Anemia in pregnancy: a prospective study of 100 cases
Abstract
Background: Anemia in pregnancy is a major public health problem worldwide and is the most common hematological disorder during pregnancy. According to WHO, 35 to 75% of pregnant women in developing countries are anemic.
Material and Methods: A prospective study was conducted among 100 pregnant women in their first trimester who attended antenatal clinic in a tertiary care hospital. Socio-demographic information were collected along with the blood samples. Hemoglobin concentration, blood indices, PCV, RDW, WBC and RBC counts were determined by a hematological auto-analyzer. Anemia was graded according to WHO criteria and morphological typing of anemia was done on the basis of peripheral blood smear examination.
Result: A high prevalence (64%) of anemia was observed among 100 pregnant women of which majority had mild anemia (50%), moderate anemia (48.4%) and severe anemia (1.6%) commonly seen in younger age group (20-24 years). Factors such as age at marriage, age at first childbirth, illiteracy, gravida, working status, residence and socioeconomic status were found to be significantly. According to blood indices and peripheral blood smear analysis microcytic hypochromic anemia (59.4%) was the commonest morphological type of anemia followed by dimorphic anemia (23.4%). Iron deficiency anemia was found to be the commonest cause of anemia in pregnancy.
Conclusion: The present study concluded that health education, good nutrition, thorough clinical and hematological examination with iron and folic acid supplements during antenatal period should be implemented to reduce the prevalence of anemia, thus decreasing maternal and fetal morbidity and mortality during pregnancy.
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References
Sharma JB, Shankar M. Anaemia in pregnancy. J Int Med Sci Acad. 2010;23(4):253-260.
Seema BN. Prevalence of anemia among pregnant women in rural Koppal: a study from teaching hospital, Koppal, India. Int J Reprod Contracept Obstet Gynecol. 2017; 6(9):3792-3795. doi: http://dx.doi.org/10.18203/2320-1770.ijrcog20173605.
Olatunbosun OA, Abasiattai AM, Bassey EA, James RS, Ibanga G, Morgan A. Prevalence of Anemia among Pregnant Women at Booking in the University of Uyo Teaching Hospital, Uyo, Nigeria. Biomed Res Int, 2014. doi: 10.1155/2014/849080.
Abdelgader EA., Diab TA., Kordofani AA., Abdalla SE. Haemoglobnin level, RBCs Indices and iron status in pregnant females in Sudan. Basic Res J Med Clinic Sci.2014;3(2):8-13.
Lokare PO, Karanjekar VD, Gattani PL, Kulkarni AP. A study of prevalence of anemia and sociodemographic factors associated with anemia among pregnant women in Aurangabad city, India. Ann Nigerian Med. 2012;6(1): 30-34. doi: 10.4103/0331-3131. 100213
Vivek RG, Halappanavar AB, Vivek PR, Halki SB, Maled VS, Deshpande PS, et al. Prevalence of anemia and its epidemiological determinants in pregnant women. Al Ameen J Med Sci. 2012; 5(3):216–223.
Saraswathi K.S, Farhana A, Shyamala R. Der Pharmacia Lettre, 2013;5(1):146-148.
Rao SP, Srikanth S. Prevalence of anemia in the first trimester of pregnancy in rural population of Krishna district in Andhra Pradesh. Sch J App Med Sci. 2013;1(5):570-574.
Ullah I, Zahid M, Ismail KM, Shah M. Prevalence of anemia in pregnant women in district karak, Khyber Pakhtunkhwa, Pakistan. Int. J. Biosci. 2013;3(11):77- 83. doi- 10.12692/ijb/3.11.77-83.
Naz Huma, Bushra Begum. Prevalence and associated risk factors of anaemia in pregnant women in a teaching hospital, Korangi Industrial Area. Pak J Surg 2013;29(2):131-133.
Neha YB, Wingkar KC, Joshi AG, Swati J. Assessment of severity & types of anaemia during pregnancy in rural population in Western Maharashtra. Indian J Basic Applied Med Res. 2014;4(1):160-163
Vemulapalli B, Rao KK. Prevalence of Anaemia among pregnant women of rural community in Vizianagaram, north coastal Andhra Pradesh, India. Asian J Med Sci. 2014;5(2):21-25. doi: https://doi.org/10.312/ajms.v5i2.5295.
Mahashabde P, Arora VK, Sharma S, Shahjada A, Dabhi HM. Prevalence of Anemia andits SocioDemographic Determinants in Pregnant Women: A Cross Sectional Study in Tertiary Health Care Setup in Central India. Natl J Community Med. 2014; 5(1):126-130.
Morsy N, Alhady S. Nutritional status and socioeconomic conditions influencing prevalence of anaemia in pregnant women. Int J Sci Technol Res. 2014;3 (7): 54–60.
