Journal of Gynecology and Obstetrics

| Peer-Reviewed |

Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital

Received: 16 June 2014    Accepted: 30 June 2014    Published: 10 July 2014
Views:       Downloads:

Share This Article

Abstract

Objective: To determine the prevalence of iron deficiency anemia among pregnant women before iron supplementation in Kathmandu university Hospital/ Dhulikhel Hospital. Study area and population: Fifty three pregnant women who have not started iron supplement and attending OPD of Dhulikhel Hospital were selected for this study. Method and Material: A cluster sampling procedure was applied for this prospective and cross-sectional study. Pregnant women without any ongoing infection were selected. Sociodemographic factors, knowledge, attitude and practices of pregnant women towards iron deficiency anemia were obtained by questionnaires and blood samples were drawn. Hemoglobin, ferritin, Total serum Iron and TIBC were measured. Descriptive statistics was used for data presentation. Results: Among 53 participants overall prevalence of anemia with hemoglobin less than 11 gm/dl was 37.74%. The prevalence of IDA among pregnant women was 24.52% and the prevalence of IDA among anemic pregnant women was 65%. The percentage of anemic pregnant women with ferritin <15ng/ml was 70.00%, elevated TIBC> 400µg/dl was 65% and total serum iron < 60µg/dl was 65%. Conclusion: The 65% prevalence of IDA among anemic pregnant women in the present study suggest that there is high chance of being iron deficient in case of the anemic pregnant women who have not taken iron supplements.

DOI 10.11648/j.jgo.20140204.12
Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 4, July 2014)
Page(s) 54-58
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anemia, Iron Deficiency, Pregnancy, Dhulikhel Hospital

