Does antenatal care attendance prevent anemia in pregnancy at term?

Ikeanyi, EM; Ibrahim, AI

doi:10.4103/1119-3077.151730

Cited by 33 publications

(38 citation statements)

References 3 publications

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“…3,4 The occurrence of anemia during pregnancy is associated to socio-environmental and economic conditions, prenatal care, behavioral aspects and nutritional factors, especially the anthropometric nutritional state and food consumption (namely dietary sources of iron or dietary sources that improve bioavailability). 2,3,7 In accordance with Fischer et al, 8 women of reproductive age and pregnant women present higher chances of developing anemia, mainly in the context of food insecurity (FI), which is marked by the decrease in quantity and quality of the food consumed. According to the results of the survey performed by these authors, the adjusted odds ratio (OR) for acquiring anemia was 31-43% higher among women living under FI conditions.…”

Section: Palavras-chavementioning

confidence: 73%

Food Insecurity, Prenatal Care and Other Anemia Determinants in Pregnant Women from the NISAMI Cohort, Brazil: Hierarchical Model Concept

Demétrio

Teles-Santos

Santos

2017

Rev Bras Ginecol Obstet

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To identify the prevalence of anemia and its relation to food insecurity (FI) and other determinants in pregnant women. A cross-sectional, cohort-nested study, with the participation of 245 pregnant women who were cared for at Family Health Units in the municipality of Santo Antônio de Jesus, Bahia, Brazil. The participants underwent blood tests for hemoglobin levels, anthropometric examinations, and answered a structured questionnaire. The hemoglobin (Hb) parameter (Hb< 11 g/dL) was used for the classification of the diagnosis of anemia. Food insecurity was evaluated using the North American short-scale food insecurity assessment. Logistic regression was adopted for the statistical analyses, based on a hierarchical conceptual model that enabled the measurement of the decomposition of the total effect of its non-mediated and mediated components using the proposed hierarchical levels. The prevalence of anemia in the studied population was of 21.8%, and the average hemoglobin was 12.06 g/dL (standard deviation [SD]: 1.27). Food insecurity was identified in 28.16% of the pregnant women. The average maternal age was 25.82 years (SD: 5.94). After ranking, the variables positively associated with anemia remained significant: FI (odds ratio [OR] =3.63; 95% confidence interval [95%CI]: 1.77-7.45); not undergoing prenatal care (OR = 5.15; 95%CI: 1.43-18.50); multiparity (OR = 2.27; 95%CI: 1.02-5.05); and non-supplementation of iron medication (OR = 2.45; 95%CI: 1.04-5.76). The results also indicated that the socioeconomic and environmental factors were largely mediated by food insecurity and factors regarding prenatal care. In the present study, the chance of occurrence of anemia in pregnant women was significantly higher, mainly among women: in situations of food insecurity, not undergoing prenatal care, not having received iron supplements, and who are multiparous.

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Section: Palavras-chavementioning

confidence: 73%

Food Insecurity, Prenatal Care and Other Anemia Determinants in Pregnant Women from the NISAMI Cohort, Brazil: Hierarchical Model Concept

Demétrio

Teles-Santos

Santos

2017

Rev Bras Ginecol Obstet

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“…Visiting ANC early in pregnancy reduced the likelihood of being anaemic. Early and regular antenatal visits are essential [ 24 ] as this could allow for the correction of anaemia that might exist even before the pregnancy. This essentially is achieved through iron supplementation as it is taken regularly throughout the pregnancy and supplies replenished during subsequent ANC visits.…”

Section: Discussionmentioning

confidence: 99%

Anaemia in pregnancy and associated factors: a cross sectional study of antenatal attendants at the Sunyani Municipal Hospital, Ghana

