Prevalence of anaemia among pregnant women in Derna city, Libya
Keywords:Anaemia, Derna, Libya, Pregnant women, Prevalence
Background: Anemia is considered a major public health problem; playing an important contributor to mortality and morbidity among pregnant women globally, especially in developing countries. This study was conducted to estimate the prevalence of anemia among pregnant women in Derna, Libya.
Methods: A cross sectional study was conducted on 595 pregnant women randomly selected attending the antenatal clinic in the primary health centre in Derna city, Libya. Data was collected using a questionnaire to collect data about socio-demographic characteristics and obstetric history.
Results: The prevalence of anaemia among pregnant women was 54.6% (95% CI, 51.45% -57.75%) of with 44.5% mild anaemia. The higher prevalence of anaemia was in the third trimester of pregnancy (59.6%). Anaemia was more prevalent in pregnant women within age between 15-20 and 36-40 years and with a primary-level education. However, the prevalence of anaemia was not significant associated with socio-demographic factor, parity and gravidity.
Conclusions: The prevalence of anaemia among pregnant women in Libya is comparable to that considered as a severe public by WHO suggesting those anaemia among pregnant women is a public health problem in Libya. So, awareness regarding balanced diet, regular antenatal checkups, regular intake of iron and folic acid tablet is highly recommended.
WHO .The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015. Available at: http://www.who.int/ nutrition/ publications/ micronutrients/ global_prevalence_anaemia_2011/e n/. Accessed on 9th June 2015.
Martí-Carvajal A, Peña-Martí G, Comunian G, Muñoz S. Prevalence of anemia during pregnancy: Results of Valencia (Venezuela) anemia during pregnancy study. Arch Latinoam Nutr. 2002;52(1):5-11.
Levy A, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anemia dur¬ing pregnancy is an independent risk factor for low birth weight and prterm delivery. Eur J Obstet Gynecol Reprod Biol. 2005;122:182-6.
Xiong X, Buekens P, Alxander S, Demianczuk N, Wollast E. Anemia during pregnancy and birth outcome: a meta-analysis. Am J Perinatol. 2000;17(3):137-46.
Lokare PO, Karanjekar VD, Gattani PL, Kulkarni AP. A study of prevalence of anemia and sociodemographic factors associated with anemia among pregnant women in Aurangabad city, India. Ann Nigerian Med. 2012;6(1):30-4.
Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. The Lancet. 2011;378(9809):2123-5.
Haidar J. Prevalence of anaemia, deficiencies of iron and folic acid and their determinants in ethiopian women. J Health Popul Nutr. 2010;28(4):359-68.
Candio F, Hofmeyr GJ. Treatments for iron-deficiency anaemia in pregnancy: RHL commentary. The WHO Reproductive Health Library; Geneva: World Health Organization.
Daily PJ, Wylie BJ. Iron deficiency during pregnancy: blessing or curse? J Infect Dis. 2008;198:157-8.
Olatunbosun OA, Abasiattai AM, Bassey EA, James RS, Ibanga G. Morgan A. Prevalence of Anaemia among Pregnant Women at Booking in the University of Uyo Teaching Hospital, Uyo, Nigeria. BioMed Res. 2014. Article ID: 849080.
Alene KA, Dohe AM. Prevalence of Anaemia and Associated Factors among Pregnant Women in an Urban Area of Eastern Ethiopia. Anemia. 2014. Article ID: 561567.
Okube TO, Mirie W, Odhiambo E, Sabina W, Habtu M. Prevalence and factors associated with anaemia among pregnant women attending antenatal clinic in the second and third trimesters at Pumwani Maternity Hospital, Kenya. OJOG. 2016;6:16-27.
World Health Organization. Micronutrient deficiencies: Iron deficiency anaemia 2008. Available at: http://www. who.int/ nutrition/ topics/ ida/ en/. Accessed on 01st June 2015.
