الفهرس 
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Abstract
Anemia is a common medical problem occurs during pregnancy. Normal physiologic changes in pregnancy affect the hemoglobin (Hb) due to the effect of different hormones, which leads to relative or absolute reduction in Hb concentration. The most common type of anemia in pregnancy is iron deficiency anemia. Maternal anemia is diagnosed by Hb level below 11g/dl the WHO classified it into mild, moderate and severe anemia according to Hb level. (5, 14, 16)
Worldwide maternal anemia affects 40.1% of pregnant women in 2016. The prevalence of maternal anemia in Egypt in 2016 was 22.6% according to the World Bank.(17)
Maternal anemia is considered one of the major indirect causes of maternal deaths through increasing risk of cardiac failure, postpartum hemorrhage and puerperal sepsis. Also it increases risk of low birth weight and preterm birth and intrauterine death. (32, 33)
The aim of this study was to calculate the prevalence of maternal anemia, identifying the possible risk factors and to verify the perinatal impacts of it. A cross section study was used to calculate the prevalence followed by a prospective cohort study on 206 pregnant women at 28 weeks of gestation, who agreed to participate in the study, attending Karmouz Family Health Unit, Alexandria Governorate.
A self-administrated questionnaire used to collect data about Sociodemographic characteristics, previous obstetrical history, current pregnancy and dietary habits. Laboratory analysis was used to assess Hb level and classify anemia. Finally, a follow up sheet used to identify the perinatal impacts of anemia.