ANEMIA IN WOMEN DURING REPRODUCTIVE YEARS IN RURAL AREA

K.Alselevany, Baybeen; Y. Shamdeen, Maida

	ANEMIA IN WOMEN DURING REPRODUCTIVE YEARS IN RURAL AREA
IRAQI JOURNAL OF MEDICAL SCIENCES
Article 1, Volume 5, Issue 2, 2007, Pages 65-70
Authors
Baybeen K.Alselevany; Maida Y. Shamdeen
Abstract
Background: iron deficiency anemia (IDA) is a medical and public health problem of prime importance, causing few deaths, but contributing seriously to the weakness and substandard performance of millions of people. Objectives: To determine the prevalence of anemia, 10 years after sanction among women, at reproductive years in rural areas. Patients & Methods: The study was carried out in September 2002 within field application for university of Mosul on women in reproductive years in Badoosh areas, 20 Km to the North of Mosul city. The study was conducted in rural areas, where 98 women were evaluated clinically, after a questionnaire with 17 items including age, marital status, and social status, number of children, lactation, and menstrual blood loss. A blood sample was taken to evaluate hemoglobin level (Hb), Hematocrit (hct), serum iron level (SI), total iron binding capacity (TIBC), and transferrin saturation (TS). Results: The mean age of the women with all tests available was 28.75±10.6 years (range15-50 years); the mean number of previous pregnancies in parous women was 5 pregnancies. 58 women were found to be anemic (57.14%). The mean values of their Hb, hct, SI, TIBC and TS in anemic and non anemic group were; (106.8g/l,126.79g/L),(0.32L/L,37.9L/L),(13.53µmol/dl,15.42µmol/L),(69.85µmol/L,62.55 µmol/L) and( 19.37%,24.7%) respectively, while the over all results for the same values for all women were 115.4g/L, 0.34L/L, 14.34 µmol/L, 61.01µmol/L and 23.50% respectively. In the anemic group 37 women were married (66.07 %),10 women (17.3%) were lactating, 28women (48.3 %) had more than 4 children, 98 % of the sponsors of the family were workers of low socioeconomic status, 12 (12.3%) married women had heavy menstrual cycle and 84(85.7%) of the families had more than 6 persons in the house. In the present study the level of Hb was lower and TIBC was higher in anemic as compared to non-anemic patients (p< 0.05), while there was no significant difference in the levels of hct, SI, and TS% in anemic patients from that of non-anemic patients (P>0.05). Conclusions: Almost all the anemic women were suffering from iron deficiency (ID), which is mainly due to nutritional factors and low socioeconomic status, multiparity, lactation and heavy menstrual loss. This may reflect the effects of the blockade on the nutritional and social status in the rural areas. Recommendations: For girls ages 12-18 and non-pregnant women of childbearing ages, it is recommended to screen for anemia every 5 years, and annual screen for women with risk factors for iron deficiency anemia, and more frequent in pregnant women. Give iron supplements to all women in reproductive years in rural areas. Key words: IDA, reproductive years of women life.
Keywords
IDA; anemia; reproductive years of women life

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