Eesha Garg
Vardhman Mahavir Medical College & Safdarjung Hospital, India
Title: Iron deficiency anemia among exclusively breastfed term infants at age four-six months
Biography
Biography: Eesha Garg
Abstract
A cross-sectional study was done in department of paediatrics, VMMC and Safdarjung Hospital, New Delhi to find prevalence of iron deficiency (ID) and iron deficiency anemia (IDA) in inborn exclusively breastfed term infants at the age of four-six months. Exclusion criteria's were preterm babies, neonatal resuscitation at birth; known case of any cyanotic congenital heart disease, h/o iron supplementation to baby, blood transfusion and bleeding diathesis. Iron deficiency was defined as s. ferritin <12 mcg/L. Iron deficiency anemia was defined as iron deficiency along with Hb <105 g/L at age of four to six months. Total no of study population taken was 208. Out of total 208, eight samples were hemolyzed. Results of the 200 infants were analyzed. Age wise distribution of infants was 45.5%, 31% and 23.5% at age four, five and six months respectively. Out of total study population 63% were males and 37% were females with male to female ratio of 1.7:1. Mean value of hemoglobin and serum ferritin was estimated 10.817 (±0.25) g/dl and 44.60 (±25.02) mcg/L respectively. Prevalence of iron deficiency (ID) was 12.9%, 25.81% and 34.04% at age four, five and six months respectively. Prevalence of iron deficiency anemia (IDA) was 9.89%, 19.35% and 23.4% at age four, five and six months respectively. Out of total infants it was found that 11% were underweight and 2% were overweight. Seven percent (7%) infants were found to be stunted and 5.5% were having microcephaly. On univariate analysis age of mother <20 years, parity, underweight, stunting and microcephaly was found associated with both ID and IDA (p value <0.05). On multivariate analysis age of mother <20 years was associated with ID and increasing parity was associated IDA (p value <0.05).