Counseling of Pregnant Females on Risk Factors and Fetomaternal Effects of Hematological Disorders with Pregnancy

Background and Objectives: Hematologic disorders of pregnancy (HDP) are risk factors for major fetomaternal complications. Identifying factors that affect development of HDP could help in planning thorough protective strategies. This study was conducted to identify HDP in Middle KSA, and to counsel mothers on risk factors and fetomaternal complications of HDP. Material and Methods: Data were collected through direct interview, clinical and obstetrical examinations of 100-pregnant females at Al-Dawadmi. The collected data included maternal sociodemographic, obstetrical and hematologic data, and data on fetomaternal condition. Data were analyzed by SPSS V.17. Results and Conclusions: The study included 100-patricipants, median age was 31 years. 54% were from rural residence. 74% were in the 3rd trimester. Anemia, thrombocytopenia, thromboctyosis, microcytosis, and leucocytosis were detected in 28, 6, 8, 40, and 56% in order. All maternal hematologic parameters (MHP) were negatively correlated with maternal age, body weight, gravidity and gestational age. However a significant correlation between TLC and gestational age (r=0.889, p=0.000) was an exception. Also there was no correlation (r=0.0) between platelet count and gestational age. This study showed a significant association between office work with ↓hb, ↓ MCV, ↑Plt (p=0.000), also ↑TLC (p=0.01). Maternal anemia and microcytosis were significantly associated with fetal tachycardia (r=-0.659, -0.443 and p0.000, respectively). Conclusively the current study confirmed that IDA is the most common HDP, followed by GT, and that obstetrical factors and mother s job are independent effectors of MHP. However HDP were lower than those reported in other regions of KSA, denoting increased maternal education and good antenatal care at Al Dawadmi province, Saudi Arabia.