Anlaakuu

Anto

2017

BMC Res Notes

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BackgroundAnaemia in pregnancy is an important health issue resulting in high maternal morbidity and mortality. The purpose of the current study was to identify factors associated with anaemia among pregnant women receiving antenatal care at the Sunyani Municipal Hospital in Ghana.MethodsA cross-sectional study involving pregnant women seeking antenatal care at the Sunyani Municipal Hospital was conducted between May and June, 2015. It involved the collection of data on socio demographic and obstetric variables, medical interventions and malaria infection, consumption of iron containing foods and supplements using a case record form and a structured questionnaire. Also, data on haemoglobin concentrations at first and current antenatal visit were collected. Bivariate and multivariate statistical analysis were done to determine factors associated with anaemia.ResultsOut of the 316 participants, 129 (40.8%) were found to be anaemic (Hb <11.0 g/dl) at the time of their first ANC visit (mean Hb: 11.21 g/dl, range 6.8–15.1 g/dl). Seventy-nine (61.2%) of them had mild anemia (Hb 9.0–10.9 g/dl), 48 (37.2%) had moderate anemia (Hb 7.0–8.9 g/dl) whilst 2 (1.6%) had severe anemia (Hb <7.0 g/dl). During their most recent ANC visit, the prevalence of anaemia was found to be similar to that of the first visit with 131 (41.5%) of them being anaemic [mean Hb: 11.24 g/dl, range 8.10–14.5 g/dl]. The haemoglobin levels however improved significantly during the most recent visit compared to the first with none of the women being severely anaemic (Hb <7.0 g/dl). The prevalence of moderate anaemia reduced from 37.2% (CI 28.9–46.2) during the first visit to 19.1% (12.7–26.9) during the most recent visit, a reduction of 48.7%. Malaria infection, frequency at which one consumed fish/snails and gestational age at first ANC visit were the main factors found to be associated with anaemia among the pregnant women.ConclusionsMalaria infection, fish/snails intake and gestational age at first ANC visit were significantly associated with anaemia. Addressing these factors can reduce the incidence of anaemia in pregnancy.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-017-2742-2) contains supplementary material, which is available to authorized users.

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“…Anemia in pregnancy is currently a major public health problem worldwide [1]. Globally, Southeast Asia has a high percentage of women who experience anemia during pregnancy, namely, 48.2% [2].…”

Section: Introductionmentioning

confidence: 99%

“…Although the major causes of anemia are inadequate nutrition, other factors also trigger anemia during pregnancy including:(a) the quality of antenatal care (ANC) services [9,11,12], social support [13], and inadequate knowledge. Based on the findings from a study conducted in Uttar Pradesh, India, the incidence of anemia is higher in women who do not receive antenatal care [14].…”

Section: Introductionmentioning

confidence: 99%

Exploring Indonesian mothers' perspective on anemia during pregnancy: A qualitative approach

Darmawati

Siregar

Kamil

et al. 2020

Preprint

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Background: Anemia is a major problem experienced during pregnancy in Indonesia due to its effect on mothers and babies. Hence, various interventions have been implemented, but a significant reduction in the prevalence of anemia has not been attained. The present study, therefore, aims to investigate the perceptions of anemia among pregnant women in Aceh to design culturally relevant interventions.Methods: This qualitative study collected data from 24 pregnant women in Aceh Besar District, Indonesia, through focus group discussions (FGDs). Data were analyzed using the inductive content analysis (ICA) method.Results: Five themes emerged from the experiences of pregnant women with anemia: (1) anemia during pregnancy is perceived as a woman’s destiny, (2) there is a lack of knowledge related to clinical indicators of anemia, (3) there is a traditional taboo related to anemia, (4) the husband and family provide support related to preventing anemia, and (5) there is a need for cultural and religious-based health counseling.Conclusions: Interventions should be designed to provide health information on anemia in Aceh that considers the local knowledge, beliefs and values, combined with medical elements. This intervention will likely change the perceptions of pregnant women about anemia to ensure that they are able to better maintain their pregnancy. Furthermore, the implementation of programs to support pregnant women with anemia should ensure that health workers are adequately trained in cultural competency and are able to understand the needs of pregnant women.

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Does antenatal care attendance prevent anemia in pregnancy at term?

Abstract: The prevalence of anemia in pregnancy is still high in our setting. Quality ANC appeared a valuable preventive intervention that should be made widely available, accessible and affordable to all pregnant women.

Cited by 33 publications

References 3 publications

Food Insecurity, Prenatal Care and Other Anemia Determinants in Pregnant Women from the NISAMI Cohort, Brazil: Hierarchical Model Concept

Food Insecurity, Prenatal Care and Other Anemia Determinants in Pregnant Women from the NISAMI Cohort, Brazil: Hierarchical Model Concept

Anaemia in pregnancy and associated factors: a cross sectional study of antenatal attendants at the Sunyani Municipal Hospital, Ghana

Exploring Indonesian mothers' perspective on anemia during pregnancy: A qualitative approach

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