Impact of Severe Anemia on Menorrhagia and Eclampsia in Iraqi Women

: The aim of this study to deal with (19) women were reviewed the center of obstetrics and Gynecology Al-Harthyia center with affected and non-affected of severe anemia with patients age between 20 to 39 years old. The patient's charts are started from 1st September 2021 to the 1st of August 2022. Severe anemia during this period associated with menorrhagia and eclampsia for affected women with different kinds of anemia like iron deficiency or thalassemia disease. The level of severe anemia for pregnant or non-pregnant that will absolutely between 4 – 11 g/dL. Anemia in pregnancy women with hemoglobin concentration 11 g/dL explained by world health organization (WHO). The project was associated with prevalence numbers of menorrhagia women were (12) from the total (19) women which constitute the percentage 63.16% as well with women eclampsia from 4 patients that constitute 21.05%.


Introduction
Anemia is the excessive anemic that blood have lost due to malnutrition, malabsorption and severe bleeding, this situation may be effect for many people.
The red blood cells carry hemoglobin bind with oxygen from human lungs and carry it to the different tissues of the body.
The percentage of hemoglobin between the two sexes, male and female, the normal value of male hemoglobin is 14-15 mg/dL as well as with the female is 12-13 mg/dL and children hemoglobin varies with different ages.[1].
Many patients male or female suffer from severe anemia which causes many symptoms: 1. Feel chest pain.
2. Feel cold of her hands and feet.The connection of maternal anemia with pre-eclampsia and eclampsia as well as the low birth that contribute with harmful postpartum hemoglobin [4], [20].
There are severe anemia associated with cardiac output and dyspnea failure which cause fatal of the fetus [3].
Folic acid and iron deficiency is more prevalent and cause anemic in pregnancy [10], [11] .
Pregnant women feel sickle cells anemia is commonly contributed with many diseases such as preterm delivery, eclampsia and increase the risk of maternal and prenatal mortality [8], [14].
This project was associated with appearance of anemia in pregnant women, so this situation can cause perinatal and stillbirth.

Materials and Methods
The project has been done at dentist college, AL-Hikma University.The data was collected from obstetrics and gynecology, center AL-Harthyia.
The data was collected from the period 1 st of September 2021 to the 1 st of August 2022.

Results
Analysis of statistic program (2018) was used to detect the effect of severe anemia on pregnant and non-pregnant of patients ladies.T-Test was used to significant compare between the samples.
Results: the authors found there are significant differences between severe anemia with menorrhagia and eclampsia, this situation explain with 5 tables.

Discussion
The results of the study focused on severe anemia associated with menorrhagia and eclampsia in Iraqi women, the situation explained in many tables.

Distribution of severe anemia according to menorrhagia in sample study
The study deals with (19) women suffering from severe anemia, the study showed significant (12) severe menorrhagia patients This situation due to malabsorption, malnutrition, Blood loss and iron deficiency.
The relationship between severe anemia and eclampsia this study showed significant results P < 0. 01.Table (2).High prevalence complication disease of obstetrics and Gynecology can cause mortality rate associated with severe anemia among pregnant patients [8], and severe anemia in children and childbearing aged women [7], [19].
This study showed there is relationship between menorrhagia and parameters like age of the patients, HGB, R.B.C and HCT.
The conclusion of study showed there is no significance between menorrhagia and parameter Table (3).
The irregular bleeding in women with suitable reproductive age and there are many parameters that cause menorrhagia in patients: 1. Age 2. Hormonal imbalances.
The project focused that relationship between pre -eclampsia and eclampsia with parameter of study.
For this situation there are significant correlation between age and menorrhagia P < 0, 05 as well between age of the patients and eclampsia P < 0,01 Table (4).
The pregnant women with sickle cell anemia certainly develop several diseases such as eclampsia preterm delivery and prenatal mortality [8].
The study outcome showed there is correlation coefficient between menorrhagia, eclampsia and parameters.The results prevalence there are significance differences between age of the patients with menorrhagia and eclampsia [18][21].
The response to iron therapy on maternal and neonatal outcomes in pregnant women have anemia (19).Perinatal attached with pregnancy of anemic patients [9][22] .

Conclusions
This paper was focusing on severe anemia in non-pregnant and pregnant women this situation due to malabsorption, malnutrition, iron deficiency, and abnormal menstrual cycle, the patients who have kidney disease and cannot it make normal secretion of erythropoietin hormone which help bone marrow to manufacture new red and white blood cells.The study concluded that menorrhagia in non-pregnant and preeclampsia or eclampsia in pregnant women can cause by several ways of severe anemia .

Interest Conflict
The authors have fundus for this project and supported by themselves, but no support from official fundus.

Table 1 .
Distribution of sample study according to Menorrhagia in sample study

Table 3 .
Relationship between Menorrhagia and parameters study