and Maria Angelica Rweyemamu27343

Introduction: Preeclampsia is a common problem in pregnancy after 20 weeks of gestation age. This is when the systolic blood pressure is 140 and above and diastolic blood pressure is above 90 mm Hg with proteinuria. Hematological system is affected and can result into low platelets, low hemoglobin level, high packed cells volume, and reduced red blood cells; this can result in bad obstetric outcome. This study aimed to assess the hematological indices in preeclampsia and their maternal outcomes.

Objectives: Assessment of Hematological indices and maternal outcomes among women with Preeclampsia.

Material and methods: The study was conducted at Iringa Regional referral hospital, it was cross sectionals study. The sample size was 100 participants. Data were collected by using a well-structured questionnaire which has been tested, the information’s collected. Full blood count investigation done in a Cimex 300 machine.

Results: During the study above 18 years of age 44% had diastolic above 160 mm Hg, 44% had platelets below 150, 31% had high hematocrit and 59% had low hemoglobin levels. Among the respondents 78% had bad maternal outcomes. Those with gestation age below 37 weeks are statistically significant with bad maternal outcomes; the blood loss above 500 mls was statistically significant with the bad maternal outcomes

Conclusion: The finding of this study show that the preeclampsia and severe preeclampsia can result into changes in hematological indices and this can result into adverse obstetric outcomes. The study will help to improve better care of the women with preeclampsia and reduce hospital stay.

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