American Journal of Medical Sciences and Medicine
ISSN (Print): 2327-6681 ISSN (Online): 2327-6657 Website: https://www.sciepub.com/journal/ajmsm Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Medical Sciences and Medicine. 2020, 8(1), 11-20
DOI: 10.12691/ajmsm-8-1-3
Open AccessArticle

Prevalence and Determinants of Anemia among Pregnant Women Attending Antenatal Clinic at Maternity and Children Hospital in Makkah City in September 2019

Alhajjaj Yousef Althagafi1, and Saud Hasan Surbaya2

1Family Medicine Resident, Joint Program of Family Medicine in Makkah, Ministry of Health

2Family Medicine Consultant, Training, Education and Research Department, Makkah Public Health, Ministry of Health

Pub. Date: March 26, 2020

Cite this paper:
Alhajjaj Yousef Althagafi and Saud Hasan Surbaya. Prevalence and Determinants of Anemia among Pregnant Women Attending Antenatal Clinic at Maternity and Children Hospital in Makkah City in September 2019. American Journal of Medical Sciences and Medicine. 2020; 8(1):11-20. doi: 10.12691/ajmsm-8-1-3

Abstract

Background: Anemia among pregnant women is one of the most common public health problems in developing countries. World health organization (WHO) estimates shows nearly half of pregnant women were affected by anemia. It significantly increases fetal and maternal mortality and morbidity due to maternal vulnerability for infection and hemorrhage. Identify determinant factors of anemia among pregnant women in “Prevalence and determinants of anemia in third trimester. It is one of the most common preventable causes of maternal morbidities ranging from 22.6% to 54.0%. However, the prevalence and determinants that contribute to the occurrence of anemia were not extensively studied. Aim of the study: To evaluate the anemia and its determinants among pregnant women attending ANC at MCH in makkah city September 2019. To increase awareness of anemia during pregnancy and its adverse effects on the maternal and fetal outcomes. Method: Cross-sectional study conducted MCH in one of the most important cities in Saudi Arabia, which is Makkah. Sample population was pregnant women attending ANC in MCH in makkah city. Our total participants were (310) pregnant women. Results: The following variables were significantly associated with anemia: Age were (OR=0.333), Nationality status were (OR=1.830), Occupational status were (OR=0.649), Gestational age were (OR=0.580), History of drinking tea immediately after main meals (OR=0.557), Eating green vegetables were (OR=1.525), Eating animal products were (OR=1.651), Gravidity were (OR=2.192). Conclusion: Anemia is still a significant problem facing pregnant women and jeopardizing their outcomes. Diet during pregnancy, consuming tea/coffee immediately after food, meat consumption, previous heavy menstrual blood flow, and occupational status of women were significant factors associated with anemia among pregnant women so, it is recommended to increase the efforts toward the health education of women in childbearing age.

Keywords:
prevalence determinants anemia pregnant women antenatal makkah

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Breymann, C., DeMaeyer, E., & Adiels-Tegman, M. (1985). Iron deficiency and anaemia in pregnancy: modern aspects of diagnosis and therapy. The prevalence of anemia in the world. Wld Hlth Stat. Q., 38, 305.
 
[2]  World Health Organization. (2008). Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia.
 
[3]  WHO, A. (2001). Guide for Programme Managers. Geneva: World Health Organization. Iron Deficiency Anemia. Assessment, Prevention and Control. (Accessed on September 06, 2011).
 
[4]  Lund, C. J., & Donovan, J. C. (1967). Blood volume during pregnancy: significance of plasma and red cell volumes. American Journal of Obstetrics & Gynecology, 98(3), 393-403.
 
[5]  Zavaleta, N., Berlanga, R., Lonnerdal, B., & Brown, K. H. (1993). Prevalence and determinants of iron deficiency anaemia in a representative sample of pregnant women in Lima, Peru. Pan American Health Organization, 54-67.
 
[6]  Leenstra, T., Kariuki, S. K., Kurtis, J. D., Oloo, A. J., Kager, P. A., & ter Kuile, F. O. (2004). Prevalence and severity of anemia and iron deficiency: cross-sectional studies in adolescent schoolgirls in western Kenya. European journal of clinical nutrition, 58(4), 681.
 
[7]  Mondal, B., Tripathy, V., & Gupta, R. (2006). Risk factors of Anemia during pregnancy among the Garo of Meghalaya, India. J Hum Ecol, 14, 27-32.
 
