Physiological adjustment of hemoglobin level for anemic pregnant women living in Sana’a city-Yemen

 1Muna kh. Al-kubaisi, 2Ahmed Kaid Allow, 3 Saad Mohammed and 4Tin Myo Han

1 Dept. of Obstetrics & Gynecology , Kulliyyah of Medicine, IIUM, Kuantan-Malaysia

2Basic medical science, Kulliyyah of Medicine, IIUM, Kuantan-Malaysia, Dept of Human Medical Physiology, Faculty of Medicine and health sciences, Sana'a University, Yemen.

3 Basic medical science, Kulliyyah of Medicine, IIUM, Kuantan-Malaysia

4 Dept. of Dental Public Health, Kulliyyah of Dentistry, IIUM, Kuantan-Malaysia.

Introduction:

Women in the underdeveloped and the developing countries are still suffering from the problems of anemia. It is mainly iron deficiency anemia of nutritional origin (Sadia 2007) which can be corrected by administration of iron most of the time. Malaria and hookworm infestations are contributing factors (Richard 2008). Anemia during pregnancy is defined as hemoglobin level below 11.0 g/dl, according to the WHO definition (Stuart 2006). In Sana'a city, which is 2200 m above sea level (Al-Kirbash 1996); this will produce a significant hypoxia that will stimulate the Hb level to rise up keeping the oxygen carrying capacity within normal level. So diagnosing anemia as Hb level below 11g/dl will be considered as under estimation of the problem. Anemia has many adverse effects on maternal

morbidity and mortality, it decreases the ability to withstand the obstetrical hemorrhage, knowing that bleeding is the killer number one in the developing countries (Khan 2006, K. Hill 2007). Furthermore, sepsis is the 2nd cause of maternal mortality, and anemic patients will be more prone to have puerperal infections. Thrombo-embolism also increases. In anemic patients; there is a delay in the general physical recovery which will increase the duration of hospital stay (Clark 2007). Regarding the fetus, there is slight increase in preterm labor and intrauterine growth restriction (F. Gray 2009, Levy 2005). The aim of the present study is to estimate the magnitude of the problem of anemia among pregnant women, adjusting the level of Hb for altitude by which anemia can

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An Academic Biannual Refereed Journal, Published by Sana'a University

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