Pregnancy with severe anemia: a dangerous combination with increase in maternal and perinatal morbidity and mortality. How can we prevent it?

Smita Tyagi, Natasha Tyagi


Background: Anaemia is a condition in which the number of red blood cells or their oxygen-carrying capacity is insufficient to meet physiologic needs, which vary by age, sex, altitude, smoking, and pregnancy status. In its severe form, it is associated with fatigue, weakness, dizziness and drowsiness. Pregnant women and children are particularly vulnerable.

Methods: This study was carried out in the Department of Obstetrics and Gynecology, Muzaffarnagar medical college, Muzaffarnagar and the data was taken according to the WHO.

Results: It was found that the prevalence of anemia was 91%. According to WHO classification, out of this 44.9% were mildly anemic, 29.9% were moderately anemic and 25% were severely anemic.

Conclusions: The causes of anemia in pregnancy are illiteracy, poor socioeconomic status, improper distribution of iron and calcium tablets in rural areas due to poor health care intrastructure.


Anemia, Calcium, Iron, Pregnancy

Full Text:



WHO-The prevalence of anemia in women. A tabulation of available information; second edition. Geneva: WHO; 1992. (WHO/MCH/MSM/92.2).

Sharma JB, Shankar M. Anemia in Pregnancy. JIMSA. 2010;23(4):253-60.

WHO. Trends in maternal mortality: 1990-2013. 2014. Available at Retrieved 2 Aug 2016.

Gupta N, Trivedi S, Singh N, Anand, S, Usmani F. High prevalence of anemia in pregnancy still a major health problem in India. Journal of U.P. Chapter of Obstet Gynecol. 2015;23(1):47-52.

Sharma JB. Nutritional anemia during pregnancy in non industrial countires, progress. Obstet Gynecol. 2003;15:103-122.

de Benoist B, McLean E, Egli I, Cogswell M. WHO Global Database on anemia - world wide prevalence of anemia 1993-2005. Available at

Bukar M, Audu BM, Sadauki HM, Elnafaty AU, Mairiga AG. Prevalence of iron deficiency and megaloblastic anaemia at booking in a secondary health facility in north eastern Nigeria. Nigerian Med J. 2009;50(2):33.

Lops VR, Hunder LP, Dixon LR. Anemia in pregnancy. Am Fam Physician. 1995;51(5):1189-97.

Viteri FE. The consequences of iron deficiency and anemia in pregnancy. In: Nutrient Regulation during pregnancy, Lactation and infant growth. L. Alien, J. Kng and B. Onnerdal. Eds. Plenum press, New York;1994:121-133.

Umber JB, Yasmeen K, Rasia N, Relationship between maternal haemoglobin and perinatal outcome. Rawal Medicine J. 2007;32:102-4.

Lone FW, Qureshi RN, Emmanuel F. Maternal anemia and its impact on perinatal outcome in a tertiary care hospital in Pakistan. Eastern Mediterrranean Health J. 2004;10(6):801-7.