[8]  World Health Organization. (1994). Prevention and management of severe anaemia in pregnancy: report of a technical working group, Geneva, 20-22 May 1991 (No. WHO/FHE/MSM/93.5. Unpublished). World Health Organization.
 
[9]  Pritchard, J. A. (1965). Changes in the blood volume during pregnancy and delivery. Anesthesiology: The Journal of the American Society of Anesthesiologists, 26(4), 393-399.
 
[10]  McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B. (2009). Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public health nutrition, 12(4), 444-454.
 
[11]  Mbule, M. A., Byaruhanga, Y. B., Kabahenda, M., & Lubowa, A. (2013). Determinants of anaemia among pregnant women in rural Uganda. Rural & Remote Health, 13(2).
 
[12]  World Health Organization. (2015). Guideline: sugars intake for adults and children. World Health Organization.
 
[13]  Balarajan, Y., Ramakrishnan, U., Özaltin, E., Shankar, A. H., & Subramanian, S. V. (2011). Anaemia in low-income and middle-income countries. The Lancet, 378(9809), 2123-2135.
 
[14]  Noronha, J. A., Bhaduri, A., Bhat, H. V., & Kamath, A. (2010). Maternal risk factors and anaemia in pregnancy: a prospective retrospective cohort study. Journal of Obstetrics and Gynaecology, 30(2), 132-136.
 
[15]  Salhan, S., Tripathi, V., Singh, R., & Gaikwad, H. S. (2012). Evaluation of hematological parameters in partial exchange and packed cell transfusion in treatment of severe anemia in pregnancy. Anemia, 2012.
 
[16]  Akhtar, M., & Hassan, I. (2012). Severe anaemia during late pregnancy. Case reports in obstetrics and gynecology, 2012.
 
[17]  De Benoist, B., Cogswell, M., Egli, I., & McLean, E. (2008). Worldwide prevalence of anaemia 1993-2005; WHO Global Database of anaemia.
 
[18]  Karaoglu, L., Pehlivan, E., Egri, M., Deprem, C., Gunes, G., Genc, M. F., & Temel, I. (2010). The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey. BMC Public Health, 10(1), 329.
 
[19]  Alghamdi, A. (2016). Prevalence of Anemia among Pregnant Women in Riyadh, Saudi Arabia. Int J Health Sci Res, 6(9), 54-60.
 
[20]  Enrera, J. A., Abdelrahman, E. A., & Abrar, R. A. (2015). Iron Deficiency Anemia among Pregnant Women in Hail Kingdom of Saudi Arabia. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 4(2), 74-80.
 
[21]  Hosmer Jr, D. W., Lemeshow, S., & May, S. (2008). Applied survival analysis: regression modeling of time-to-event data (Vol. 618). Wiley-Interscience.
 
[22]  Samuel, T. M., Thomas, T., Finkelstein, J., Bosch, R., Rajendran, R., Virtanen, S. M.,... & Duggan, C. (2013). Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption. Public health nutrition, 16(2), 316-324.
 
[23]  Natarajan, M. P., Yadav, B., & Jose, R. (2017). Prevalence of anemia in pregnant women at booking visit in India. Indian Journal of Obstetrics and Gynecology Research, 4(3), 244-248.
 
[24]  Ogbeide, O., Wagbatsoma, V., & Orhue, A. (1994). Anaemia in pregnancy. East African medical journal, 71(10), 671-673.
 
[25]  Mahfouz, A., el Said, M., Alakija, W., Badawi, I., el Erian, R., & Moneim, M. (1994). Anemia among pregnant women in the Asir region, Saudi Arabia: an epidemiologic study. Send to Southeast Asian J Trop Med Public Health., 25(1), 84-87.
 
[26]  Rasheed, P., Koura, M. R., Al-Dabal, B. K., & Makki, S. M. (2008). Anemia in pregnancy: A study among attendees of primary health care centers. Annals of Saudi medicine, 28(6), 449-452.
 
[27]  Dawood, H. S., Parakash, P., & Shubber, K. M. R. (1990). Iron deficiency anemia among pregnant Arab women in Kuwait. The Journal of the Kuwait Medical Association; 24 (2), 167-72.
 
