The Prevalence and Associated Factors of Anemia in Pregnancy In Phra Nakhon Si Ayutthaya Hospital, Phra Nakhon Si Ayutthaya Province.


  • เฉลิมขวัญ ภู่เหลือ Department of Obstetrics and Gynecology, Phra Nakhon Si Ayutthaya Hospital, Phra Nakhon Si Ayutthaya Province


Pregnancy, Anemia, Prevalence


     Anemia is a common problem among pregnant women. It leads health effects on both mothers and infants. Therefore this problem should be precedently prevented. This study aimed to investigate prevalence and factors related to anemia in pregnant women who had enrolled in Antenatal care (ANC) clinic of Phra Nakhon Si Ayutthaya Hospital.
     A cross-sectional study was conducted in 318 pregnant women, who visited ANC clinic between March to September, 2015. Data were retrieved from medical records. Descriptive statistics were employed to describe sample characteristics and prevalence. Inferential statistics such as Chi square’s test and correlation were performed for testing the relationship between anemia and related factors. The p<0.05 was considered as a statistic significant.
     Results: The prevalence of anemia in pregnant women was 18.86. Those were likely to be majority in the pregnant women who had age less than 20 years old, secondary level of education, living in Bangkok Metropolitan Region, income lower than 9,000 baht/month, unemployed, more than 3 gravid, first ANC12 weeks, BMI at first ANC 19.80 kg./m2, 3rd trimester, and normal delivery. The related factors of anemia were HIV infection, BMI, body weight before pregnancy, hematocrit level at first ANC, body weight before delivery and length of stay in hospital when delivered (P<0.05).
     Conclusions: Maternal anemia roughly occurred 1 in 5 which was warning for authorities to be considered and should be focused on HIV status, BMI, and body weight before pregnancy anemia in pregnancy as essential priority. Necessary measures are needed on urgent basis to prevent such as early detection and surveillance in high risks pregnant women and treat anemia during pregnancy to avoid fetal and maternal complications.


