Red Cell Distribution Width (RDW) and Hb% in the Detection of Iron Deficiency Anemia in Pregnant Women

  • Gazi Sharmin Sultana Assoc. Professor, Dept of Clin. Pathology, Hematology and Biochemistry, BIRDEM, Dhaka
  • Syed Aminul Haque Assoc. Professor, Dept of Thoracic Surgery, CMCH, Dhaka
  • - Ayatunnesa Assoc. Professor, Dept of Clin. Pathology, Hematology and Biochemistry, BIRDEM, Dhaka
  • Md MA Muttalib Head and Co-ordinator, Laboratory Services Division, BIRDEM, Dhaka
  • Md Quddusur Rahman Professor and Chairman, Department of Laboratory Medicine, BSMMU, Dhaka
Keywords: Iron deficiency anemia, RDW, Hb%, pregnancy

Abstract

Background: Detection of iron deficiency early during pregnancy is essential for correct management. Red cell distribution width (RDW) is a new routine parameter in fully automated hematology analyzer that can give the idea of early iron deficiency before Hb%. This study was aimed to see the role of red cell distribution width and Hb% in determining early iron deficiency in pregnant women.

Methods: In this study 190 pregnant women were included. CBC including Hb% and RDW and iron profile were done. RDW were compared with Hb% in various stages of iron deficiency.

Results: RDW was more significant than Hb level in latent iron deficiency when Hb level was normal (p<0.05). In mild and moderate iron deficiency anemia, RDW was increased progressively though Hb level was reduced. In this study RDW had sensitivity 82.3% and specificity 97.4%. Whereas Hb level had sensitivity 56.6% and specificity 90.9% for iron deficiency.

Conclusion: Latent iron deficiency without other complicating disease could be screened out early by increased RDW when Hb% was normal.

Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 137-141

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Abstract
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Published
2018-12-05
How to Cite
Sultana, G., Haque, S., Ayatunnesa, -, Muttalib, M. M., & Rahman, M. Q. (2018). Red Cell Distribution Width (RDW) and Hb% in the Detection of Iron Deficiency Anemia in Pregnant Women. Anwer Khan Modern Medical College Journal, 9(2), 137-141. https://doi.org/10.3329/akmmcj.v9i2.39210
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Original Articles