• Ghazala Nazir
  • Saima Naz
  • Shafqut Ali
  • Shaheen Aziz
  • Shakeel Ahmad Malik
  • Iftikhar Hossain Qari
  • Samia Irum


Background: Anaemia is arguably the biggest female health problems in developing countries. Theworld is still to fully fathom the extent and gravity of the problem. This problem aggravates particularlyduring and after pregnancies due to increased nutritional demands and inadequate iron supply and istherefore more widespread in parous segments of female population. Objective of this study was todetermine prevalence of anaemia in apparently healthy parous female population of Abbottabad andinvestigate underlying causes. Methods: This descriptive, cross-sectional study was conducted fromOctober 2001 to March 2011 in Abbottabad. Women reporting for various surgical procedures wereinvestigated for anaemia by obtaining history through a structured performa, specifically designed toidentify the underlying causes. Sixteen thousand women of child bearing age (20–40 years) wereincluded in the study; 14,800 with history of at least one pregnancy and remaining with no previouspregnancy. Haemoglobin (Hb) was measured using haematology analyser Sysmex (KX21). Results:Of the screened women, 60% were found anaemic (Hb <12 g/dl) 10% of which were severely anaemic(Hb <6 g/dl). Anaemia was related to socio-demographic and obstetric history characteristics. Theprevalence of anaemia was significantly lower in women who used iron supplements during theirpregnancies. Lactating mothers not making up for the iron deficiencies during pregnancies usuallycarried their anaemia postpartum and beyond. Lower gaps between pregnancies also contributedsignificantly to the problem. Conclusion: Prevalence and severity of anaemia in reproductive agefemales reporting to surgical units were found to be exceptionally high. Frequency of anaemia in theparous females of relatively affluent city of Abbotabad indicates that anaemia may be on the rise indeveloping countries. Addressing pregnancy related anaemia and nutritional deficiencies through intakeof supplements on regular basis in women before and between pregnancies is essential.Keywords: Anaemia, Reproductive age, nutritional deficiency, parous, Lactation


UNICEF/UNU/WHO. Iron deficiency anaemia: assessment,

prevention, and control. Geneva, World Health Organization,

Renfree C. Anaemia and the Breastfeeding Woman. Available


Siddiqui MS, Siddiqui MK. Public health significance of iron

deficiency anaemia. Pak Armed Forces Med J 2008;58:319–30.

Idris M, Rehman AU. Iron deficiency anaemia in moderate to

severely anemic patients. J Ayub Med Coll Abbottabad


Mother and Child Health in Pakistan. Population stabilization a

priority for development. Islamabad: Ministry of Population

Welfare, Government of Pakistan; 2005.

Hamedani P, Hashmi KZ, Manji M. Iron depletion and anaemia:

prevalence, consequences, diagnostic and therapeutic

implications in a developing Pakistani population. Curr Med Res

Opin 1987;10:480–5.

Ansari T, Ali L, Aziz T, Ara J, Liaquat N, Tahir H. Nutritional

iron deficiency in women of child bearing age —what to do? J

Ayub Med Coll Abbottabad 2009;21(3):17–20.

Khalil AA, Jabbar T, Akhtar S, Mohyuddin S. Frequency and

types of anaemia in an antenatal clinic in the third trimester of

pregnancy. Pak Armed Forces Med J 2007;57:273–8.

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(4):90–2.

Tapiero H, Gaté L, Tew KD. Iron deficiencies and requirements.

Biomed Pharmacother 2001;55:324–32.

Ahmad N, Kalakoti P, Bano R, Syed MMA. The prevalence of

anaemia and associated factors in pregnant women in a rural

Indian community. Aust Med J 2010;3(5):276–80.

Institute of Medicine. Food and Nutrition Board. Dietary

Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron,

Chromium, Copper, Iodine, Iron, Manganese, Molybdenum,

Nickel, Silicon, Vanadium and Zinc. Washington, DC: National

Academy Press; 2001.

Baig-Ansari N, Badruddin SH, Karmaliani R, Harris H, Jehan

I, Pasha O, et al. Anaemia prevalence and risk factors in pregnant

women in an urban area of Pakistan. Food Nutr

Bull 2008;29(2):132–9.

Sharma DC, Mathur R. Correction of anaemia and iron

deficiency in vegetarians by administration of ascorbic acid.

Indian J Physiol Pharmacol 1995;39:403–6.

Allen LH. Anaemia and iron deficiency: effects on pregnancy

outcome. Am J Clin Nutr 2000;71(5 Suppl):1280S–1284S.

Ugwuja EI, Akubugwo EI, Ibiam, UA, Onyechi O. Impact of

Maternal Iron Deficiency and Anaemia on Pregnancy and its

outcomes in a Nigerian Population. Internet J Nutr Wellness


Babinszki A, Kerenyi T, Torok O, Grazi V, Robert H. Perinatal

outcome in grand and great-grand multiparity: Effects of parity

on obstetric risk factors Am J Obstet Gynecol 1999;181:669–74.

Galloway R, Dusch E, Elder L, Achadi E, Grajeda R, Hurtado E.

Women’s perceptions of iron deficiency and anaemia prevention

and control in eight developing countries. Soc Sci

Med 2002;55:529–44.

Tolentino K, Friedman JF. An update on Anaemia in less

developed countries. Am J Trop Med Hyg 2007;77:45–51.



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