scholarly journals Anemia prevalence and factors associated among pregnant women in India

Author(s):  
N. H. Simon ◽  
Ajoke Akinola ◽  
Neha Dinesh Kumar

The objective of this review is to evaluate the prevalence of anemia and factors associated with Anemia among pregnant women in India. A search was conducted through electronic databases PubMed, google scholar and l Medline, non-electronic databases were also search for articles published between 2017 to 2021. PRISMA guided the reporting of items. All articles were included in qualitative analysis. A total of nine (9) studies (N=7,29,485) conducted among pregnant women in India were included in this review. The overall prevalence of anemia ranged from 23.16% to 81.8%, mild anemia reported in three studies ranged from 35.0% to 60.6%, moderate anemia from 8.0% to 49.5% and severe anemia ranged from 1.4% to 6.9% only. Education status of both wife and husband, maternal age, occupation, income, residence, dietary habits, parity, child spacing, attendance of ANC services and interventions nutrition programs were the main factors associated with the hemoglobin status of the pregnant women. The prevalence of anemia was high among the study participants. Sociodemographic factors were associated with Hb levels of the women. Efforts should be made to encourage women to attend antenatal services (ANC) and nutritional programs should also cover pregnant women.

2011 ◽  
Vol 18 (01) ◽  
pp. 1-4
Author(s):  
IJAZ-UL-HAQUE TASEER ◽  
SOHAIL SAFDAR ◽  
AHSANULLAH MIRBAHAR ◽  
ZARA AWAN

Objective: To see frequency of anemia and its related risk factors in pregnant women in an under developed area of Southern Punjab. Study design: Descriptive study. Setting: Ante natal outpatient clinic Tehsil Headquarter Hospital Kabirwala (Khanewal). Duration of the study: October2006 to March 2007. Sampling technique: Non-probability purposive. Methodology: Two hundred and fifty pregnant ladies attending ante natal outpatient clinic at Tehsil Headquarter Hospital Kabirwala (Khanewal) irrespective of reproductive age, socio economic, educational and residential status were included in this study. After taking consent a pre-designed proforma was filled in. Hemoglobin level was checked. Subjects were categorized according to the hemoglobin levels into mild (10.0-10.9 g /dl), moderate (8.0-9.9 g/dl) and severe (< 8.0 g/dl) anemia. Results: Two hundred and fifty pregnant women were studied. Mean age of the pregnant women was 28.28 ± 5.20 years. Out of these 250 pregnant women, 138 (55.2%) were anemic and out of these 83 (60.14 %) were moderately anemic while 55 (39.86 %) had mild anemia and none of these had sever anemia. Among participating pregnant women, 28 (11.2 %) were in 1st trimester, 85 (34 %) in 2nd trimester and 137 (54.8%) were in the 3rd trimester. Anemia was observed in 10 (35.71 %) women in first trimester, 35 (41.18%) in 2nd trimester and 93 (67.88 %) in 3rd trimester. One hundred and thirty two women were from rural background, out of these, 83 (62.88%) were anemic. Seventy were uneducated and out of these, 58 (82.88%) were anemic while 180 women were educated and of these 81 (45 %) were anemic. Ninety five (38 %) were having poor dietary habits and out of these, 78 (82.10 %) were anemic. One hundred eight pregnant ladies were not taking any iron supplement, out these 83 (76.85 %) were anemic while 142 (56.8 %) pregnant ladies were taking iron supplements, out of these 55 (38.73 %) were anemic. Twenty one pregnant women were with gravida more than 6 and out of these 19 (90.47 %) were anemic, of these 11 (57.89 %) had moderate anemia while 8 (42.10 %) were mildly anemic. Conclusions: The results of present study showed high frequency of anemia in the targeted population. Anemia was related with poor dietary habits especially poor iron intake. Anemia was more related with multi gravidity.


2020 ◽  
Vol 2 ◽  
pp. 42-48
Author(s):  
Romi Bansal ◽  
Mini Bedi ◽  
Jasleen Kaur ◽  
Kamaljeet Kaur ◽  
Harbhajan Kaur Shergill ◽  
...  

