DETERMINANTS ELEMENTS OF ANEMIA IN PREGNANT WOMEN CONSULTING IN HEALTH CARE STRUCTURE OF CASABLANCA AND SAFI

Objective: A multicentric cross sectional study conducted in 2021, and carried out in provincial hospital Mensour Bernoussi, provincial hospital Sidi Othman in the region of Casablanca settat and provincial hospital Mohammed V health center Saada and health center Jamaat Shaim in the region of marrakech safi . the first objective is to determine the key elements impacting the anemia ,the second , consist to see the role of the diversity food and the third one , the impact of iron supplementation on anemic and non anemic women. Methodology: All pregnant women (503) attending to the 5 heath structure in the region Casablanca-Settat and Marrakech-Safi and have CBC result . a anonymous questionnary was conducted including CBC result , socio demographic data , (antenatal care ) ANC follow up , iron supplementation , common signs and symptoms of anemia , complication during pregnancy and a total recall and modified MDDW and frequency at food consumption of 1 month . the data was analyzed using the Jamovi database . Result: The mean and standard deviation age of participant was for the non anemic pregnant women 28.9+/- 6.21 years versus for the anemic pregnant women 26.6 +/- 6.26 years .The age range of the population was 33 years from 15 years to 48 years old . most anemic pregnant had a hypochromic 74.3% microcytic type of anemia, 92.9% where housewife and lower monthly income compare to the none anemic pregnant women , also the mean gestity and parity of the pregnant women was 2.55+/-1.44 and 2.14+/-1.37 respectively, a 85.9% patient was followed during pregnancy, a higher level of 75.5% of patient was on iron supplementation and there was significative result concerning anemia signs ( especially pallor , hair loss and headache). Furthermore, using the longitudinal bivaried and multivaried regression revealed that the anemic pregnant women were respectively less exposed the older they are (reference (15-23 years) 28-32 years (p=0.045 OR=19.380 IC95%[1.01-3.706]) and 33-48 years (p=0.005 OR=27.307 IC95% [1.34-5.527]) ), the followed up during the pregnancy reduces significative the risk of anemia (reference (yes) no p=0.005 OR=0.2409 IC95%[0.08839-0.657]), also the consumption of coffee/coffee with milk increased the risk. (Reference (yes) no p=0.020 OR=17.821 IC95%=[1.10-2.879]).