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1. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anemia: WHO Vitamin and Mineral NutritionInformation System, 1993-2005. Public Health Nutrition. 2009;12:444-54.
2. World Health Organization. Iron deficiency anaemia: assessment, prevention, and control. A guide forprogramme managers. Geneva; WHO. 2001.
3. Goonewardene M, Shehata M and Hamed A. Anemia in pregnancy. Best practice:Clinical Obstetrics & Gynaecology; Feb 2012;26(1):3-24.
4. Dan B, Arslan N, Batmaz G and Dane C. Dose maternal anemia affect the newborn?. Turkish Pediatric archive;sep 2013;48(3):195-199.
5. World Health Organization. Global targets 2025. To improve maternal, infant and young child nutrition. Switzerland; WHO.2014.
6. De Maeyer Eand Adiels-Tegman M. The prevalence of anemia in the world. World Health Statistics Quarterly; 1985;38(3):302-316.
7. กรมอนามัย, สำนักส่งเสริมสุขภาพ. รายงานประจำปี 2555. (วันที่ค้นข้อมูล 5 พ.ค. 2558). แหล่งข้อมูล:,%202556
8. Barbosa CC, Ramalho A, de CarvalhoPadilha P, Delia Libera B, Saunders C. et al. Reduction of vitamin A deficiency and anemia inpregnancy after implementing proposes prenatal nutritional assistance. Nutrition Hospitalaria; Aug 2011;843-850.
9. Mbule MA, Byaruhanga YB, Kabahenda M and Lubowa A. Determinants of anemia among pregnant woman in rural Uganda. Rural & Remote Health, Apr-๋Jun,2013;13(2):1-15.
10. Douamba Z, Bisseye C, Djigma FW, CompaoréTR, Bazie VJ, Pietra V, Nikiema JB, et al. Asymptomatic malaria correlates with anemia in pregnant women at Ouagadougou, Burkina Faso. Journal of Biomedicine & Biotechnology, 2012; Article ID 198317, 1-6.
11. Nwizu EN, Iliyasu Z, Ibrahim SA and Galadanci HS. Socio-Demographic and maternal factors in anemia in pregnancy at booking in Kano, Northern Nigeria. African journal of reproductive health. Dec 2012;15(2):33-41.
12. Cochran, W. G. Sampling techniques (3rd ed.). New York: John Wiley & Sons, 1977.
13. Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, Pena-Rosas JP et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. Lancet Glob Health 2013;1:e16-25.
14. กระทรวงสาธารณสุข, ศูนย์ข้อมูลสุขภาพ. รายงานภาวะโลหิตจางในหญิงตั้งครรภ์ ปี 2559. (วันที่ค้นข้อมูล 5 มี.ค. 2558). แหล่งข้อมูล:
15. รายิน อโรร่า, ชยันตร์ ธรปทุมานนท์ และ ชไมพร ทวิชศรี. ภาวะโลหิตจางในสตรีที่มาฝากครรภ์ ณ โรงพยาบาลลำปาง : ความชุกสาเหตุและปัจจัยเสี่ยง. ลำปางเวชสาร มกราคม-เมษายน 2552;30(1):28-37.
16. Anam Anjum, Maleeha Manzoor, Nadia Manzoor and Hafiz Abdullah Shakir. Prevalence of anemia during pregnancy in district Faisalabad, Pakistan. Punjab Univ. J. Zool. 2015;30(1):015-020.
17. MulugetaMelku, Zelalem Addis, MeseretAlem, and Bamlaku Enawgaw. Prevalence and Predictors of Maternal Anemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study. Hindawi Publishing CorporationAnemia; 2014: Volume 2014 (2014), Article ID 108593, 1-9.
18. วิชัย เอกพลากร, บรรณาธิการ. รายงานการสำรวจสุขภาพประชาชนไทย โดยการตรวจร่างกายครั้งที่ 4 พ.ศ. 2551-2552. นนทบุรี: บริษัท เดอะ กราฟิโก ซิสเต็มส์จำกัด. 2553.
19. Oranooch Siriwong. Anemia in Pregnant Women Attending the Antenatal Care Clinic, Mae Sot Hospital. Thai Journal of Obstetrics and Gynaecology 2012;20(4):186-190.
20. Chotnopparatpattara P, Limpongsanurak S, Charnngam P. The prevalence and risk factors of anemia in pregnant women. J Med Assoc Thai 2003;86(11):1001-1007.
21. ชบาไพร สุขกาย และ จิราพร เขียวอยู่. ปัจจัยที่เกี่ยวข้องกับภาวะโลหิตจางในหญิงตั้งครรภ์อำเภอเขาพนม จังหวัดกระบี่. ศรีนครินทร์เวชสาร 2555;27(2):133-8.
22. Lawrence M, Patrick W, Mildred O, NicholasO, Dennison K, Harriet MNabulime J, et al. Associations between mild-to-moderate anaemia inpregnancy and helminth, malaria and HIV infection in Entebbe, Uganda. Transactions of the Royal Society of Tropical Medicine and Hygiene 2007;101:899-907.
23. Finkelstein JL, Mehta S, Duggan CP, Spiegelman D, Aboud S, Kupka R, Msamanga GI, et al. Predictors of anaemia and iron deficiency in HIV-infected pregnant women in Tanzania: A potential role for vitamin D and parasitic infections. Public Health Nutr. 2011:1-10.
24. Barthlmy TU and Andy MM. Association of maternal anemia with otherrisk factors in occurrence of Great obstetricalsyndromes at university clinics, Kinshasa, DR Congo.
Tandu-Umba and Bangama. BMC Pregnancy and Childbirth (2015);15:183.



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ภู่เหลือ เ. The Prevalence and Associated Factors of Anemia in Pregnancy In Phra Nakhon Si Ayutthaya Hospital, Phra Nakhon Si Ayutthaya Province. JPMAT [Internet]. 2018 Oct. 24 [cited 2022 May 21];6(1):15-26. Available from:



Research Article