Prevalence and socio-demographic and obstetric factors for anaemia among pregnant women in second and third trimester in a tertiary hospital of Delhi

Authors

  • Nishal Sharma Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India
  • Jugal Kishore Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India
  • Monika Gupta Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
  • Himal Singla Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
  • Rohini Dayma Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • J. B. Sharma Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241203

Keywords:

Anaemia, Pregnancy, Socio-demographic factors, Obstetric factors, Delhi, India

Abstract

Background: Anaemia during pregnancy continues to be a major public health problem especially in developing nations like India. The study was performed to assess the prevalence and severity of anaemia and the associated socio-demographic and obstetric factors during pregnancy in a tertiary referral hospital of Delhi, India.

Method: This cross sectional study was carried out on 430 pregnant women in second and third trimester of pregnancy using systematic random sampling attending antenatal clinic of Vardhman Mahavir Medical College and Safdarjung Hospital of Delhi. A predesigned and structured questionnaire proforma was used to collect information regarding socio-demographic and obstetric factors. Haemoglobin levels were estimated using Hemocue method. Statistical analysis was carried out using STATA version 18.0 statistical software.

Results: The overall prevalence of anaemia during pregnancy was 48.84% with 25.81% mild anaemia, 15.81% moderate anaemia, 6.98% severe anaemia and 0.24% very severe anaemia. Anaemia was found to be more common in younger women (<25 years) and in joint family. Anaemia was more commonly seen in low socio-economic status, low family income and in illiterate and primary education. Anaemia especially severe anaemia was more common in third gravidas and above. Anaemia was more common with advancing gestation. Anaemia was more common with no or irregular antenatal care and with no or single tetanus toxoid injection.

Conclusions: The prevalence of anaemia is high in Delhi. Regular and timely antenatal care, improving socio-economic status and having lesser children can reduce prevalence of anaemia during pregnancy.

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References

Worldwide prevalence of anaemia. 1993-2005. 2008. Available at: http://whqlibdoc.who.int/publications/ 2008/ 9789241596657_eng.pdf. Accessed on 07 March 2024.

Api O, Breyman C, Çetiner M, Demir C, Ecder T. Diagnosis and treatment of iron deficiency anaemia during pregnancy and the postpartum period: Iron deficiency anaemia working group consensus report. Turk J Obstet Gynecol. 2015;12(3):173-81.

National Family Health Survey-5 (NFHS-5) 2019-21. Ministry of Health & Family Welfare, Government of India, Nirman Bhavan, New Delhi; 2019.

Sharma JB. Anaemia in pregnancy. Textbook of Obstetrics, Arya Publishing Company Delhi 3rd edition 2022; p. 520-535.

World Health Organization. The global prevalence of anaemia in 2011. Geneva: WHO; 2015.

Frayne J, Pinchon D. Anaemia in pregnancy. Australian Journal of General Practice 2019;48(3):125-9.

Lee AI, Okam MM. Anaemia in pregnancy. Hematol Oncol Clin North Am 2011;25(2):241-59 .

Beris P, Maniatis A. NATA working group on intravenous iron therapy. Guidelines on intravenous iron supplementation in surgery and obstetrics/gynecology. Transfusion Alternatives in Transfusion Medicine. 2007;9:29.

Reveiz L, Gyte GML, Cuervo LG. Treatments for iron-deficiency anaemia in pregnancy. The Cochrane Library; 2007.

Mintsopoulos V, Tannenbaum E, Malinowski AK, Shehata N, Walker M. Identification and treatment of iron-deficiency anaemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II. Int J Gynaecol Obstet. 2023; 164(2):460-75.

Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Anaemia in Pregnency Williams Obstetrics, 26th edition, Mc Graw Hill 2022; pp. 49-78, 1075-1096.

Anaemia Mukt Bharat Programme. Ministry of Health and Family Welfare, Government of India. Nirman Bhavan, New Delhi; 2023.

Loscalzo J, Faucl AS, Kasper DL, Hauser S, Longo D, Jameson JL. Harrison’s Principles of Internal Medicine 21st edition, New York, Mc Graw Hill 2022; pp. 448-458.

Stevens GA, Paciorek CJ, Flores-Urrutia MC, Borghi E, Namaste S, Wirth JP, et al. National, regional, and global estimates of anaemia by severity in women and children for 2000-19: a pooled analysis of population-representative data. Lancet Glob Health. 2022;10(5):e627-e639.

Anlaakuu P, Anto F. Anaemia in pregnancy and associated factors: a cross sectional study of antenatal attendants at the Sunyani Municipal Hospital, Ghana. BMC Research Notes. 2017:10(1):402.

Delil R, Tamiru D, Zinab B. Dietary. Diversity and Its Association with Anaemia among Pregnant Women Attending Public Health Facilities in South Ethiopia. Ethiopian Journal of Health Sciences 2018;28(5):625-34.

Oyerinde O, Nkanga EA, Oyerinde IE, Akintoye O, Asekun-Olarinmoye I, Alabi QK. Factors Affecting Anaemia in Pregnancy Women in Ibeju-Lekki, Lagos State, Nigeria. Inquiry. 2023;60:469580231159961.

Dorsamy V, Bagwandeen C, Moodley J. The prevalence, risk factors and outcomes of anaemia in South African pregnant women: a protocol for a systematic review and meta-analysis. Syst Rev. 2020;9(1):209.

