Determinants of severe anemia among laboring mothers in Mekelle city public hospitals, Tigray region, Ethiopia

Ebuy, Yirga; Alemayehu, Mussie; Mitiku, Mengistu; Goba, Gelila

doi:10.1371/journal.pone.0186724

Cited by 18 publications

(21 citation statements)

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“…Those pregnant with a low diversity diet were found with higher odds of developing anemia compared with the high dietary diversity. The result is consistent with the study of Ethiopia (35), Mekelle town (36) and also with the study in nine regional states of Ethiopia (37). The previous study among women of the Terai belt of Nepal also explored diets of women have less diversity and inadequacy in nutrition (38).…”

Section: Discussionsupporting

confidence: 92%

Prevalence and Factors Associated With Anemia Among Pregnant Women Attending AMDA Hospital of Eastern Nepal

Acharya¹,

Sirichokchatchawan²,

Sanjel³

2020

Preprint

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BackgroundAnemia is a global public health problem, consisting 40% of pregnant women being anemic worldwide. Manifold factors directly or indirectly contribute to anemia during pregnancy and amplify the risk of maternal and fetal mortality and morbidity. However, factors associated with anemia among pregnant women are not broadly understood in sub-national level. Thus, this study has made an effort to ascertain the prevalence and associated factors of anemia among pregnant women in AMDA Hospital of Eastern Nepal. MethodsHealth-facility based cross-sectional study was conducted among pregnant women of age 18-49 years attending antenatal care (ANC) in AMDA Hospital. A total of 420 samples were recruited through systematic random sampling. Data was collected through a validated semi-structured questionnaire. Hemoglobin concentration was recorded from laboratory test report. Collected data were entered in EpiData and analyzed in SPSS Version 22 licensed by Chulalongkorn University. Chi-square test was used for bivariate analysis and later, significant variables at p-value<0.10 were processed on multivariate analysis. Finally, the adjusted odd ratio was reported considering significant at p-value <0.05 with 95% confidence interval. ResultsThe overall prevalence of anemia was 42.1% (37.4%–47.0%). Almost 46%, 41% and 14% of women were with mild, moderate and severe types respectively. Factors such as age less than 20 years (7.23, 2.50–20.87) and between 20- 24 years (2.80, 1.31–5.96), religious minorities (3.09, 1.35–7.06), vegetarian diet pattern (4.33, 1.49–12.59), inadequate frequency (DGLV: once a week, fruits: twice in a week) of eating DGLV (8.71, 2.26 – 33.63) and fruits (2.73, 1.41–2.29), inadequate dietary diversity (7.16, 3.15–16.27), as well as no intake of multivitamins during pregnancy (4.23, 1.49– 11.98) were statistically associated with anemia among pregnant women. ConclusionOverall, the prevalence of anemia was found to be high in the study area. The associated factors of anemia ranged from socio-economic, dietary and obstetric care, and included age, religion, diet pattern, and frequency of eating DGLV and fruits, dietary diversity, as well as intake of multivitamins during pregnancy. The study recommends enhancing community-based interventions considering the identified factors.

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Section: Discussionsupporting

confidence: 92%

Prevalence and Factors Associated With Anemia Among Pregnant Women Attending AMDA Hospital of Eastern Nepal

Acharya¹,

Sirichokchatchawan²,

Sanjel³

2020

Preprint

View full text Add to dashboard Cite

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“…Although statistically older, several authors [5][6][7][8][9][10] found an age around thirty with a peak between 25 and 34 years, making anemia in pregnancy a pathology of the young adult. However, Alemu [11] in Ethiopia, reports a prevalence of the age group of 40 to 44 years (30%) with a risk three times higher of anemia (OR = 3.43 [1.04-11.28]).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the influence of certain cultural considerations such as the marriage of adolescent girls, culinary habits were mentioned [5,6,8,9,.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, low educational and socioeconomic levels have been associated with anemia in the literature [8][9][10]15]. Thus, the origin of a rural area increases the risk of anemia by a factor of three [9,10], the absence of employment increases this risk by a factor of five according to Ahenkorah in Ghana [10] and by a factor of 2 according to Taner in Turkey [15]. The latter reports an increase in the risk of anemia twice more in non-school-going pregnant women (ORa = 2.23 [1.35-3.45]).…”

Section: Discussionmentioning

confidence: 99%

“…Regardless of poverty, multigestity and multiparity are recognized risk factors for anemia [16], as evidenced by the series of Taner [15], Takele [9] and Ebuy [10]. respectively in Turkey and Ethiopia.…”

Section: Discussionmentioning

confidence: 99%

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Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)

