Prevalence Of Anemia And Associated Factors Among Pregnant Women At Zliten -Libya
Abstract
Background: Anemia is a major global public health problem affecting both developing and developed countries, with serious consequences for maternal and fetal health. It is a leading cause of morbidity and mortality during pregnancy, particularly in developing countries. This study aimed to determine the prevalence of anemia and its associated factors among pregnant women in Zliten city, Libya.
Methods: A facility-based cross-sectional study was conducted among 300 pregnant women attending antenatal clinics in Zliten city. Consecutive sampling was applied. Data were collected using a structured questionnaire and hemoglobin (Hb) levels were measured. Data entry and analysis were performed using SPSS version 22.0. Pearson’s chi-square test was used to assess associations between anemia and selected socio-demographic factors.
Results: The mean hemoglobin level of participants was 11.12 g/dL (SD ± 0.8), with a median of 11.10 g/dL and a range of 8.0–15.5 g/dL. The overall prevalence of anemia was [insert %]. Of the anemic participants, 4 (1.3%) had mild anemia, 125 (41.7%) had moderate anemia, and 75 (25%) had severe anemia. No cases of very severe anemia (Hb <7 g/dL) were observed. Family size and other demographic characteristics were not significantly associated with anemia.
Conclusion:Anemia was found to be highly prevalent among pregnant women in Zliten city, with moderate anemia being the most common form. These findings highlight the need for strengthened antenatal screening, nutritional counseling, and public health interventions to prevent and manage anemia during pregnancy
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Abriha, A., Yesuf, M. E., and Wassie, M. M. (2014). A cross-sectional study assessing the prevalence and determinants of anemia among pregnant women in Mekelle town. BMC Research Notes, 7(1), 1–6.
Alene, K. A., & Dohe, A. M. (2014). Anemia prevalence and contributing factors among pregnant women in an urban setting in Eastern Ethiopia. Anemia, 2011(1), 1–7.
Balasubramanian, T., Aravazhi, M., & Sampath, S. D. (2016). The level of anemia awareness among pregnant women and the influence of demographic variables on their hemoglobin levels. International Journal of Scientific Study, 3(12), 303–305.
Bansal, B., Takkar, J., Soni, N., Agrawal, D. K., & Agarwal, S. (2013). A comparative evaluation of anemia prevalence between Muslim and non-Muslim pregnant women in Western Rajasthan. International Journal of Research in Health Sciences, 1(2), 47–52.
Bekele, A., Tilahun, M., & Mekuria, A. (2016). Anemia prevalence and associated factors among pregnant women attending antenatal clinics in Arba Minch town, Gamo Gofa Zone, Ethiopia: A cross-sectional analysis. Anemia, 2024(1), 1–9.
Bermúdez-Millán, Á., Hromi-Fiedler, A., Damio, G., Segura-Pérez, S., & Pérez-Escamilla, R. (2009). The role of egg consumption in the dietary patterns of pregnant Latinas. Ecology of Food and Nutrition, 48(5), 383–403.
Gebremedhin, S., Samuel, A., Mamo, G., Moges, T., & Assefa, T. (2014). Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: A cross-sectional study. BMC Public Health, 14, 607.
Haidar, J., & Pobocik, R. S. (2009). Iron deficiency anemia is not a rare problem among women of reproductive ages in Ethiopia: A community-based cross-sectional study. BMC Hematology, 9(1), 7.
. Kejo, D., Petrucka, P., Martin, H., Kimanya, M., & Mosha, T. (2018). Prevalence and predictors of anemia among children under 5 years and women of reproductive age in Arusha District, Tanzania. Frontiers in Nutrition, 5, 42.
. Khan, D. A., Fatima, S., Imran, R., et al. (2020). Association of dietary diversity with anemia among pregnant women: A hospital-based cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 688. https://doi.org/10.1186/s12884-020-03353-9
. Lee, S., Ryu, H., Kim, J., & Lee, J. (2023). Dietary patterns and risk of anemia among pregnant women: A population-based cohort study. Nutrients, 15(2), 450. https://doi.org/10.3390/nu15020450
. Lokare, P. O., Karanjekar, V. D., Gattani, P. L., & Kulkarni, A. P. (2012). A study of prevalence of anemia and sociodemographic factors associated with anemia among pregnant women in Aurangabad city, India. Annals of Nigerian Medicine, 6(1), 30–34.
. Melku, M., Addis, Z., Alem, M., & Enawgaw, B. (2014). Prevalence and predictors of maternal anemia during pregnancy in Gondar, Northwest Ethiopia. Anemia, 2014, 108593. https://doi.org/10.1155/2014/108593
. Milman, N. (2011). Anemia—still a major health problem in many parts of the world! Annals of Hematology, 90(4), 369–377.
. Nair, M., Choudhury, M. K., Choudhury, S. S., Kakoty, S. D., Sarma, U. C., Webster, P., & Knight, M. (2016). Association between maternal anaemia and pregnancy outcomes: Evidence from prospective studies in India. Public Health Nutrition, 19(12), 2189–2197. https://doi.org/10.1017/S1368980016000510
. Rahman, M. M., Abe, S. K., Rahman, M. S., Kanda, M., Narita, S., Bilano, V., … Shibuya, K. (2016). Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis. American Journal of Clinical Nutrition, 103(2), 495–504.
Stevens, G. A., Paciorek, C. J., Flores-Urrutia, M. C., et al. (2022). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and women, 2000–2019. The Lancet Global Health, 10(5), e627–e639. https://doi.org/10.1016/S2214-109X(22)00084-3
Sukrat, B., Wilasrusmee, C., Siribumrungwong, B., McEvoy, M., Okascharoen, C., & Thakkinstian, A. (2013). Hemoglobin concentration and pregnancy outcomes: A systematic review and meta-analysis. BioMed Research International, 2013, 769057.
Tandu-Umba, B., Mbangama, A. M., & Kamongola, K. M. (2015). Sociodemographic and obstetric risk factors for anemia in pregnancy in Kinshasa, DR Congo. Central African Journal of Medicine, 61(1–4), 1–6.
. Uche-Nwachi, E. O., Odekunle, A., Jacinto, S., Burnett, M., Clapper, D., & David, Y. (2010). Anaemia in pregnancy: Associations with parity, infections, and socioeconomic factors in Trinidad and Tobago. African Health Sciences, 10(1), 66–70.
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