الفهرس 
ErythropoiesisOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to determine types of anemia
among Egyptian pregnant women attending obstetric
outpatient clinic in Ain Shams University Maternity Hospital
and to identify the socio-demographic risk factors and
underlying causes.
The current cross-sectional observational study was
conducted at Ain Shams University Maternity Hospital during
the period between December 2008 and July 2009. The current
study included 100 pregnant women with uncomplicated
singleton pregnancy. Women who had history of chronic
medical diseases (e.g. chronic liver disease or TB), history of
threatened abortion or antepartum hemorrhage in the current
pregnancy, women with multiple pregnancy and women who
were known to have bleeding disorders were all excluded from
the study.
The mean age of included women was 26.25 ± 4.91 years
(range: 17 – 40 years). The mean gestational age at recruitment
was 22.75 ± 11.51 weeks. The median parity was 2 (range: 0 –
6). Of the included 100 women, 40 (40%) women were
pregnant at the first trimester, 19 (19%) women at the second
trimester and 41 (41%) women at the third trimester. Based on
MASCO classification, 25 (25%) women were class 2, 32 (32%) were class 3 and 43 (43%) were class 4. Of the included
100 women, 82 (82%) lived in urban areas, while 18 (18%)
lived in rural areas. The mean Hb concentration in included
women was 10.71 ± 1.56 g/dl (range: 7.9 – 16.7 g/dl). The
mean hematocrit value was 31.65 ± 4.42 (range: 23.6 – 46). The
mean MCV was 80.6 ± 7.57 fL (range: 59 – 103.6 fl). The
mean MCH was 27.45 ± 3.08 pg (range: 19.71 – 36.7 pg). The
mean MCHC was 33.81 ± 1.12 g/dl (range: 28.8 – 36.2 g/dl).
The mean serum ferritin was 8.3 ± 3.25 ng/ml (range: 4.2 – 29
ng/ml). The mean serum iron was 50.16 ± 17.12 g/dl (range:
24.2 – 91.2 g/dl). Of the included 100 women, 37 (37%) had
microcytic hypochromic anemia, 17 (17%) had normocytic
hypochromic anemia, while 46 (46%) had normocytic
normochromic anemia. According to the threshold of anemia
stated by WHO (11 g/dl), 55 (55%) of the included women
were anemic.
When compared to non-anemic group of women, anemic
group of women included significantly higher proportions of
rural areas residents [29.1% vs. 4.4%] and classes 3 and 4
[100% vs. 44.4%].
Of the included 55 anemic women, only 1 (1.8%) had
normocytic normochromic anemia, and the vast majority (98.2%)
had microcytic hypochromic or normocytic hypochromic anemia, denoting that almost all included anemic women had irondeficiency
anemia. This was further confirmed by the fact that
98.2% had a serum ferritin below 15 ng/ml and 100% had a serum
iron below 60 g/dl.