Iron Deficiency Anaemia and Its Predisposing Causes Among Women Undergoing Antenatal Checkup at A Tertiary Care Hospital in Allahabad

Authors

  • Shweta Rajput Apollo hospital, Indraprastha, New Delhi
  • Manish Kumar Singh BRD Medical College, Gorakhpur

Keywords:

Iron Deficiency Anaemia, women, antenatal, tertiary care hospital

Abstract

Background: Anaemia is a major health problem affecting about 50% of pregnant women and associated with poor pregnancy out- come.

Objective: To know the prevalence of iron deficiency anemia in pregnancy and its determinants

Method: A hospital based cross sectional study was carried out among 400 pregnant women aged >16 years &≤ 45 years with sin- gleton pregnancy attending antenatal care clinic at a tertiary care hospital in Allahabad over a period of 1 year 8 months.

Result: About 75% of pregnant women were anaemic (Hemoglo- bin level < 11mg/ml) with about 14.5% being severely anaemic. Moderate anaemia was most common. A significant difference (p<0.001) was observed between anaemic and non-anaemic preg- nant women with respect to educational status, socioeconomic status & parity of women. Proportion of anaemic women was higher in age groups <20 years, joint families, women with vege- tarian diet. History of menstrual irregularities and prolonged cy- cles (length of flow >6 days) was reported in significantly higher proportion of anaemic women as compared to non-anaemic women.

Conclusion- Intensive Information Education & Communication on prevention of anaemia and economic upliftment of women, along with delayed 1st pregnancy, adequate gap between succes- sive childbirth is the key to reducing anaemia in pregnancy and its impact.

References

World Health Organization. The prevalence of anemia in women: a tabulation of available information. Geneva, Switzerland: WHO; 1992.

Allen LH. Anaemia and Iron deficiency: effects on preg- nancy outcome. Am. J. Clin. Nutr. 2000; 71 (Suppl.): 1280S- 4S.

International Institute for Population Sciences (IIPS) and Macro International. 2007. Nutrition and Anaemia. Na- tional Family Health Survey (NFHS-3), 2005–06: India: Vo- lume I Mumbai: IIPS.

Florentino RF. The burden of iron deficiency and anaemia in Asia: Challenges in prevention and control. Nutrition goals for Asia - vision 2020; Proceedings IX Asian Con- gress of Nutrition; 2003 p. 313-8

Bentley ME, Griffiths PL. The burden of anaemia among women in India. Eur J Clin Nutr 2003; 57: 52-60.

Noronha JA, Al Khasawneh E, Seshan V, Ramasubrama- niam S, Raman S. Anemia in pregnancy: Consequences and Challenges – A review of literature. J South Asian Feder Obst Gynae 2012; 4(1): 64-70.

CDC, Laboratory Procedure Manual, Iron and TIBC in Se- rum NHANES 2001-2002. Available at:

http://www.cdc.gov/nchs/data/nhanes/nhanes_01_02/l 40fe_b_met_iron_tibc_alpkem.pdf Accessed on 20/05/2016

WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Or- ganization, 2011 (WHO/NMH/NHD/MNM/11.1)

DeMayer EM, Tegman A. Prevalence of anaemia in the World. World Health Organ Qlty 1998; 38: 302-16.

Agarwal KN, Agarwal DK, Sharma A, Sharma K, Prasad K, Kalita MC, Khetrapal N, Kapoor AC, Vijayalekshmi L, Govilla AK, Panda SM, Kumari P. Prevalence of anaemia in pregnant & lactating women in India. Indian J Med Res 2006; 124: 173-184

Taseer IUH, Mirbahar A, Safdar S, Awan Z. Anemia in Pregnancy: Related risk factors in underdeveloped area. Professional Med J Mar 2011;18(1): 1-4.

Kanani S. Strategies for combating anemia in adolescent girls: From the present to the future. Indian Journal of Pe- diatrics 1995; 62: 375-377.

Kaur S, Deshmukh PR, Garg BS. Epidemiological Corre- lates of Nutritional Anemia in Adolescent Girls of Rural Wardha. Indian Journal of Community Medicine 2006; 31(4): 255-258.

Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafei MA, Wallenburg HC. Effect of high parity on occurrence of anemia in pregnancy: a cohort study. BMC Pregnancy and Childbirth 2011, 11:7

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Published

2016-06-30

How to Cite

1.
Rajput S, Singh MK. Iron Deficiency Anaemia and Its Predisposing Causes Among Women Undergoing Antenatal Checkup at A Tertiary Care Hospital in Allahabad. Natl J Community Med [Internet]. 2016 Jun. 30 [cited 2024 Dec. 22];7(06):480-4. Available from: https://njcmindia.com/index.php/file/article/view/981

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Original Research Articles