United Nations Development Programme: Human Development Report 2009. New York United Nations Development Programme 2009. Available at: http:// hdr.undp.org /en/ media/ HDR_2009_EN_Complete.pdf. Accessed on 4 February 2016.
Melku M, Addis Z, Alem M, Enawgaw B. Prevalence and predictors of maternal anemia during pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study. Anemia 2014. Article ID 10859. Available at: http://dx.doi.org/ 10.1155/ 2014/ 108593.
Vemulapalli B, Rao KK. Prevalence of anemia among pregnant women of rural community in Vizianagram, North Coastal Andhra Pradesh, India. AJMS. 2014;5(2):21-5.
Cheema HK, Bajwa BS, Kaur K, Joshi H. Prevalence and possible risk factors of anaemia in different trimesters of pregnancy. IJCMR. 2016;3(4):1194-7.
Ndukwu GU, Dienye PO. Prevalence and socio-demographic factors associated with anaemia in pregnancy in a primary health center in Rivers State, Nigeria. Afr J Prm Health Care Fam Med. 2012;4(1).
Ibrahim ZM, Abd El-Hamid S, Mikhail H, Khattab MS. Assessment of Adherence to Iron and Folic Acid Supplementation and Prevalence of Anaemia in Pregnant Women. Med J Cairo Univ. 2011;79(2):115-21.
Ouedraogo S, Koura GK, Accrombessi MM, Bodeau-Livinec F, Massougbodji A, Cot M. Maternal anemia at first antenatal visit: prevalence and risk factors in a malaria-endemic area in Benin. Am J Trop Med Hyg. 2012;87(3):418-24.
Buseri FI, Uko EK, Jeremiah ZA, Usanga EA. Prevalence and risk factors of anaemia among pregnant women in Nigeria. Open J Hematol. 2008;2:14-9.
Aluka C, Amadi AN, Kamanu CI, Fejyi-Waboso PA. Anaemia in pregnancy in Abia State University Teaching Hospital Aba. J Med Invest Pract. 2001;2:58-61.
Demmouche A, Khelil S, Moulessehoul S. Anemia among pregnant women in the Sidi Bel Abbes Region (West Algeria): An Epidemiologic Study. J Blood Disord Transfus. 2011;2(3).
Merza R, Alekri R, Alekri S, Alsaleh A, Alnasir F. The prevalence and factors associated with iron deficiency anemia in anemic pregnant women. Bahrain Medical Bulletin. 2014;36(3).
Karaoglu L, Pehlivan E, Egri M, Deprem C, Gunes G, Genc MF, Temel I. Prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey. BMC Public Health. 2010:10(329).
Al-Mehaisen L, LKhader Y, Al-Kuran O, Abu Issa F, Amarin Z. Maternal anemia in rural Jordan: room for improvement. Anemia 2011. Article ID 381812.
Abdelhafez AM, El-Soadaa SS. Prevalence and risk factors of anemia among a sample of pregnant females attending primary health care centers in Makkah, Saudi Arabia. Pak J Nutr. 2012;11(12):1113-20.
Taner CF, Ekin A, Solmaz U, Gezer C, Çetin B, Keleşoğlu M, Erpala MB, Özeren M. Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery. J Turk Ger Gynecol Assoc. 2015;16:231-6.
Rai N, Nandeshwar S, Rai P. A study on magnitude of anaemia and its socio-demographic correlates among pregnant women in Sagar city of Bundelkhand Region, Madhya Pradesh, India. Int J Community Med Public Health. 2016;3(1):128-32.
Haniff J, Das A, Lim OT, Mohamaf ZM. Anemia in pregnancy in Malaysia: a cross-sectional survey. Asia Pac J Clin Nutr. 2007;16(3):527-36.
Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007;77(1):44-51.
Mennen L, Hirvonen T, Arnault N, Bertrais S, Galan P, Hercberg S. Consumption of black, green and herbal tea and iron status in Frenchadults. Eur J Clin Nutr. 2007;61(10):1174-9.