To estimate the prevalence of anaemia in patients of Abnormal Uterine Bleeding (AUB) admitted in Tertiary Care Centre
Keywords:
abnormal uterine bleeding, anemia, blood transfusion, heavy menstrual bleeding, perimenopausal periodAbstract
Introduction: Abnormal uterine bleeding (AUB) encompasses menstrual patterns that deviate from the normal and is a common issue, affecting 17.9% of women in India. Identifying underlying causes is essential for restoring regular menstruation. Methods: This study included 240 cases of AUB from the gynecology ward between January 1, 2023, and December 31, 2023, based on specific selection criteria. Objective: The study aimed to estimate the prevalence of anemia among AUB patients across different age groups and determine the incidence of blood transfusion required for various AUB types. Results: AUB was predominantly observed in multiparous women aged 41 to 45, often during the perimenopausal period. The most common complaint was heavy menstrual bleeding. AUB significantly increased the risk of anemia, leading to the need for blood transfusions, iron sucrose or ferric carboxymaltose, oral contraceptives, and both injectable and oral tranexamic acid, along with hematinics. While some patients responded to medical treatment, others needed surgical intervention. Conclusion: Among the 240 participants, 44 (18.33%) had severe anemia (Hb < 7 g/dL), 33.33% had moderate anemia, and 30.83% had mild anemia. The study highlighted a significant prevalence of moderate to severe anemia in AUB patients, necessitating various treatment strategies for effective management.
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