Amany Mokhtar Abdelhafez
Department of Public Health, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Samaa Saied El-Soadaa
Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Umm Al-Qura University, Saudi Arabia
ABSTRACT
Anemia in pregnancy is associated with increased rate of maternal and perinatal mortality, premature delivery, low birth weight and other adverse outcomes. This study was conducted to determine the prevalence of anemia among pregnant females attending primary health care centers in Makkah, Saudi Arabia and to assess the etiologic risk factors contributing to it during pregnancy. A cross-sectional study was conducted on 100 randomly selected pregnant females; data were collected using an interview questionnaire to collect data about socio-demographic characteristics, medical, obstetric and dietary histories. Hematological indicators were obtained from the last recorded values in the patients files. Anemia was defined as hemoglobin level of less than 11.0g/dl. Statistical analysis was performed using SPSS version 16. The observed prevalence rate of anemia found in this study was (39%) and was higher among females from 25 to less than 35 years, house wives and third trimester pregnant females. Multivariate analysis revealed that, low level of education,decreased birth spacing and history of anemia before pregnancy were associated with increased risk of anemia (p<0.05, OR = 18.821, 10.582 and 3.362 respectively). On the other hand, low parity and first trimester females had lower risk of anemia (p<0.05 OR = 0.165, 0.088, respectively). No association between the frequency of consumption of nearly all the studied food items and anemia was found. Emphasis should be placed on pregnant women since they were particularly at risk. Health professionals must pay more attention to teach pregnant women good long-term dietary habits as a part of an overall approach to health promotion.
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How to cite this article
Amany Mokhtar Abdelhafez and Samaa Saied El-Soadaa, 2012. Prevalence and Risk Factors of Anemia among a Sample of Pregnant Females Attending Primary Health Care Centers in Makkah, Saudi Arabia. Pakistan Journal of Nutrition, 11: 1113-1120.
DOI: 10.3923/pjn.2012.1113.1120
URL: https://scialert.net/abstract/?doi=pjn.2012.1113.1120
DOI: 10.3923/pjn.2012.1113.1120
URL: https://scialert.net/abstract/?doi=pjn.2012.1113.1120
REFERENCES
- Aikawa, R., C.K. Ngyen, S. Sasaki and C.W. Binns, 2006. Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam. Public Health Nutr., 9: 443-448.
CrossRef - Beard, J.L., 2000. Effectiveness and strategies of iron supplementation during pregnancy. Am. J. Clin. Nutr., 71: 1288S-1294S.
PubMedDirect Link - Bernard, J.B., M. Hakimi and D. Pelletier, 2001. An analysis of anemia and pregnancy-related maternal mortality. J. Nutr., 131: 604S-615S.
Direct Link - Center for Disease Control and Prevention, 2002. Iron deficiency-United States, 1999-2000. MMWR: Morb. Mortal. Week. Rep., 51: 897-899.
Direct Link - Haniff, J., A. Das, L.T. Onn, C.W. Sun and N.M. Nordin et al., 2007. Anemia in pregnancy in Malaysia: A cross-sectional survey. A. P. J. Clin. Nutr., 16: 527-536.
Direct Link - Haram, K., S.T. Nilsen and R.J. Ulvik, 2001. Iron supplementation in pregnancy-evidence and controversies. Acta Obstetricia Gynecologica Scandinavica, 80: 683-688.
CrossRef - Khan, K.S., D. Wojdyla, L. Say, A.M. Gulmezoglu and P.F. Van Look, 2006. WHO analysis of causes of maternal death: A systematic review. Lancet, 367: 1066-1074.
PubMedDirect Link - Marti-Carvajal, A., G. Pena-Marti, G. Comunian and S. Munoz, 2002. Prevalence of anemia during pregnancy: Results of Valencia (Venezuela) anemia during pregnancy study. Arch. Latinoam Nutr., 52: 5-11.
PubMed - Mirzaie F., N. Eftekhari, S. Goldozeian and J. Mahdavinia, 2010. Prevalenace of anemia risk factors in pregnant women in Kerman, Iran. Iran. J. Reprod. Med., 8: 66-69.
Direct Link - Nelson, M. and J. Poulter, 2004. Impact of tea drinking on iron status in the UK: A review. J. Hum. Nutr. Dietet., 17: 43-54.
CrossRefDirect Link - Rasheed, P., M.R. Koura, B.K. Al-Dabal and S.M. Makki, 2008. Anemia in pregnancy: A study among attendees of primary health care centers. Ann. Saudi Med., 28: 449-452.
CrossRefPubMedDirect Link - Sukrat, B. and S. Sirichotiyakul, 2006. The prevalence and causes of anemia during pregnancy in Maharaj Nakorn Chiang Mai Hospital. J. Med. Assoc.Thai., 89: S142-S146.
PubMed - Wu, A.C., L. Lesperance and H. Bernstein, 2002. Screening for iron deficiency. Pediatr. Rev., 23: 171-177.
Direct Link - Hyder, S.M., L.A. Persson, M. Chowdhury, B.O. Lonnerdal and E.C. Ekstrom, 2004. Anaemia and iron deficiency during pregnancy in rural Bangladesh. Public Health Nutr., 7: 1065-1070.
PubMed - Karaoglu, L., E. Pehlivan, M. Egri, C. Deprem, G. Gunes, M.F. Genc and I. Temel, 2010. The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey. BMC Public Health, Vol. 10.
CrossRef