Assessment of Blastocystis hominis as a Risk Factor for Iron Deficiency Anemia in Pregnant Women

Background: Iron deficiency anemia (IDA) is a common health issue during pregnancy and may be influenced by parasitic infections such as Blastocystis hominis. This study aims to assess the role of Blastocystis hominis infection as a potential risk factor for IDA in pregnant women. Methods: A total of 208 pregnant women were enrolled in this cross-sectional study, including 98 women with IDA (case group) and 110 women without IDA (control group), conducted at Imam Reza and Ghaem Hospitals in Mashhad, Iran during 2022-2023. Hemoglobin and ferritin levels were measured in all participants, with anemia defined as hemoglobin <11 g/dL and ferritin <15 mu g/L. Stool samples were collected from all participants to detect B. hominis and other parasitic infections using direct smear, formalin-ether concentration, and modified acid-fast staining methods. Statistical analyses were performed using independent samples t-test and chi-square test, with a significance level of P<0.05. Results: The prevalence of B. hominis infection was significantly higher in the case group (38.8%) compared to the control group (10.9%) (P<0.001). Hemoglobin and ferritin levels were significantly lower in the case group (P<0.001). However, no significant difference was observed between the groups in terms of socioeconomic status, education, or occupation. Conclusion: B. hominis infection may contribute to iron deficiency anemia in pregnant women. Screening for parasitic infections in anemic pregnant women, particularly B. hominis, could improve anemia management during pregnancy.