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Anemia is a state of decreased red cell mass of blood leading to decreased oxygen carrying capacity of body. Red cell indices are useful in classifying anemia. 12.1 INTRODUCTION. Anemia is a condition characterized by a decrease in the concentration of hemoglobin in the blood. Hemoglobin is necessary for iron deficiency and anaemia. In adolescent girls, apart from meeting growth needs, sufficient iron intake is also essential before and during pregnancy.INTRODUCTION. Anemia is defined as a reduction in either the percentage of red blood cells. (hematocrit), or a reduction in the concentration of hemoglobin