Abstract
Background: Anemia is a common problem in pregnancy, particularly in developing countries which causes low birth weight and increased risk of maternal and perinatal morbidity and mortality.Methods: A descriptive cross-sectional study was adopted to determine the factors associated with anemia among pregnant Systematic Random Sampling technique was used and sample size was 280 pregnant women who visited the antenatal clinic of the Tribhuwan University Teaching Hospital, Kathmandu. Data was collected by face to face interview technique by pretested questionnaire. Chi-square, bivariate, multivariate logistic regression model was used, and statistical significance was determined with a 95% confidence level.Results: Mean age of respondents was 25.86±4.191 years. Anemia among pregnant women was 22.1%.The significant determinants associated with anemia were pregnant women who had not taken iron regularly (AOR=18.380, 95% CI=3.687-91.624, p=0.005).Conclusion: The results indicate that anemia is still prevalence in pregnant women in tertiary level hospital at Kathmandu. Irregular intake or discontinuation of iron was significant factor for anemia. Therefore, pregnant women and their family members need counseling about the importance of regular intake of iron during pregnancy.Med Phoenix Vol.2(1) July 2017, 24-33
Highlights
Pregnancy is a period of a significant increase in iron requirement over and above the nonpregnant state
Mulepati Sumitra and Chaudhary Tanuja Kumari or third trimester, attend antenatal clinic of TUTH with hemoglobin report done in this pregnancy and who are willing to participate in the study were included in this study those pregnant women who have diagnose as pathological diseases were excluded from study
The finding of this study is inconsistent with other study which is done in Western Nepal, Morang District and Eastern Nepal were 41.0 percent, 47.24% and 46.6% respectively prevalence of anemia among pregnant women.17,18Finding is inconsistent with the national data showed that the prevalence of anemia among pregnant were 46 %
Summary
Pregnancy is a period of a significant increase in iron requirement over and above the nonpregnant state. Iron requirements are reduced in the first trimester because of the absence of menstruation, they rise steadily thereafter from approximately 0.8 mg per day in the first month to approximately 10 mg per day during the last 6 weeks of pregnancy. The increased iron requirement is due to expansion of maternal red blood cell mass for increased oxygen transport, including transfer of iron, to both the growing foetus and the placental structures, and as a needed reserve for blood loss and lochia at parturition. Due to increased iron requirements, pregnancy is a period of increased risk for anaemia. Anemia is a common problem in pregnancy, in developing countries which causes low birth weight and increased risk of maternal and perinatal morbidity and mortality
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