Anemia is the commonest medical disorder to occur in pregnant women it's incidence being particularly high in many developing countries as in Egypt, in our retrospective study on 1000 pregnant females at time of delivery anemic females were 386cases (38.6%).Maternal anemia remains contributing a major factor for maternal morbidity and mortality and it is also associated with bad perintal outcome especially birth weight.In Egypt anemia is moderate to severe public health problem among women in reproductive age, this problem is increasing with pregnancy, in Egypt the cause of huge prevalence of anemia especially with pregnancy are the low bioavailability dietary iron, consumption of foods rich in iron absorption inhibitors as "tannic acid, phytates" and the increased needs of iron absorption and consumption during pregnancy and lactation, menstruation and use of IUD.Anemia during pregnancy is a world wide problem, anemia during pregnancy is defined according to WHO guidelines to be hemoglobin level below 11 gm/dl, mild anemia is defined as hemoglobin value between 10 – 11gm/dl, hemoglobin concentrations between 7 – 10 gm/dl indicating moderate anemia and severe anemia is define as hemoglobin concentration less than 7 gm/dl.