Clautaire¹,

Firmine²,

Jostin³

et al. 2019

JGO

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Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from February 1st to July 31st, 2017, in three Brazzaville maternity clinics, comparing the ratio of one case for two controls, the anemic parturient (n = 67) to those without anemia (n = 134). Any parturient with a hemoglobin level < 11 g / dl was considered anemic. The variables studied were sociodemographic and reproductive, related to anemia, per and postpartum. Results: Sixty-seven anemic parturient were recorded among 10,106 deliveries, a frequency of 0.7%. Anemic female parturient were older (30.1 ± 1.6 years vs 27.5 ± 1.9 years, p < 0.05), out of school (OR = 13.1 [1.5-111], p < 0.05) and unemployed (OR = 3.8 [2.1-7.2], p < 0.05). The mean hemoglobin level was 8.1 ± 0.1g / dl vs 12.1 ± 0.8g / dl. Anemia was microcytic hypochromic (28.4%) and normochromic normocytic (71.6%). Anemia was mild (40.3%), moderate (44.7%) and severe (15%). Delivery was more by caesarean section in cases (97% vs 1.5%, p < 0.05) with a higher recourse to blood transfusion (55.4% vs 3.8%, OR = 29.9 [10.8-82.6], p < 0.05). Maternal lethality was 13-fold higher in case of anemia (OR = 13 [1.5-111], p < 0.05). Neonatal morbidity was represented by poor adaptation to extrauterine life (OR = 40.7 [9.1-180.7), p < 0.05), hypotrophy (OR = 21.9 [7.2-67.1], p < 0.05), prematurity (OR = 6.6 [2.6-16.9], p < 0.05), neonatal resuscitation (OR = 35.4 [10.2-122.5), p < 0.05) and neonatal transfer (OR = 2.8 [2-4], p < 0.05). Neonatal lethality was three times higher in case of anemia (OR = 3.3 [2.6-4.8], p < 0.05). Conclusion: Maternal and neonatal prognosis is poor in anemic female parturient. Reducing the maternal and fetal impact of anemia during childbirth requires early detection and case management during prenatal contact.

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Maternal and severe anaemia in delivering women is associated with risk of preterm and low birth weight: A cross sectional study from Jharkhand, India

Kumari

Garg²,

Kumar

et al. 2019

One Health

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Background and objectives Haemoglobin content is the well accepted indicator for anaemia assessment. The high prevalence of anaemia, maternal health care issues and adverse delivery outcome in Jharkhand, we investigated whether delivering women with anaemia would present a modifiable risk of preterm (PTB) and low birth weight (LBW). Methods A facility-based cross-sectional study involving pregnant women, with screening for pregnancy endpoints and haemoglobin assay, were conducted. Anaemia was classified according to World Health Organization's definition of anaemia in pregnancy. Confounding variables were adjusted in a logistic model. The adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were used for analyzing the association among maternal anaemia, PTB and LBW. Results We observed a high prevalence of anaemia (78.45%) in delivering women, whereas high prevalence of preterm birth (34.75%) and LBW (32.81%) in delivering women overall. In the adjusted analysis, overall anaemia in pregnancy was strongly associated with preterm birth (OR, 3.42; 95% CI, 1.98–5.88; P ≤ .0001 ) as compared to LBW (OR, 1.12; 95% CI, 0.65–1.61; P = .0003 ). The risk of PTB and LBW were dependent on the stratification of the anaemia group, as the strongest association was observed in severe (OR, 4.86) followed by mild (OR, 3.66) and moderate (OR, 3.18) anaemia in PTB; whereas risk of LBW was found in severe (OR, 2.5) followed by moderate (OR, 1.11) and mild (OR, 0.57) anaemia. The risk of PTB and LBW across six pregnancy haemoglobin groups were compared, haemoglobin of 10–10.9 g/dl (OR, 1.25) and ≤ 8 g/dl (OR, 1.03) have shown association with PTB and LBW, respectively. However, high haemoglobin concentration was not associated with either PTB or LBW. Conclusions Anaemia in delivering women was associated with an elevated risk of PTB and LBW and the risk increased with the severity of anaemia in pregnant women.

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Determinants of severe anemia among laboring mothers in Mekelle city public hospitals, Tigray region, Ethiopia

Cited by 18 publications

References 12 publications

Prevalence and Factors Associated With Anemia Among Pregnant Women Attending AMDA Hospital of Eastern Nepal

Prevalence and Factors Associated With Anemia Among Pregnant Women Attending AMDA Hospital of Eastern Nepal

Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)

Maternal and severe anaemia in delivering women is associated with risk of preterm and low birth weight: A cross sectional study from Jharkhand, India

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