References
[1] Seshadri Subadra. 2001."Prevalence of micronutrient deficiency particularly of iron, zinc and folic acid in pregnant women in South East Asia. "British Journal of Nutrition 85, Suppl. 2, S87-S92
[2] Aikawa Ritsuko, Khan C Ngyen, Sasaki Satoshi and Binns W Colin. 2005. "Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam." Public Health Nutrition: 9(4):443–448
[3] Hadary Jennifer, Cohenand Jere D. Haas. 1999. "Hemoglobin correction factors for estimating the prevalence of iron deficiency anemia in pregnant women residing at high altitudes in Bolivia." Rev Panam Salud Publica/Pan Am J Public Health
[4] Breymann C, Bian XM, Blanco-CapitoLR, Chong C, Mahmud G, Rehman. 2010. "Expert recommendations for the diagnosis and treatment of iron-deficiency anemia during pregnancy and the postpartum period in the Asia-Pacific region." Feto maternal hematology unit university hospital
[5] Lusine, Mirzoyan. 1999. "Iron-Deficiency Anemia in Pregnancy: Assessment of Knowledge, Attitudes and Practices of Pregnant Women in Yerevan." Masters diss. American University Of Armenia
[6] Binay Kumar Shah, Lubna A. Baig "Association of anemia with parasitic infestation in pregnant Nepalese women: Result from Hospital based study done in Eastern Nepal." JAMC 17 (1): Jan-Mar 2005
[7] Robbins and Cotran.2010. “Pathologic Basis Of Disease” Haryana, India: Reed Elsevier India Pvt. Ltd.
[8] Baral KP and Onta, SR. 2009. "Prevalence of anemia amongst adolescents in Nepal: A community based study in rural and urban areas of Morang District." Nepal Med College Journal 11(3); 179-182
[9] Allen H, Lindsay. 2000. "Anemia and iron deficiency: effects on pregnancy outcome."The American Journal Of Clinical Nutrition, 71(5): 1280S–4S
[10] RK Chandyo, TA Strand, RJ Ulvik, RK Adhikari, M Ulak, H Dixit and H Sommerfelt. 2006. "Prevalence of iron deficiency and anemia among healthy women of reproductive age in Bhaktapur, Nepal." European Journal of Clinical Nutrition, 1–8, Vol: 61, Issue: 2, Pg: 262-269
[11] Dreyfuss ML, Stoltzfus RJ, Shrestha JB, Pradhan EK, LeClerg SC, Khatry SK, Shrestha SR, Katz J, Albonico M, West KP. 2000. "Hookworms, malaria and vitamin A deficiency contribute to anemia and iron deficiency among pregnant women in the plains of Nepal."Department of International Health, The Johns Hopkins School of Hygiene and Public Health,130(10);2527-36
[12] Marahatta, Rita. 2007. Study of anaemia in pregnancy and its outcome in Nepal medical college. Nepal Medical College Journal; 9(4):270-4
[13] Therese O Scholl, Mary L Hediger, Richard L Fisher and Joanne W Shearer .1992. "Anemia vs iron deficiency: increased risk of preterm delivery in a prospective study."The American Journal Of Clinical Nutrition
[14] Fernando E. Viteri: The Consequences of Iron Deficiency and Anaemia in Pregnancy on Maternal Health, the Foetus and the Infant. Department of Nutritional Sciences, University of California at Berkeley
[15] Harper L James, Besa C Emmanuel .2012."Iron deficiency anemia" Medscape reference Drugs disease and procedures.
[16] Meier R Paul, Nickerson H. James, Olson A Kurt. Berg L Richard. Meyer A James.2002." Prevention of iron deficiency anemia in Adolescent and Adult Pregnancies."Clinical Medicine & Research,1: 29 – 36
[17] Van Den Broek, Letsky, White and Shenkin. 1998. "Iron status in pregnant women: Which measurements are valid?" British Journal of Haematology 103: 817–824
[18] Lusine, Mirzoyan.1999. "Iron-Deficiency Anemia in Pregnancy: Assessment of Knowledge, Attitudes and Practices of Pregnant Women in Yerevan."American University Of Armenia: 37-49
[19] Hussainab Tabish, Shua Yu Li.2010. "Awareness of iron deficiency anemia among women of Reproductive age in Hubei Province, China." Asian Journal of Medical Sciences 1 (2010):12-13
[20] Rebecca J, Stoltzfus,Michele L, Dreyfuss. "Guidelines for the Use of Iron Supplements to Prevent and Treat iron deficiency anemia." International Nutritional Anemia Consultative Group (INACG)
[21] Mahmoud Abu-Hasira, Amani Waleed. 2007. "Iron Deficiency Anemia among Pregnant Women in Nablus District; Prevalence, Knowledge, Attitude and Practices." Masters diss. An-Najah National University.
[22] Aikawa Ritsuko, Khan C Ngyen, Sasaki Satoshi, Binns W Colin.2005."Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam" Public Health Nutrition: 9(4), 443–448
[23] WHO-World Health Organization. Iron deficiency anaemia –assessment, prevention and control: a guide for programme managers. Geneva; 2001
[24] Haram K, Hervig T, Ulvik RJ. “Hemoglobin, iron deficiency and anemia in pregnant women. Diagnostic aspects.” Tidsskr Nor Laegeforen. 1997 Mar 10;117 (7):962-6.
[25] Oski FA, Naiman JL, Stockman JA. Hematologia do recém-nascido. São Paulo: Manole; 1984.
[26] Karimi M, Kadivar R, Yarmohammadi H.Assessment of the prevalence of iron deficiency anemia, by serum ferritin, in pregnant women of Southern Iran. Med Sci Monit. 2002 Jul; 8(7):CR488-92.
Author Information
  • Department of Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Department of Physiology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Department of Obstetrics and Gynecology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Faculty of Human Biology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Faculty of Human Biology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Faculty of Human Biology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

  • Department of Biochemistry, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal

Cite This Article
  • APA Style

    Binay Kumar Raut, Mukesh Kumar Jha, Abha Shrestha, Ajya Sah, Amit Sapkota, et al. (2014). Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital. Journal of Gynecology and Obstetrics, 2(4), 54-58. https://doi.org/10.11648/j.jgo.20140204.12