[28]  Afifi, M. (2003). Anemia in pregnancy at South Sharqiya health centers, Oman. The Journal of the Egyptian Public Health Association, 78(1-2), 39-54.
 
[29]  Hassan, R., Abdullah, W. Z., & Hussain, N. H. N. (2005). Anemia and iron status of Malay women attending an antenatal clinic in Kubang Kerian, Kelantan, Malaysia. Southeast Asian journal of tropical medicine and public health, 36(5), 1304.
 
[30]  Aikawa, R., Khan, N. C., Sasaki, S., & Binns, C. W. (2006). Risk factors for iron-deficiency anemia among pregnant women living in rural Vietnam. Public health nutrition, 9(4), 443-448.
 
[31]  Toteja, G. S., Singh, P., Dhillon, B. S., Saxena, B. N., Ahmed, F. U., Singh, R. P.,... & Sarma, U. C. (2006). Prevalence of anemia among pregnant women and adolescent girls in 16 districts of India. Food and Nutrition Bulletin, 27(4), 311-315.
 
[32]  Hyder, S. Z., Persson, L. Å., Chowdhury, M., Lönnerdal, B. O., & Ekström, E. C. (2004). Anaemia and iron deficiency during pregnancy in rural Bangladesh. Public health nutrition, 7(8), 1065-1070.
 
[33]  Lokare, P. O., Karanjekar, V. D., Gattani, P. L., & Kulkarni, A. P. (2012). A study of prevalence of anemia and sociodemographic factors associated with anemia among pregnant women in Aurangabad city, India. Annals of Nigerian Medicine, 6(1), 30.
 
[34]  Siddalingappa, H., MR, N. M., & Ashok, N. C. (2016). Prevalence and factors associated with anaemia among pregnant women in rural Mysore, Karnataka, India. International Journal of Community Medicine and Public Health, 3(9), 2532-2537.
 
[35]  Baig-Ansari, N., Badruddin, S. H., Karmaliani, R., Harris, H., Jehan, I., Pasha, O.,... & Goldenberg, R. L. (2008). Anemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food and nutrition bulletin, 29(2), 132-139.
 
[36]  ALPER, B. S., Kimber, R., & REDDY, A. K. (2000). Using ferritin levels to determine iron-deficiency anemia in pregnancy. Journal of Family Practice, 49(9), 829-829.
 
[37]  Kassa, G. M., Muche, A. A., Berhe, A. K., & Fekadu, G. A. (2017). Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis. BMC hematology, 17(1), 17.
 
[38]  Singh, R., Singh, A. K., Gupta, S. C., & Singh, H. K. (2015). Correlates of anemia in pregnant women. Indian journal of community health, 27(3), 351-355.
 
[39]  Suryanarayana, R., Chandrappa, M., Santhuram, A. N., Prathima, S., & Sheela, S. R. (2017). Prospective study on prevalence of anemia of pregnant women and its outcome: A community based study. Journal of family medicine and primary care, 6(4), 739.
 
[40]  Rasheed, P., Koura, M. R., Al-Dabal, B. K., & Makki, S. M. (2008). Anemia in pregnancy: A study among attendees of primary health care centers. Annals of Saudi medicine, 28(6), 449-452.
 
[41]  Whittaker, P. G., Macphail, S., & Lind, T. (1996). Serial hematologic changes and pregnancy outcome. Obstetrics & Gynecology, 88(1), 33-39.
 
[42]  El Ashiry, A., El Ghazali, S., & Habil, I. (2014). Prevalence and determinants of anaemia in third trimester pregnancy in Fayoum governorate-Egypt. Acta Medica Mediterranea, 30(10), 1045-1051.
 
[43]  Argaw, B., Argaw-Denboba, A., Taye, B., Worku, A., & Worku, A. (2015). Major risk factors predicting anemia development during pregnancy: unmatched-case control study. J Community Med Health Educ, 5(353), 2161-0711.
 
[44]  Bekele, A., Tilahun, M., & Mekuria, A. (2016). Prevalence of anemia and Its associated factors among pregnant women attending antenatal care in health institutions of Arba Minch town, Gamo Gofa Zone, Ethiopia: A Cross-sectional study. Anemia, 2016.
 
[45]  Belachew, T., & Legesse, Y. (2006). Risk factors for anemia among pregnant women attending antenatal clinic at Jimma University Hospital, southwest Ethiopia. Ethiopian Medical Journal, 44(3), 211-220.