Objectives: Anemia during pregnancy is characterized by hemoglobin concentration <11 g/dl in pregnant women, which decreases oxygen carrying capacity of the blood to the body tissues. It is estimated that worldwide 41.8% of pregnant and 30.2% of non-pregnant women are anemic. This study aims to determine the prevalence and factors associated with anemia in pregnant women attending antenatal clinic at our tertiary care center. Materials and Methods: A cross-sectional observational study was conducted among 500 pregnant women attending antenatal clinic for the 1st time in the Department of Obstetrics and Gynaecology, AIMSR, Bathinda, for a period of 1 year. The hemoglobin was measured using automated cell counter method and those with hemoglobin level <11 g/dl were considered as anemic and were investigated further to be assessed according to the Indian Council of Medical Research classification. Data were collected using predesigned and pretested structured questionnaire. Results: The mean Hb concentration was 9.06 g/dl among the anemic group. Overall prevalence of anemia among pregnant women was found to be 408 (81.8%). Residence, educational status, monthly family income, occupation, gestational age, iron folic acid supplementation, dietary habits of not eating green leafy vegetables, meat and animal products, and drinking tea and coffee immediately after meal were the variables which had statistically significant association with the prevalence of anemia. Conclusion: Anemia control program should be executed more resourcefully in this vital segment of population. Awareness of above said factors is more important to prevent anemia rather than early diagnosis and treatment.


Author(s):  
Hyejung Lee ◽  
Ki-Eun Kim ◽  
Mi-Young Kim ◽  
Chang Gi Park ◽  
Jung Yeol Han ◽  
...  

The purposes of this study were to investigate the trajectory groups of depressive symptoms and anxiety in women during pregnancy and to identify the factors associated with those groups. Participants were recruited from the outpatient clinic of a women’s health hospital in Seoul, Korea. Pregnant women (n = 136) completed a survey questionnaire that included questions on depressive symptoms, anxiety, and pregnancy stress; additionally, their saliva was tested for cortisol hormone levels three times during their pregnancies. The group-based trajectory modeling approach was used to identify latent trajectory groups. Ordinal logistic regressions were used to explore the association of latent trajectory groups with sociodemographic factors and pregnancy stress. Three trajectory groups of depressive symptoms were identified: low-stable (70%), moderate-stable (25%), and increased (5%). Four trajectory groups of anxiety were identified: very low-stable (10%), low-stable (67%), moderate-stable (18%), and high-stable (5%). The only factor associated with both the depressive symptoms and anxiety trajectory groups was pregnancy stress (p < 0.001). Most participants showed stable emotional status; however, some participants experienced higher levels of depressive symptoms and anxiety related to higher pregnancy stress. These pregnant women may need additional care from healthcare providers to promote their wellbeing during pregnancy.


Author(s):  
Seema B. N.

Background: Anemia is the nutritional deficiency disorder and 56% of all women living in developing countries are anaemic according to World Health Organization. India has the highest prevalence of anaemia and 20% of total maternal deaths are due to anemia. To determine the prevalence of anemia and factors influencing its causation among pregnant women.           Methods: This is the study of 1769 pregnant women which was conducted in a rural population of Koppal district, Karnataka, India, from June 2016 to November 2016 i.e. a period of 6 months. This longitudinal prospective observational study was conducted in the district hospital of Koppal. Anemia was classified as per the Indian Council of Medical Research (ICMR) criteria. The diagnosis of anemia was undertaken by peripheral blood smear examination and standard hemoglobin estimation by shale’s method.Results: The average age of pregnant women was 23.5 years, ranging between 18 and 40 years. Most of the women belonged to below poverty line (BPL) families (84.6%) and Hindu religion (98%). Regarding education, 28.9% were illiterates. The mean haemoglobin level was found to be 8.95. Prevalence of anemia was 96.5% among the pregnant females in this region of rural Koppal. Out of these 22.47% had mild anemia, 56.30% had moderate anemia, 14.98% had severe anemia and 2.73% very severe anemia according to ICMR classification of anemia.Conclusions: High prevalence of anemia among pregnant women indicates anemia to be a major public health problem in the rural community and indicates strict implementation of National Nutrition Anemia prophylaxis programme. Factors such as socioeconomic status, education, birth interval, and gravida contribute to this high prevalence.


