Prevalence of Anaemia Among Pregnant Women and Its Associated Factors: A Cross-Sectional Study at a Tertiary care hospital
Main Article Content
Keywords
Anaemia, Socio-demographic, pregnancy, iron-folic acid, antenatal care
Abstract
Background: Anaemia during pregnancy remains an important public health problem, particularly in low- and middle-income countries. Increased physiological requirements for iron and other micronutrients, inadequate dietary intake, poor adherence to supplementation, repeated pregnancies and socioeconomic constraints may contribute to maternal anaemia.
Aim: To determine the prevalence of anaemia among pregnant women and assess selected factors associated with anaemia.
Materials and Methods: A cross-sectional study was conducted among 150 pregnant women at Great Eastern Medical School and Hospital (GEMS&H) from July 2014 to June 2015. Socio-demographic, obstetric, dietary and iron-folic acid supplementation information was collected using a structured questionnaire, while haemoglobin values were obtained from antenatal laboratory records. Data were analysed using descriptive statistics and the Chi-square test.
Results: Anaemia was present in 85/150 participants (56.7%). Mild, moderate and severe anaemia accounted for 30.0%, 22.0% and 4.7%, respectively. Significant associations were observed with socioeconomic status (χ²=18.6, p=0.001), iron-folic acid supplementation (χ²=9.84, p=0.002), and parity (χ²=5.62, p=0.017).
Conclusion: Anaemia affected more than half of the pregnant women studied. Strengthening antenatal screening, improving adherence to iron-folic acid supplementation and promoting maternal nutrition may help reduce the burden of anaemia.
References
2. Balarajan Y, Ramakrishnan U, Özaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet. 2011;378:2123–2135.
3. Kozuki N, Lee AC, Katz J. Moderate to severe maternal anemia and risk of low birth weight. Am J Clin Nutr. 2012;95(2):564–571.
4. International Institute for Population Sciences (IIPS), Ministry of Health and Family Welfare. National Family Health Survey (NFHS-5), 2019–21: India Report. Mumbai: IIPS; 2021.
5. Noronha JA, Bhaduri A, Bhat HV, Kamath A. Prevalence of anemia among pregnant women and its associated factors in coastal Karnataka. J Health Popul Nutr. 2012;30(4):421–427.
6. Taye B, Abeje G, Mekonen A. Factors associated with anemia among pregnant women attending antenatal care clinic in Northwest Ethiopia. BMC Res Notes. 2015;8:1–8.
7. Gebreweld A, Tsegaye A. Prevalence and factors associated with anemia among pregnant women attending antenatal clinic. PLoS One. 2018;13(11):e0206888.
8. Lee AI, Okam MM. Anemia in pregnancy. Hematol Oncol Clin North Am. 2011;25(2):241–259.
9. Peña-Rosas JP, De-Regil LM, Garcia-Casal MN, Dowswell T. Daily oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2015

