Anemia a common problem in developing countries, especially among children and pregnant women. In sub-Saharan Africa, it is estimated that between 50% and 70% of all pregnant women are anemic, with 5-15% being severely anemic. Anemia in pregnancy is defined by the World Health Organization (WHO) as a hemoglobin concentration below 11g/dL. It continues to be a major health problem and is associated with increased rates of maternal and perinatal mortality, premature delivery, low birth weight, and other adverse outcomes. More than half of the pregnant women in the world have hemoglobin levels indicative of anemia (World Health Organization. Although only 15% of pregnant women are anemic in developed countries. The prevalence of anemia in developing countries is relatively high (33% to 75%). The most common cause of anemia in pregnancy worldwide is iron deficiency. The predisposing factors include grandmultiparity, low socioeconomic status, malaria infestation, late booking, HIV infection, and inadequate child spacing.