الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of this study was to determine types of anemia among Egyptian pregnant women attending obstetric outpatient clinic in Ain Shams University Maternity Hospital and to identify the socio-demographic risk factors and underlying causes. The current cross-sectional observational study was conducted at Ain Shams University Maternity Hospital during the period between December 2008 and July 2009. The current study included 100 pregnant women with uncomplicated singleton pregnancy. Women who had history of chronic medical diseases (e.g. chronic liver disease or TB), history of threatened abortion or antepartum hemorrhage in the current pregnancy, women with multiple pregnancy and women who were known to have bleeding disorders were all excluded from the study. The mean age of included women was 26.25 ± 4.91 years (range: 17 – 40 years). The mean gestational age at recruitment was 22.75 ± 11.51 weeks. The median parity was 2 (range: 0 – 6). Of the included 100 women, 40 (40%) women were pregnant at the first trimester, 19 (19%) women at the second trimester and 41 (41%) women at the third trimester. Based on MASCO classification, 25 (25%) women were class 2, 32 (32%) were class 3 and 43 (43%) were class 4. Of the included 100 women, 82 (82%) lived in urban areas, while 18 (18%) lived in rural areas. The mean Hb concentration in included women was 10.71 ± 1.56 g/dl (range: 7.9 – 16.7 g/dl). The mean hematocrit value was 31.65 ± 4.42 (range: 23.6 – 46). The mean MCV was 80.6 ± 7.57 fL (range: 59 – 103.6 fl). The mean MCH was 27.45 ± 3.08 pg (range: 19.71 – 36.7 pg). The mean MCHC was 33.81 ± 1.12 g/dl (range: 28.8 – 36.2 g/dl). The mean serum ferritin was 8.3 ± 3.25 ng/ml (range: 4.2 – 29 ng/ml). The mean serum iron was 50.16 ± 17.12 g/dl (range: 24.2 – 91.2 g/dl). Of the included 100 women, 37 (37%) had microcytic hypochromic anemia, 17 (17%) had normocytic hypochromic anemia, while 46 (46%) had normocytic normochromic anemia. According to the threshold of anemia stated by WHO (11 g/dl), 55 (55%) of the included women were anemic. When compared to non-anemic group of women, anemic group of women included significantly higher proportions of rural areas residents [29.1% vs. 4.4%] and classes 3 and 4 [100% vs. 44.4%]. Of the included 55 anemic women, only 1 (1.8%) had normocytic normochromic anemia, and the vast majority (98.2%) had microcytic hypochromic or normocytic hypochromic anemia, denoting that almost all included anemic women had irondeficiency anemia. This was further confirmed by the fact that 98.2% had a serum ferritin below 15 ng/ml and 100% had a serum iron below 60 g/dl. |