Indian Journal of Community Medicine

LETTER TO EDITOR
Year
: 2013  |  Volume : 38  |  Issue : 4  |  Page : 249-

Increase in hemoglobin among the mothers at different levels of hemoglobin


Neha Sareen, Ajeet Singh Bhadoria, Umesh Kapil 
 Department of Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Umesh Kapil
Department of Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi
India




How to cite this article:
Sareen N, Bhadoria AS, Kapil U. Increase in hemoglobin among the mothers at different levels of hemoglobin.Indian J Community Med 2013;38:249-249


How to cite this URL:
Sareen N, Bhadoria AS, Kapil U. Increase in hemoglobin among the mothers at different levels of hemoglobin. Indian J Community Med [serial online] 2013 [cited 2022 May 24 ];38:249-249
Available from: https://www.ijcm.org.in/text.asp?2013/38/4/249/120164


Full Text

Sir,

We wish to comment on the article entitled "Iron Sucrose Versus Oral Iron Therapy in Pregnancy Anemia" published in October 2012 issue of Indian Journal of Community Medicine. [1] The research communication was extremely informative keeping in view of high prevalence of anemia amongst pregnant women 58.7% (<12.0 g/dl)

and non-pregnant women 55.3% (<12.0 g/dl) as per National Family Health Survey-3 (NFHS-3) 2005-06 data. [2]

The investigators found that there was a mean increase of hemoglobin of 1.31 g/dl in oral iron group and 2.06 g/dl in intravenous group. The small increase in hemoglobin may be because there are other causes of anemia like micronutrient deficiencies (e.g., folate, B 12 and Vitamin A deficiencies), helminthic infestations, malaria and hemoglobinopathies. The investigators found that there was an increase in hemoglobin in oral iron group from 9.75 g/dl to 11.06 g/dl and in intravenous iron group from 9.18 g/dl to 11.24 g/dl.

It would have been scientifically more valid if the increase in hemoglobin amongst the mothers at different levels of hemoglobin viz: Hb 7-8 g/dl, 8-9 g/dl, 9-10 g/dl and 10-11 g/dl in two groups is shared with readers of IJCM. This information would be important for policy makers.

The pregnant women of hemoglobin 6.5 g/dl were included in the study, who was suffering from severe anemia. This is ethically wrong as these women require treatment.

References

1Neeru S, Nair NS, Rai L. Iron sucrose versus oral iron therapy in pregnancy anemia. Indian J Community Med 2012;37:214-8.
2National Family Health Survey (NFHS 3), 2005-06, Vol. 1. Mumbai: International Institute for Population Sciences; 2007.