Malnutrition-Related Anemia in Pregnancy: Preferential Targeting to Poor, Underdeveloped, Marginalized Societies

Keywords: Pregnancy, Malnutrition, Anemia, Iron, Risk

Abstract

Malnutrition is a very common issue in rural communities. This health problem exerts long-lasting effects in pregnant woman and their infants. The lack of iron during pregnancy can affect both mother’s and child’s health, and needs to be diagnosed in time. Furthermore, infections such as malaria, tuberculosis and parasitic diseases increase the risk of anemia. This risk increases when the mothers have an irregular diet, excluding primarily dark green leafy vegetables and not other iron rich products. In addition, there is a predisposition to develop some diseases, and even lose their offspring due to childhood mortality as a result of inadequate feeding. The deficiencies of Vitamins A, B12 and riboflavin, are the main micronutrient causes of multiple complications. Antenatal visits upon learning of the pregnancy, are recommended in order to detect any health issue related with malnutrition; also, iron supplementation is a general recommendation in pregnancies as are regular doctor check-ups. Pregnant teenagers are considered as a high-risk group with regards to anemia development, due to their limited education, lack of economical stability, and (in most cases) the lack of planning for the pregnancy. To detect anemia, medical personnel generally perform blood tests to analyze hemoglobin levels. Unfortunately, in many marginalized communities, malnutrition and anemia go undetected and untreated, negatively affecting the quality of life of the mother and her offspring, leaving them to face to severe complications. This issue is a public problem and requires immediate attention, as its effects are long lasting both psychologically and physically.

Downloads

Download data is not yet available.

References

Shamah-Levy T, Mejía-Rodríguez F, García-Guerra A, et al. Comportamiento y factores asociados con la anemia en mujeres mexicanas en edad fértil. Ensanut 2018-19. Salud Publica Mex. 2020;62(6, Nov-Dic):767-776. doi:10.21149/11866

Mejía-Rodríguez F, Mundo-Rosas V, Rodríguez-Ramírez S, et al. Alta prevalencia de anemia en mujeres mexicanas en pobreza, Ensanut 100k. Salud Publica Mex. 2019;61(6, nov-dic):841. doi:10.21149/10558

Yalçin SS, Tezel B, Yurdakök K, et al. A community-based iron supplementation program, “Iron-like Turkey”, and the following prevalence of anemia among infants aged 12-23 months. Turk J Pediatr. 2013;55(1):16-28.

Kaymak Cihan M, Ünver Korğalı E. Is there an association between vitamin D level and iron deficiency in children? Arch Argent Pediatr. 2018;116(6):e736-e743. http://www.sap.org.ar/docs/publicaciones/archivosarg/2018/v116n6a11.pdf.

Patel A, Prakash AA, Das PK, Gupta S, Pusdekar YV, Hibberd PL. Maternal anemia and underweight as determinants of pregnancy outcomes: cohort study in eastern rural Maharashtra, India. BMJ Open. 2018;8(8):1-15. doi:10.1136/bmjopen-2018-021623

Fondjo LA, Addai-Mensah O, Annani-Akollor ME, et al. A multicenter study of the prevalence and risk factors of malaria and anemia among pregnant women at first antenatal care visit in Ghana. PLoS One. 2020;15(8 August 2020):1-21. doi:10.1371/journal.pone.0238077

Rupérez M, González R, Mombo-Ngoma G, et al. Mortality, Morbidity, and Developmental Outcomes in Infants Born to Women Who Received Either Mefloquine or Sulfadoxine-Pyrimethamine as Intermittent Preventive Treatment of Malaria in Pregnancy: A Cohort Study. PLOS Med. 2016;13(2):1-18. doi:10.1371/journal.pmed.1001964

Mistry SK, Jhohura FT, Khanam F, et al. An outline of anemia among adolescent girls in Bangladesh: Findings from a cross-sectional study. BMC Hematol. 2017;17(1):1-8. doi:10.1186/s12878-017-0084-x

Sawant LD, Venkat S. Comparative Analysis of Normal versus Fetal Growth Restriction in Pregnancy: The Significance of Maternal Body Mass Index, Nutritional Status, Anemia, and Ultrasonography Screening. Int J Reprod Med. 2013;2013:1-6. doi:10.1155/2013/671954

Chi L, Chew, Verma RP. Fetal Growth Restriction.; 2021.

Tang YT, Gao X, Rosa BA, et al. Genome of the human hookworm Necator americanus. Nat Genet. 2014;46(3):261-269. doi:10.1038/ng.2875

Ouédraogo S, Koura GK, Accrombessi MMK, Bodeau-Livinec F, Massougbodji A, Cot M. Maternal Anemia at First Antenatal Visit: Prevalence and Risk Factors in a Malaria-Endemic Area in Benin. Am Sociiety Trop Med Hyg. 2012;87(3):418-424. doi:10.4269/ajtmh.2012.11-0706

Endris BS, Dinant GJ, Gebreyesus SH, Spigt M. Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model. BMC Nutr. 2022;8:1-11. doi:10.1186/s40795-021-00495-3

Mazur-Laskowska M, Bała-Błądzińska A, Zegartowska P, et al. Serum pregnancy-associated plasma protein A correlates with inflammation and malnutrition in patients treated with maintenance hemodialysis. Folia Med Cracov. 2015:37-47.