Abdallah F, John SE, Hancy A, Paulo HA, Sanga A, Noor R, et al. Prevalence and factors associated with anaemia among pregnant women attending reproductive and child health clinics in Mbeya region, Tanzania. PLOS Glob Public Health. 2022;2(10):e0000280.

Udhoa S, Nankumbib J, Namutebib M, Mukunyac D, Ndeezie G, Townie JK. Prevalence of anaemia in pregnancy and associated factors in northern Uganda: a cross-sectional study. South African Journal of Clinical Nutrition. 2023;36(4):136–41.

Wu Y, Ye H, Liu J, Ma Q, Yuan Y, Pang Q, et al. Prevalence of anaemia and sociodemographic characteristics among pregnant and non-pregnant women in southwest China: a longitudinal observational study. BMC Pregnancy Childbirth. 2020;20(1):535.

Campbell RK, Aguayo VM, Kang Y, Dzed L, Joshi V, Waid JL, et al. Epidemiology of anaemia in children, adolescent girls, and women in Bhutan. Matern Child Nutr. 2018;14(Suppl 4):e12740.

Sheriff FA, Dissanayake RK, Wijesundara C, Bandaranayaka KO, Chathuranga G. Prevalence, knowledge and selected associated factors of anaemia among non-pregnant females of reproductive age in a tea estate community in Hantana, Kandy district, Sri Lanka. Am J Blood Res. 2021;11(4):438-45.

Zewar M. Nutritional emergency among women in Afghanistan: Anaemia prevalence and association with contributing factors of reproductive aged afghan women. Medical Report & Case Studies 2022:7:1-6.

Marahatta R. Study of anaemia in pregnancy and its outcome in Nepal Medical College Teaching Hospital, Kathmandu, Nepal. Nepal Med Coll J. 2007;9(4):270-4.

Baig-Ansari N, Badruddin SH, Karmaliani R, Harris H, Jehan I, Pasha O, et al. Anaemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food Nutr Bull. 2008;29(2):132-9.

Vemulapalli B, Rao KK. Prevalence of anaemia among pregnant women of rural community In Vizianagram, North Coastal Andhra Pradesh, India. Asian J Med Sci. 2013:5:21-5.

Suryanarayana R, Chandrappa M, Santhuram AN, Prathima S, Sheela SR. Prospective study on prevalence of anaemia of pregnant women and its outcome: A community based study. J Family Med Prim Care. 2017;6(4):739-43.

Viveki RG, Halappanavar AB, Viveki PR, Halki Maled VS. Prevalence of anaemia and its epidemiological determinants in pregnant women. Al Ameen J Med Sci. 2012;5:216-23.

Agarwal KN, Agarwal DK, Sharma A, Sharma K, Prasad K, Kalita MC, et al. Prevalence of anaemia in pregnant & lactating women in India. Indian J Med Res. 2006;124(2):173-84.

Toteja GS, Singh P, Dhillon BS, Saxena BN, Ahmed FU, Singh RP, et al. Prevalence of anaemia among pregnant women and adolescent girls in 16 districts of India. Food Nutr Bull. 2006;27(4):311-5.

Gautam VP, Bansal Y, D.K. Taneja DK, Saha R. Prevalence of anaemia amongst pregnant women and its socio-demographic associates in a rural area of Delhi Indian Journal of Community Medicine 2002;27(4):157-60.

Mbule MA, Byaruhanga YB, Kabahenda M, Lubowa A. Determinants of anaemia among pregnant women in rural Uganda. Rural and remote health. 2013;13(2):1-5.

Silubonde TM, Smuts CM, Ware LJ, Chidumwa G, Malan L, Norris SA. Determinants of anaemia among women of reproductive age in South Africa: A Healthy Life Trajectories Initiative (HeLTI). PloS one. 2023;18(3):e0283645.

Mare KU, Aychiluhm SB, Sabo KG, Tadesse AW, Kase BF, Ebrahim OA, et al. Determinants of anaemia level among reproductive-age women in 29 Sub-Saharan African countries: A multilevel mixed-effects modelling with ordered logistic regression analysis. PloS one 2023;18(11):e0294992.

Zhang J, Li Q, Song Y, Fang L, Huang L, Sun Y. Nutritional factors for anaemia in pregnancy: A systematic review with meta-analysis. Front Public Health. 2022;10:1041136

Habib MA, Raynes-Greenow C, Soofi SB, Ali N, Nausheen S, Ahmed I, et al. Prevalence and determinants of iron deficiency anaemia among non-pregnant women of reproductive age in Pakistan. Asia Pacific Journal of Clinical Nutrition, 2018;27(1):195–203.

Abd Rahman R, Idris IB, Isa ZM, Rahman RA, Mahdy ZA. The Prevalence and Risk Factors of Iron Deficiency Anaemia among Pregnant Women in Malaysia: A Systematic Review. Front Nutr. 2022;9:847693.

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Published

2024-04-30

How to Cite

Sharma, N., Kishore, J., Gupta, M., Singla, H., Dayma, R., & Sharma, J. B. (2024). Prevalence and socio-demographic and obstetric factors for anaemia among pregnant women in second and third trimester in a tertiary hospital of Delhi. International Journal Of Community Medicine And Public Health, 11(5), 2022–2029. https://doi.org/10.18203/2394-6040.ijcmph20241203

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Original Research Articles