    Copy | Download

    ACS Style

    Binay Kumar Raut; Mukesh Kumar Jha; Abha Shrestha; Ajya Sah; Amit Sapkota, et al. Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital. J. Gynecol. Obstet. 2014, 2(4), 54-58. doi: 10.11648/j.jgo.20140204.12

    Copy | Download

    AMA Style

    Binay Kumar Raut, Mukesh Kumar Jha, Abha Shrestha, Ajya Sah, Amit Sapkota, et al. Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital. J Gynecol Obstet. 2014;2(4):54-58. doi: 10.11648/j.jgo.20140204.12

    Copy | Download

  • @article{10.11648/j.jgo.20140204.12,
      author = {Binay Kumar Raut and Mukesh Kumar Jha and Abha Shrestha and Ajya Sah and Amit Sapkota and Smarika Byanju and Shyam Sundar Malla},
      title = {Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {4},
      pages = {54-58},
      doi = {10.11648/j.jgo.20140204.12},
      url = {https://doi.org/10.11648/j.jgo.20140204.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jgo.20140204.12},
      abstract = {Objective: To determine the prevalence of iron deficiency anemia among pregnant women before iron supplementation in Kathmandu university Hospital/ Dhulikhel Hospital. Study area and population: Fifty three pregnant women who have not started iron supplement and attending OPD of Dhulikhel Hospital were selected for this study. Method and Material:  A cluster sampling procedure was applied for this prospective and cross-sectional study. Pregnant women without any ongoing infection were selected. Sociodemographic factors, knowledge, attitude and practices of pregnant women towards iron deficiency anemia were obtained by questionnaires and blood samples were drawn. Hemoglobin, ferritin, Total serum Iron and TIBC were measured. Descriptive statistics was used for data presentation. Results: Among 53 participants overall prevalence of anemia with hemoglobin less than 11 gm/dl was 37.74%. The prevalence of IDA among pregnant women was 24.52% and the prevalence of IDA among anemic pregnant women was 65%. The percentage of anemic pregnant women with ferritin  400µg/dl was 65% and total serum iron < 60µg/dl was 65%. Conclusion: The 65% prevalence of IDA among anemic pregnant women in the present study suggest that there is high chance of being iron deficient in  case of the anemic pregnant women who have not taken iron supplements.},
     year = {2014}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Prevalence of Iron Deficiency Anemia among Pregnant Women before Iron Supplementation in Kathmandu University Hospital/Dhulikhel Hospital
    AU  - Binay Kumar Raut
    AU  - Mukesh Kumar Jha
    AU  - Abha Shrestha
    AU  - Ajya Sah
    AU  - Amit Sapkota
    AU  - Smarika Byanju
    AU  - Shyam Sundar Malla
    Y1  - 2014/07/10
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140204.12
    DO  - 10.11648/j.jgo.20140204.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 54
    EP  - 58
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140204.12
    AB  - Objective: To determine the prevalence of iron deficiency anemia among pregnant women before iron supplementation in Kathmandu university Hospital/ Dhulikhel Hospital. Study area and population: Fifty three pregnant women who have not started iron supplement and attending OPD of Dhulikhel Hospital were selected for this study. Method and Material:  A cluster sampling procedure was applied for this prospective and cross-sectional study. Pregnant women without any ongoing infection were selected. Sociodemographic factors, knowledge, attitude and practices of pregnant women towards iron deficiency anemia were obtained by questionnaires and blood samples were drawn. Hemoglobin, ferritin, Total serum Iron and TIBC were measured. Descriptive statistics was used for data presentation. Results: Among 53 participants overall prevalence of anemia with hemoglobin less than 11 gm/dl was 37.74%. The prevalence of IDA among pregnant women was 24.52% and the prevalence of IDA among anemic pregnant women was 65%. The percentage of anemic pregnant women with ferritin  400µg/dl was 65% and total serum iron < 60µg/dl was 65%. Conclusion: The 65% prevalence of IDA among anemic pregnant women in the present study suggest that there is high chance of being iron deficient in  case of the anemic pregnant women who have not taken iron supplements.
    VL  - 2
    IS  - 4
    ER  - 

    Copy | Download

  • Sections