Nguyen PH, DiGirolamo AM, Gonzalez-Casanova I, et al. Impact of preconceptional micronutrient supplementation on maternal mental health during pregnancy and postpartum: results from a randomized controlled trial in Vietnam. BMC Womens Health. 2017:1-9. doi:10.1186/s12905-017-0401-3

Mead NC, Sakkatos P, Sakellaropoulos GC, Adonakis GL, Alexandrides TK, Kalfarentzos F. Pregnancy outcomes and nutritional indices after 3 types of bariatric surgery performed at a single institution. Surg Obes Relat Dis. 2014:1166-1173. doi:10.1016/j.soard.2014.02.011

Agbozo F, Abubakari A, Der J, Jahn A. Maternal Dietary Intakes, Red Blood Cell Indices and Risk for Anemia in the First, Second and Third Trimesters of Pregnancy and at Predelivery. Nutrients. 2020;12:1-16. doi:10.3390/nu12030777

Girma S, Fikadu T, Agdew E, et al. Factors associated with low birthweight among newborns delivered at public health facilities of Nekemte town, West Ethiopia: a case control study. BMC Pregnancy Childbirth. 2019;19(1):1-6. doi:10.1186/s12884-019-2372-x

Kim JM, Labrique A, West KP, et al. Maternal morbidity in early pregnancy in rural northern Bangladesh. Int J Gynecol Obstet. 2012;119(3):227-233. doi:10.1016/j.ijgo.2012.06.022

Talapalliwar MR, Garg BS. Nutritional Status and its Correlates Among Tribal Children of Melghat, Central India. Indian J Pediatr. 2014. doi:10.1007/s12098-014-1358-y

Stojković A, Radlović N, Vuletić B, et al. Presentation of an Infant with Nutritional Deficiency Dermatitis as the Iinitial Manifestation of Cystic Fibrosis. Srp Arh Celok Lek. 2013;141(11-12):810-813. doi:10.2298/SARH1312810S

Miller EM. Iron Status and Reproduction in US Women: National Health and Nutrition Examination Survey, 1999-2006. PLoS One. 2014;9(11):1-11. doi:10.1371/journal.pone.0112216

Terkawi AS, Bakri B, Alsadek AS, et al. Child and adolescent health in northwestern Syria: Findings from Healthy-Syria 2017 study. Avicenna J Med. 2019;XX(XX):79-92. doi:10.4103/ajm.ajm_184_18

Yang Y-M, Hsiao S-H, Chou F-H, Hou L, Lee S-L, Lin Y-H. Health Care Providers’ Perceptions of Maternal Health Concerns in the Solomon Islands. J Transcult Nurs. 2016;27(1):49-56. doi:10.1177/1043659614526256

Nti AM, Botchway F, Salifu H, et al. Effects of Iron Supplements on Heme Scavengers in Pregnancy. Am Soc Trop Med Hyg. 2021;105(5):1163-1172. doi:10.4269/ajtmh.20-0413

DIF, UAEH. Estrategia de Atencion a la Nutricion Infantil en Municipios Prioritarios del Estado de Hidalgo. Otomi-Tepehua y Huasteca, regiones con mayor desnutrición en Hidalgo.

Castañeda-Díaz de León A, González-Cortés CA, Aradillas-García C, Díaz-Barriga Martínez F, Luevano-Contreras C, Luevano-Contreras C. Effect of an educational intervention in capillary hemoglobin in an indigenous community in the Huasteca Potosina. Pilot study. Rev Esp Nutr Humana y Diet. 2019;23(3):126-135. doi:10.14306/renhyd.23.3.635

Vizuet Vega NI, Shamah Levy T, Gaona Pineda EB, Cuevas Nasu L, Méndez Gómez-Humarán I. Adherencia al consumo de los suplementos alimenticios del programa PROSPERA en la reducción de la prevalencia de anemia en niños menores de tres años en el estado de San Luis Potosí, México. Nutr Hosp. 2016;33(4):782-789. doi:10.20960/nh.370

Published
2023-07-05
How to Cite
Ruiz Tolentino, L., Espinosa-Luna, R., & Barajas Espinosa, A. R. (2023). Malnutrition-Related Anemia in Pregnancy: Preferential Targeting to Poor, Underdeveloped, Marginalized Societies . Ciencia Huasteca Boletín Científico De La Escuela Superior De Huejutla, 11(22), 1-5. https://doi.org/10.29057/esh.v11i22.9597