2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Ilknur Col Madendag ◽  
Mefkure Eraslan Sahin ◽  
Yusuf Madendag ◽  
Erdem Sahin ◽  
Mustafa Bertan Demir ◽  
...  

Aim. The aim of the present study was to evaluate the relationship between iron deficiency anemia and small for gestational age (SGA) in early third trimester pregnancies. Methods. A total of 4800 pregnant women who met the inclusion criteria were analyzed retrospectively. We included pregnant women who had iron deficiency anemia between 26+0 and 30+0 weeks of gestation and delivered singletons between 37+0 and 41+6 weeks of gestation. Patients were divided into four groups according to anemia level: (1) hemoglobin (Hb) < 7 mg/dl (n = 80), (2) Hb 7–9.9 mg/dl (n = 320), (3) Hb 10–10.9 mg/dl (n = 1300), and (4) Hb > 11 mg/dl (n = 3100, control group). The primary outcome of this study was the presence of SGA. Results. The demographic and obstetric characteristics were similar among all the groups. Maternal age, BMI <30 kg/m2, nulliparity rates, and previous cesarean delivery rates were similar among groups. Ethnicity was significantly different in the severe and moderate anemia groups (<0.001). Mean fetal weight was 2900 ± 80 g in the severe anemia group, 3050 ± 100 g in the moderate anemia group, 3350 ± 310 g in the mild anemia group, and 3400 ± 310 g in the control group. Fetal weight was significantly lower in the severe and moderate anemia groups compared to the mild anemia and control groups (<0.001). The SGA rate was 18.7% in the severe anemia group, 12.1% in the moderate anemia group, 5.3% in the mild anemia group, and 4.9% in the control group. SGA was significantly higher in the severe and moderate anemia groups compared to the mild anemia and control groups (<0.001). Conclusion. The results of this study indicated that early third trimester severe and moderate iron deficiency anemia was associated with SGA. Iron deficiency anemia in pregnant women may lead to low birth weight.


Author(s):  
Nyasiro S Gibore ◽  
Agatha F Ngowi ◽  
Mariam J Munyogwa ◽  
Mwanaisha M Ali

Abstract Background Anemia is a major cause of morbidity and mortality of pregnant women and increases the risks of fetal and neonatal morbidity and mortality. Approximately 50% of all anemia is estimated to be caused by low dietary intake of iron, poor absorption of dietary iron, or blood loss. The objective of the present study was to determine the prevalence and assess the dietary habits associated with anemia among pregnant women receiving antenatal care in Unguja Island, Tanzania. A cross-sectional study was conducted to select 338 pregnant women at Kivunge, Mwembeladu and Mnazimmoja hospitals from March to June, 2018. Hemoglobin concentration was measured using a HemoCue photometer on capillary blood. Sociodemographic data and dietary habits were collected using a structured questionnaire. The data were analysed using the SPSS version 21.0. Multivariate logistic regression analysis was carried out to determine the predictors of anemia among pregnant women. The overall prevalence of anemia was 80.8%. Of these 68.64% had mild anemia, 11.24% had moderate anemia and 0.89% had severe anemia. Anemia was significantly associated with inadequate dietary diversity (Adjusted Odds Ratio (AOR) = 1.16, 95%CI = 0.57–2.36, p &lt; 0.05), drinking tea or coffee with meal (AOR = 0.06, 95%CI = 0.03–0.13, p &lt; 0.001), consuming less than three meals per day (AOR = 2.92, 95%CI = 1.60–5.84, p &lt; 0.001), higher education level (AOR = 3.4, 95%CI = 1.6–7.2, p &lt; 0.0001), birth interval of less than two years (AOR = 3.6, 95%CI = 1.1–11.9, p &lt; 0.05) and multigravida (AOR = 1.2, 95% = 0.3–4.4, p &lt; 0.0001). The prevalence of anemia in this study demonstrates a severe public health problem among pregnant women. Inadequate dietary diversity coupled with inadequate daily meal intake and consumption of tea or coffee were the dietary habits predictors of anemia among pregnant women. Other predictors of anemia were higher education level, multigravida and birth interval of less than two years. Nutrition policy interventions are needed in order to complement antenatal care services by providing important information on healthy eating habits during pregnancy.


