Abstract
Introduction
Decreased concentration of haemoglobin or decrease the concentration of circulating red blood cells and transport oxygen capacity impaired known as anemia. It has been seen that multiple factors that can precipitating in isolation. These factors are genetic, haemoglobinopathies, infectious diseases, malaria, intestinal helminthes, Chronic infection and due to nutritional deficiency, which includes deficiency of iron, vitamins (folate, B12, vitamins A) and copper. During Anemia pregnancy is considered when haemoglobin concentration is > 7.0 g/dl, moderate when haemoglobin falls between 7.0 - 9.9 g/dl.
Due to anemia in pregnancy is one of the most common causes of maternal morbidity and poor perinatal outcome. The main causes of anemia during pregnancy were nutritional deficiency, infectious disease and parasitic infected diseases(1). Out of that, iron deficiency is major contributor to anemia in pregnancy. In developing countries its estimate that due to nutrition anemia affects almost two-thirds in pregnant women. However, many of these pregnant women were already anemic at the time of conception due to low socio economic status, it has been estimated that the prevalence of anemia 50% among non-pregnant women in developing countries(2). Nutritional, genetic, and parasitic infectious diseases are major contributing factors in anemia.
References
- Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007;77:44–51.
- World Health Organization. WHO/ NUT/MCM/92.2. WHO; Geneva: 1992. The prevalence of anemia in women: A tabulation of available information.
- Balarajan, U. Ramakrishnan, E. Özaltin, A. H. Shankar, and S. V. Subramanian, “Anaemia in low-income and middle-income countries,” The Lancet, vol. 378, no. 9809, pp. 2123–2135, 2011.
- Yip R, Ramakrishnan U. Experiences and challenges in developing countries. J Nutr. 2002;132:827S-30S.
- DeMaeyer EM, Dallman P, Gurney JM, Hallberg L, Sood SK, Srikantia SG. Preventing and controlling iron deficiency anemia through primary health care: a guide for health administrators and programme managers. Geneva, Switzerland: World Health Organization, 1989.
- of India. Health information of India, 1995, DGHS, Nirmal Bhawan, New Delhi.
- Levy A, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anemia during pregnancy is an independent risk factor for lowbirthweight and prterm delivery. Eur J Obstet Gynecol Reprod Biol. 2005;122:182–6.
- Adebisi OY, Strayhorn G. Anemia in pregnancy and race in the United States: blacks at risk. Fam Med. 2005;35:655–62.
- Gibson RS, Ferguson EL. An interactive 24-hour recall for assessing the adequacy of iron and zinc intakes in developing countries. Human Nutrition Institute of the International Life Sciences Institute Research Foundation/US Agency for International Development; Washington, DC: 1999.
- Program for Appropriate Technology in Health (PATH) Seattle, Wash. PATH; USA: 1997. Anemia detection methods in low resource settings: A manual for health care workers.
- WHO catalogue of indicators for health monitoring. SCHI Unit. Division of Epidemiological Surveillance and Health Situation and Trend Analysis. World Health Organization; Geneva: 1996. April 1993.
- ICMR evaluation of the national nutritional anemia prophylaxis programme. ICMR Task Force Study. New Delhi: Indian Council of Medical Research; 1989.
- ICMR Field supplementation trail in pregnant women with 60 mg, 120 mg and 180 mg of iron with 500μg of folic acid. ICMR Task Force Study; 1992.
- Agarwal KN, Agarwal DK, Agarwal A, Rai S, Prasad R, Agarwal S, et al. Impact of the integrated child development services (ICDS) on maternal nutrition and birth weight in rural Varanasi. Indian Pediatr2000; 37: 1321-7.
- Toteja G, Singh P. Micronutrient deficiency disorders in 16 districts of India. Report of an ICMR Task Force Study -District Nutrition Project. Part 1. 2001.
- Crosby WH, Munn JG, Furth ED. Cyanmethaemoglobin method for estimation of hemoglobin. US Armed Forces Med J 1964; 5: 693-7.
- Villar J, Ba’aqeel H, Piaggio G, Lumbiganon P, Miguel Belizan J, Farnot U, et al. WHO Antenatal Care Trial Research Group. WHO antenatal care randomized trial for the evaluation of a new model of routine antenatal care. Lancet. 2001;357:1551–64.
Corresponding Author
Dr Rekha Ratnani
Professor & HOD Dept. of OBGY,
CCM Medical College Kachandur, Durg (CG)
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.69
