Abstract
Introduction: Anemia is a public health problem, prevalent among women of childbearing age. The aim was to determine the frequency of anemia in the first, second and third trimesters of pregnancy and to determine the associating factors in Algerian pregnant women. Methods: We conducted a prospective and longitudinal cohort study of 300 pregnant women from December 2013 to July 2016. All consenting women attending antenatal clinics and having undergone complete blood count (CBC) were included in the study. Sociodemographic characteristics, individual’s obstetrical history and the results of the CBC were collected. Anemia was defined according to the WHO criteria. After some descriptive statistics, we performed a bivariate analysis using the Chi-square test and Fisher exact probability test in order to determine the factors associated with gestational anemia. Results: The rate of anemia was 28.0 % in the first trimester, 32.3 % in the second and 54.2 % in the third one. It was more frequently observed during the third trimester of pregnancy (P < 0.05). No significant difference was found between gestational anemia and socio-demographic factors. Women with inadequate gain were more anemic (p = 0.01). The average concentration of hemoglobin, hematocrit, VGM and platelets were lower in anemic pregnant women (p < 0.0001). Conclusion: The prevalence of anemia during pregnancy remains high. A better management of chronic diseases in pregnant women and of postpartum follow-up is necessary to treat anemia before a subsequent pregnancy.
Highlights
Anemia is a public health problem, prevalent among women of childbearing age
Second objective was to determine the factors associated with anemia in Algerian pregnant women
Mean spacing between pregnancies was 30.9 ± 22.7 months. 32.7% of women had a low standard of living and only 19.0% had a high standard of living
Summary
The aim was to determine the frequency of anemia in the first, second and third trimesters of pregnancy and to determine the associating factors in Algerian pregnant women. Gestational anemia is a public health problem, prevalent among women of childbearing age. It is defined as a hemoglobin less than 11.0 g/dl in the first and third trimesters of pregnancy and less than 10.5 g/dl in the second trimester and it is one of the most common problems in obstetrics [1]. The aim of this study was to determine the frequency of anemia in pregnant women in the first, second and third trimesters of pregnancy. Second objective was to determine the factors associated with anemia in Algerian pregnant women. Determining these factors will provide information on risk groups which will allow the implementation of more effective interventions to reduce anemia in pregnancy
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