Maternal Left Ventricular Performance in First Trimester of Pregnancy with and Without Anaemia In Pregnancy.

To evaluate & Compare the effect of anaemia on left ventricular function in normal pregnant women & pregnant women with anaemia in first trimester. 50 pregnant women were selected for this study & divided in to 2 groups. 25 normal pregnant women (control group) in Ist trimester (10-14 weeks of gestation) were compared with equal number of pregnant women with anaemia(study group) in Ist trimester, aged between 20-30 years. Doppler echocardiography was performed using MEGAS CVX & MEGAS GPX equipped machine in both control & study groups to evaluate left ventricular systolic and diastolic function. Stroke volume (SV), cardiac put (CO) and total peripheral resistance were calculated from the measured dimensions according to the American society of Echocardiography (ASE) guidelines. Haematological parameters were analysed by SYSMEX auto analyser. Analysis of Variance (One way ANOVA) was used for comparison between study and control groups & the data was analysed by t test. P< 0.05 was considered statistically significant. In this study mean values of haemoglobin concentration and serum ferritin levels were significantly lower in study group. Whereas mean values of left ventricular parameters like were increased significantly in study groups when compared to the control groups. Reduction of Hb% in study group as compared to control group significantly & negatively correlates with the left ventricular cardiac function. Anaemia and volume overload in pregnancy is a risk factor that may lead to other cardiac problems.