DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20214055

Prevalence of anemia in pregnancy in rural Warangal

Murali Lingala, Manisha D., Bhagath ., Kavitha .

Abstract


ABSTRACT

INTRODUCTION: Anemia in pregnancy is an important factor which is associated with a number of maternal and fetal complications. It is a major contributor to poor pregnancy and birth outcomes in developing countries. This study aims at finding the prevalence of anemia among pregnant women living in rural Warangal and to determine the socio-demographic features of pregnant women.

METHODOLOGY: A community based cross-sectional study was conducted in Wardhanapet, the rural field practicing area of Kakatiya medical college, Warangal, Telangana. All pregnant women between the ages of 15 and 49 years were included in the study.

The sample size was calculated by using the formula *P*Q/ = 382 pregnant women. Where Z is confidence level at 95% (standard value is 1.96); P is proportion (prevalence of anemia during pregnancy 54.4%, NFHS-5); L is precision at 95% CI = 0.05.

Simple random sampling was done and the data was collected using a pre-designed, semi-structured questionnaire. Hemoglobin levels were taken from existing lab reports of the subjects. Hemoglobin cut-off for anemia during pregnancy was taken as per WHO criteria. The data collected was entered in MS-EXCEL and exported to SPSS V20 for further analysis. Chi square test was used to find out the significance and p value ≥0.05 was considered significant.

RESULTS: Among 382 subjects, the prevalence of anemia was 62%. Of them, 40% (n=130) had mild, 55% (n=155) had moderate anemia and 5% (n=12) had severe anemia. Significant association was found between anemia and parity, birth spacing, intake of IFA tablets, education and type of diet. There was no association between age of the subject, age at first conception and socioeconomic status.

CONCLUSION: As prevalence of anemia is 62%, efforts to identify modifiable factors of anemia the importance of prevention of anemia must be reinforced in pregnant women.


Keywords


Anemia, Hemoglobin, Pregnancy, Rural health, Maternal and child health

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References


World Health Organization. Anemia. Available at: https://www.who.int/health-topics/anaemia#tab= tab_1. Accessed on 06 August 2021.

National health portal India. Anemia during pregnancy (Maternal anemia). Available at: https://www.nhp.gov.in/disease/gynaecology-and-obstetrics/anaemia-during-pregnancy-maternal-anemia. Accessed on 06 August 2021.

Bansal R, Bedi M, Kaur J, Kaur K, Shergill HK, Khaira HK, et al. Prevalence and factors associated with anemia among pregnant women attending antenatal clinic. Adesh Univ J Med Sci Res. 2020;2(1):42-8.

National family health survey (NFHS). Available at: http://rchiips.org/nfhs/pdf/NFHS4/India.pdf. Accessed on 06 August 2021.

MOHFW. India fact sheet. Available at: http://rchiips.org/nfhs/NFHS-5_FCTS/FactSheet _TG.pdf. Accessed on 06 August 2021.

National rural health mission. Guidelines for control of anemia. Available at: https://www.nhm.gov.in /images/pdf/programmes/child-health/guidelines/ Control-of-Iron-Deficiency-Anaemia.pdf. Accessed on 06 August 2021.

Debnath DJ. Kakkar R. Modified BG Prasad Socioeconomic Classification, Updated –2020. Indian J Comm Health. 2020;32(1):124-5.

World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Available at: https://www.who.int/vmnis/indicators/haemoglobin.pdf. Accessed on 06 August 2021.

Sinha A, Adhikary M, Phukan JP, Kedia S, Sinha T. A study on anemia and its risk factors among pregnant women attending antenatal clinic of a rural medical college of West Bengal. J Family Med Prim Care. 2021;10(3):1327-31.

Desalegn S. Prevalence of anaemia in pregnancy in Jima town, southwestern Ethiopia. Ethiop Med J. 1993;31(4):251-8.

Abbasi A, Arooj S, Hussain W, Mughal A, Habib N, Aziz W, Mir KR, Jammu A, Kashmir M, et al. Causes of anemia in pregnant women of the state of Azad Kashmir: A cross-sectional survey. Health. 2013;5:35-44.

Bharati P, Shome S, Chakrabarty S, Bharati S, Pal M. Burden of Anemia and its Socioeconomic Determinants among Adolescent Girls in India. Food and Nutrition Bulletin. 2009;30(3):217-26.

Lebso M, Anato A, Loha E. Prevalence of anemia and associated factors among pregnant women in Southern Ethiopia: A community based cross-sectional study. PLoS One. 2017;12(12):e0188783.

Mangla M, Singla D. Prevalence of anaemia among pregnant women in rural India: a longitudinal observational study. Int J Reprod Contracept Obstet Gynecol. 2016;5:3500-5.

Kundap RP, Dadewar A, Singru S, Fernandez K. A Comparative Study of Prevalence of Iron Deficiency Anaemia in Antenatal Women from Urban and Rural Area of Pune, India. Ntl J Community Med. 2016;7(5):351-4.

Makhoul Z, Taren D, Duncan B, Pandey P, Thomson C, Winzerling J, Muramoto M, Shrestha R. Risk factors associated with anemia, iron deficiency and iron deficiency anemia in rural Nepali pregnant women. Southeast Asian J Trop Med Public Health. 2012;43(3):735-46.

Tan C, Zhao Y, Wang S. Is a vegetarian diet safe to follow during pregnancy? A systematic review and meta-analysis of observational studies. Crit Rev Food Sci Nutr. 2019;59(16):2586-96.