FACTORS INFLUENCING ON THE HEMOGLOBIN LEVELOF PREGNANT WOMEN-A CROSS SECTIONAL STUDY IN RURAL AREA OF LATUR DISTRIST.

Abstract

Background: Anaemia is a global public health problem, affecting both developing and developed countries. WHO estimates that prevalence of anaemia as 65-75% in India. Most common form of anaemia in pregnant women is iron deciency anaemia. The etiology of anaemia during pregnancy among women in developing countries is multifactorial. Hence this study was done to asses factors affecting haemoglobin level in pregnant women in rural area. Objectives : To study the prevalence of anaemia among pregnant women and various sociodemographic, dietary and obstetric factors associated with anaemia in pregnant women in rural area. in rural area. Methods:A community based cross sectional study was done in rural blocks of Latur district. Sociodemographic, obstetric and dietary data was collected from pregnant women. Hemoglobin was calculated by Sahli's method and classied according to the WHO classication for pregnant women. Chi square test and crude Odds ratio were estimated .p<0.05 considered as signicant. Results: Mean age of study subjects was 22.34 ± 0.498 years. Prevalence of anaemia was 62%. Mild , moderate and severe anaemia contributed 30%,29% and 3% respectively .A statistical signicant association was seen between anaemia and religion (Muslim COR-2.98 and Buddist COR- 5.81 ) and Socioeconomic class (COR-3.19). Also, anaemia was signicantly associated with age at menarche, gestational age , average spacing, IFA consumption and deworming status during pregnancy. (p<0.05) Prevalence of anaemia was signicantly high among vegetarians , pregnant women with decient daily calories and protein intake and lack of daily Green leafy vegetables and fruits consumption.(p<0.05) Conclusion: Anemia continues to be a public health problem. Although iron–folic acid supplementation is available under the national health program to address this issue, it is important for primary care physicians to consider and address other risk factors when designing and implementing target interventions for anemia control in selected populations