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Anemia in female during pregnancy is very common, it affect maternal blood leading to hypoxia, results in Placental changes; anemia also exerts profound changes on the maternal circulatory system and has serious effects upon both mother and fetus.Growth of fetus is intricately linked with that of placenta, which is depended on both maternal nutritional status and the transfer of nutrients as well as oxygen. Study revealed morphological abnormalities due to hypoxia comprise of some changes in placental structure like increased weight & diameter, thickening of placentas. Fetal outcome also affected.Low birth weight baby and premature delivery increase. All these changes occur due to compensatory phenomena for fulfill demand of o2 in fetus .