2008 ◽  
Vol 20 (4) ◽  
pp. 347-359 ◽  
Author(s):  
Premananda Bharati ◽  
Suparna Som ◽  
Suman Chakrabarty ◽  
Susmita Bharati ◽  
Manoranjan Pal

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 765-765
Author(s):  
Wanhui Kang ◽  
Carrie Irvine ◽  
Eva Pressman ◽  
Kimberly O'Brien

Abstract Objectives This study aimed to characterize prevalence and determinants of anemia in a multiethnic cohort of pregnant women. Methods A retrospective medical chart review was undertaken of all deliveries occurring from 2011 to 2020 at Strong Memorial Hospital and Highland Hospital in Rochester, NY. Among a total of 53,642 deliveries, 42,289 occurred to women with no underlying health complications. Anemia was defined using the CDC criteria as &lt; 11g/dL in the first (T1) and third trimesters (T3) and &lt; 10.5 g/dL in the second trimester (T2). Mean Hb concentration was compared between trimesters and racial groups by ANOVA and post-hoc pairwise comparisons. Relationships between prevalence of anemia by trimesters, racial groups, and BMI were examined by chi-square or t-tests. Logistic regression models were conducted to estimate the risk factors associated with anemia. Results Pregnant women had a mean age of 29.8 ± 5.5 y (range: 13−52 y) at delivery. The majority of women (66.8%) self-identified as white, 20.0% as black, 3.8% as Asian, and 9.4% as Other. Mean Hb concentrations significantly differed by trimester [12.6 ± 1.0, 11.5 ± 1.1, and 11.8 ± 1.3 g/dL in T1, T2 and T3, respectively, p &lt; 0.001]. Mean Hb was significantly lower in black women in each trimester by -0.8 (T1), -0.7 (T2), and -1.0 g/dL (T3) compared to white women. White women had the highest Hb concentrations in T1 and T2 (12.8 ± 0.9, 11.8 ± 1.0 g/dL) while Asian women had the highest Hb concentrations in T3 (12.2 ± 1.2 g/dL, n = 1577, p &lt; 0.001). The overall prevalence of anemia was 17.1%, which significantly increased across pregnancy [4.5% (T1), 16.4% (T2) and 25.2% (T3), p &lt; 0.001]. Observed rates of anemia were higher than the estimated NHANES (1999–2006) prevalence in pregnant women. After stratifying by racial groups, higher BMI was significantly associated with a lower prevalence of anemia in T2 and T3 only in black women and in those whose race was categorized as Other. Conclusions The prevalence of anemia was highest in black pregnant women in all trimesters, while it was lowest in white pregnant women in T1 and T2, and in Asians in T3. Risk factors associated with anemia included late gestation or self-reported race as black or Other. Funding Sources None.


2018 ◽  
Vol 4 (2) ◽  
pp. 17-19
Author(s):  
Nabin Rayamajhi ◽  
Satyendra Kumar Mishra ◽  
Narayan Gautam ◽  
Nilesh Raj Doshi

INTRODUCTION: In South Asian Region, the prevalence of anemia among pregnant women has been estimated to be 75% which is highest in the world. Hence, this study was drafted to evaluate the prevalence of anemia in pregnant women in western part of NepalMATERIALS AND METHODS: It was a hospital based cross-sectional study. A total of 200 pregnant ladies aged 15-45 years giving consent for the study were included and their detailed medical history, clinical examination and lab investigations focusing on hematological parameters were documented. Data were entered in excel sheet and analysed by SPSS (17.0).RESULTS: The prevalence of anemia in pregnant women was 48% with increased prevalence as the pregnancy proceeds and reaching its highest during third trimester of pregnancy. Young adults with age ranging from 15-30 years had highest prevalence of anemia. Mild anemia (Hb: 9-10.9 g/dl) was the commonest entity.CONCLUSION: With this high prevalence, screening for anemia during pregnancy should be done. Moreover, exogenous supplementation of iron capsules or diet rich in iron can be advised to those anaemic pregnant women.Journal of Universal College of Medical Sciences (2016)Vol.04 No.02 Issue 14, page: 17-19 


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