Gedefaw L., Ayele A., Asres Y. and MossieA. Anemia and Associated Factors Among Pregnant Women Attending Antenatal Care Clinic in Wolayita Sodo Town, Southern Ethiopia. Ethiop J Health Sci.2015; 25(2): 155-162.
Anjum A., Manzoor M., Manzoor N. and Shakir H.A., 2015. Prevalence of anemia during pregnancy in district Faisalabad, Pakistan Punjab Univ. J. Zool. 2015; 30(1):15-20.
Suryanarayana R, Santhuram AN, Chandrappa M, Shivajirao P, Rangappa SS. Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health. 2016;5:454–458.doi: 10.5455/ijmsph.2016.2307201575.
Manjulatha B., Padmasri P., Prathibha T.S. Prevalence of anemia in Pregnant women in Tertiary Care Centre. IOSR-JDMS 2015; 14 (7):91-95.
Mangla M., Singla D. Prevalence of anaemia among pregnant women in rural India: a longitudinal observational study. Int J Reprod Contracept Obstet Gynecol. 2016;5(10): 3500-3505.doi: http://dx.doi.org/10.18203/2320-1770.ijrcog20163431.
Siddalingappa H, Murthy NMR, Ashok NC. Prevalence and factors associated with anaemia among pregnant women in rural Mysore, Karnataka, India. Int J Community Med Public Health 2016;3(9):2532-2537. doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20163067.
Prashant D, Jaideep KC, Girija A, Mallapur MD. Prevalence of anemia among pregnant women attending antenatal clinics in rural field practice area of Jawaharlal Nehru Medical College, Belagavi, Karnataka, India. Int J Community Med Public Health. 2017; 4(2): 537-541. doi: http://dx.doi.org/10.18203/2394-6040.ijcmph20170287.
Shah AR, Patel ND, Shah M. Hematological parameters in anemic pregnant women attending the antenatal clinic of rural teaching hospital. Innovative J Med Health Sci. 2012;2(5):70-73.
Kefiyalew et al. Anemia among pregnant women in Southeast Ethiopia: prevalence, severity and associated risk factors. BMC Research Notes. 2014; 7:771. doi: https://doi.org/10.1186/1756-0500-7-771.
Alene KA, Dohe AM. Prevalence of anemia and Associated factors among pregnant women in urban area of Eastern Ethiopia. Anemia, 2014. doi: http://dx.doi.org/10.1155/2014/561567.
Bhise M. A study of anaemia in pregnancy and associated factors at rural area. Int J Rec Trends Sci Tech. 2014;10(3):543-547.
Rawat K, Rawat N, Mathur N, Mathur M, Chauhan N, Kakkar R, et al. Prevalence and pattern of anemia in the second and third trimester pregnancy in Western Rajasthan. Int J Res Med Sci 2016;4(11):4797-4799. doi: 10.18203/2320-6012.ijrms20163768.
Bano F, Mahajan PC. Study of anaemia among pregnant women in urban areas of Kanpur. Rama Univ Med Sci 2016;2(1):1-5.
Pawale PP. Study of hematological parameters in anemia in pregnancy in a tertiary care hospital. MedPulse- Int Med J. 2017;4(6):761-765.
World Health Organization. The prevalence of anaemia in women: a tabulation of available information.2nd ed. Geneva: World Health Organization, 1992.
Kundap RP, Dadewar A, Singru S, Fernandez K. A comparative Study of Prevalence of Iron Deficiency Anemia in Antenatal Women from Urban and Rural Area of Pune, India. Nat J Community Med. 2016;7 (5):351-354.
Amardeep T, Shila S, Kumar S, Varma P, Surekha T. Socio-demographic determinants associated with iron deficiency anemia in pregnancy in rural population of central India. Int J Biomed Ad Res. 2015;6(12):817-823. doi: https://doi.org/10.7439/ijbar.v6i12.1916.
Bora Gayatri, Barman Shrabani, Barman Jyotismitha (Deka). Maternal Anaemia: A Prevailing Burden In Assam,India.IOSR J Dent Med Sci.2015;14(3):42-47
Das S, Char D, Sarkar S, Saha TK, Biswas S. Study of hematological parameters in pregnancy. IOSR J Dent MedSci. 2013;12(1):42-44.doi:10.9790/0853-1214244.
Demmouche A, Lazrag A, Moulessehoul S. Prevalence of anaemia in pregnant women during the last trimester: consequense for birth weight. Eur Rev Med Pharmacol Sci. 2011;15(4):436-445.
Garima, Jyala N.S., Chaudhary D.A study of vitamin B12 deficiency in anemia in pregnancy. Int J Ad Sci Eng Technol. 2016;4(4):116-119.
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