Muhammad Owais Ahmad, Umay Kalsoom, Ume Sughra, Usman Hadi, Muhammad Imran


Background: Anaemia is a common medical problem in pregnancy. The extent up to which,
maternal anaemia effects maternal and neonatal health is still uncertain. Maternal anaemia is
commonly considered a risk factor for low birth weight (LBW) babies. Some studies have
demonstrated a strong association between low haemoglobin before delivery and LBW babies.
However, others have not found a significant association. Therefore, there is insufficient information
to assess the overall adverse impact of anaemia during pregnancy. The aim of this study was to
determine whether maternal anaemia would affect the birth weight of the baby and compare this with
that of non-anaemic mothers. It was a cross-sectional comparative study carried out at the maternity
ward of Fauji Foundation Hospital, Rawalpindi. Methods: One hundred subjects divided into two
groups each containing 50 subjects on the basis of consecutive non probability sampling were
included in the study. Group-A included 50 Anaemic pregnant women and Group-B 50 non-anaemic
pregnant women. Information was collected by direct interviewing method through a precoded
structured questionnaire. The Hb level and birth weights were taken from the labour room record.
Results: The mean age of the mothers in anaemic group was found to be older than the non anaemic
group, i.e., (29.44 versus 27.98), though the difference was statistically non significant. The number
of low birth weight infants (64%) was statistically very highly significantly more (p<0.001) in the
anaemic group of mothers than the non anaemic group (10%). Conclusion: The results of this study
show an association of maternal anaemia in pregnancy with increased risk of LBW babies.
Keywords: Maternal anaemia, Perinatal outcome, Low birth weight.

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World Health Organization. The prevalence of anaemia in

women: a tabulation of available information. 2nd ed. Geneva:

World Health Organization; 1992.

Harris ED. New insights into placental iron transport. Nutr Rev


Karim SA, Khurshid M, Memon AM, Jafarey SN. Anaemia in

pregnancy –its cause in the underprivileged class of Karachi. J

Pak Med Assoc 1994;44:90–2.

Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJG. Risk

factors for low birth weight in the public-hospitals at Peshawar,

NWFP-Pakistan. BMC Public Health 2008;8:197.

Ticconi C, Mapfumo M, Dorrucci M, Naha N, Tarira E,

Pietropolli A, et al. Effect of maternal HIV and malaria infection

on pregnancy and perinatal outcome in Zimbabwe. J Acquir

Immune Defic Syndr 2005;34:289–94.

Borja JB, Adair LS: Assessing the net effect of young maternal

age on birth weight. Am J Hum Biol 2003;15:733–40.

Valero De Bernabé J, Soriano T, Albaladejo R, Juarranz M, Calle

ME, Martínez D, et al. Risk factors for low birth weight: a

review. Eur J Obstet Gynecol Reprod Biol 2004;116(1):3–15.

Malhotra M, Sharma JB, Batra S, Sharma S, Murthy NS, Arora

R. Maternal and Perinatal outcome in varying degrees of

anaemia. Int J Gynecol Obstetr 2002;79:93–100.

Khan MM. Effect of maternal anaemia on fetal parameters. J

Ayub Med Coll Abbottabad 2001;13(2):38–41.

Wannous S, Arous S. Incidence and determinants of low birth

weight in Syrian government hospitals. East Mediterr Health J


Lone FW, Qureshi RN, Emanual F. Maternal anaemia and its

impact on perinatal outcome in a tertiary care hospital in

Pakistan. Trop Med Int Health 2004;4:486–9.

Shazia T, Faheem S, Saad R. Perinatal mortality: a survey. Paki J

Obstet Gynecol 1994;7(2):1–8.

Rana S. Coordinated maternity services. Pak J Obstet Gynecol


Steer P, Alam MA, Wadsworth J, Welch A. Relationship

between maternal hemoglobin concentration and birth weight in

different ethnic groups. BMJ 1995;310:489–91.

Badshah S, Mason L, Mckelvie K, Payne R, Lisboa PJ. Risk

factors for low birth weight in the public hospitals at Peshawar,

NWFP-Pakistan. BMC Public Health 2008;8:197–206.

Mavalankar DV, Gray RH, Trivedi CR. Risk factors for preterm

and term low birth weight in Ahmedabad, India. Int J Epidemiol


Jones DW, Weiss HA, Changalucha JM, Todd J, Gumodoka B,

Bulmer J, et al. Adverse birth outcomes in United Republic of

Tanzania –Impact and prevention of maternal risk factors. Bull

World Health Organ 2007;85:9–18.


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