6. Hematological profile and risk factors associated with pregnant women anemia in District Lower Dir, Pakistan
Abstract
Anemia in pregnancy is a common clinical problem throughout the world contributing to increased morbidity and mortality in both mother and fetus. Lower Dir is a less developed area of Pakistan which need exploration of pregnant women anemia. The current study aimed to estimate the prevalence of iron deficiency anemia among pregnant women of district Dir Lower, Khyber Pakhtunkhwa Pakistan. A total of (454) samples containing (3cc) blood from each pregnant women of different ages were collected randomly and stored in EDTA tube, giving ID and socio-demographic factors recorded in designed questioner between October 2018 to April 2019. Collected samples were brought to Department of Pharmacy, University of Malakand for further laboratory test. Hematological test of each sample were performed by using automatic hematological analyzer machine and the results of collected data was analyzed by using MS-Exel 2016 and SPSS version 22 were used for statistical analysis. P value <0.05 were consider statistically significant. In the present study the overall prevalence of pregnant women anemia was found (45.37%) with high incidence in Timergara (52.83%) and Samar Bagh (51.85%). In socio-demographic factors, high prevalence rate in age of 20-35 were found (64.15%), in poor financial status (65.21%), labor occupation of husband (53.60%), 2nd trimesters (59.25%) and in educational level, illiterate pregnant women (74.48%) were occurred in pregnant women of study area. Risk factors like area, financial status, trimester and educational level were found statistically (<0.05) while age and husband occupation were found statistically (˃0.05). M ± SD of all Hematological tests like Hb, HCT, MCH, MCHC, MCV, PLT and WBC were found less than ideal range. From this study, it was concluded that pregnant women of study area are highly affected by anemia which need improvement in socio-demographic factors, women education, balance diet with rich nutrients and awareness of women to elevate anemia during pregnancy.
Keywords: Anemia; Hematological profiles; Iron deficiency; Lower Dir; Pregnancy; Risk Factors