Partially funded by DFID & British Council under Higher Education Link Programme
Pakistani Food Composition Tables

Title of the thesis

The effect of iron supplementation in improvement of hemoglobin level in 3rd trimester of pregnancy

Name of Author

Dr. Nasreen Siddique


Public Health Nursing School, Nishtar hospital Multan.

Reg #


Roll #


Student’s Batch # 2nd
Research Supervisor

Dr. Safia Anwar


Public Health School, Nishtar Hospital Multan.


To assess the role of iron supplementation in the improvement of hemoglobin level in the 3rd trimester of pregnancy and in the prevention of iron deficiency anemia. It is prospective interventional study.

100 women of variable age groups and of different socioeconomic status with 6 months of pregnancy from MCH center of Nishtar hospital, Multan were enrolled in this study.

After history and clinical examination their hemoglobin levels were checked by photometric method. Then these women were provided iron supplements for three months and their hemoglobin levels were rechecked by same method and the results of two were compared.

Only 80 women out of 100 took the iron. Age, number of pregnancies and socioeconomic status divided these women into different groups. Out of these 80 women 60(75%) women had hemoglobin level less than 10 g/dl. Their mean Hb level was 9.1gm/dl. Out of these 60 women 51 (85%) were multipara and grandmultipara. They were from the lower and middle socioeconomic class. Only 9 (15%) were primigravida. After iron supplementation the mean hemoglobin level of 80 women who took the iron was 10.9gm/dl and 20 (25%) women were still anemic, their mean hemoglobin level after iron intake was 8.8gm/dl. These women were mostly multipara or grand multipara and belonged to lower socioeconomic status.

Iron deficiency anemia is very common in pregnant women in Pakistan particularly in multipara and grandmultipara women of lower socioeconomic status. Improvement of diets specially enhancing access to iron rich foods and iron supplementation at least in 3rd trimester can reduce the frequency of anemia in pregnant women.


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