Magnitude of Anemia and Associated Factors Among Pregnant Women Visiting Public Health Institutions for Antenatal Care Services in Adama Town, Ethiopia

Mohammed, Ebrahim

doi:10.11648/j.cajph.20180405.14

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…Pregnant women of Mid Upper Arm Circumference (MUAC) less than 21cm were more likely to be anemic as compared to women not malnourished. The result of this study is comparable with the study conducted in Adama town, Jigjiga town, Gode town and Ilu Abba Bora zone [32–36]. The similarity could be due the facts that under nutrition occur as a result of micro and macro nutrient deficiency and also anemia may occur as complication of malnutrition.…”

Section: Discussionsupporting

confidence: 85%

“…The magnitude of anemia in this study is lower as compared with the studies done in Malaysia (33%) [28], Gana (51%) [29], and in Ethiopia: Tigray(36.1%) [30], Nekemte town (52%) [31], Adama (28.1%) [32], Gode town (56.8%)[33], Bisidimo (27.9) [34], Jijiga town (63.8%)[35] and Ilu Abba bora zone (31.5%) [36]. This difference might be due to the study period and the attention given for focused antenatal care and supplementation of iron sulfate throughout the pregnancy.…”

Section: Discussioncontrasting

confidence: 69%

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Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study

2019

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BackgroundAnemia during pregnancy is a common public health problem globally and it defined as the hemoglobin concentration of less than 11 g/dl. Anemia during pregnancy has maternal and perinatal diverse consequences and it increase the risk of maternal and perinatal mortality. The aim of this study is to assess magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, South west, Ethiopia, 2018.MethodsA cross-sectional study was employed on 1871 pregnant mothers from selected hospitals. All third trimester pregnant women attending antenatal care at Mizan-Tepi University Teaching Hospital, Tepi, Gebretsadik Shawo and Wacha public hospitals were included in the study. Data was entered to Epidata version 3.1 and exported to SPSS version 21 for analysis. Logistic regression analysis was carried out to identify independently associate factors at confidence interval of 95% and significance level of P-value <0.05.ResultThe magnitude of anemia in this study from the total study participant was 356 (19.0%). Among anemic pregnant women, 330 (92.7%), 21(5.9%) and 5(1.4%) were mild anemia, moderate anemia and severe anemia respectively. Age group 20–24 [AOR 6.28(2.40–16.42)], 25–29 [AOR = 6.38 (2.71–15.01)], 30–34 [AOR = 5.13 (2.27–11.58) and age ≥35 years [AOR = 2.53 (1.07–5.98)], educational status (read and write) [AOR 2.06, 95% CI (1.12–3.80)], gestational age(term)[AOR 1.94, 95% CI (1.27–2.96)], Caffeine (coffee and tea) and alcohol use occasionally [AOR 2.01, 95% CI (1.14–3.55)] and [AOR 2.59, 95% CI (1.49–4.52)] respectively, nutritional status (under nutrition) [AOR 3.00, 95% CI (2.22–3.97)] and family size (>6) [AOR 2.66, 95% CI (1.49–4.77)] were factors associated with anemia.ConclusionThe magnitude of anemia found to be high. Age, educational status of the mother, gestational age, caffeine and alcohol use, Nutritional status and family size were factors significantly associated with anemia. To prevent adverse outcome of anemia, health care providers should work on these factors.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 69%

Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study

2019

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“…Also, the women in the middle age group had some protection against anaemia at 28 weeks when haemodilution is not taken into consideration. This also falls in line with some studies that found isolated risk for specific age groups [71,72]. Also, the lack of association between anaemia at registration and age groups as observed in this study has also been reported in other studies [34,35,73].…”

Section: Plos Onesupporting

confidence: 93%

Factors associated with anaemia in pregnancy: A retrospective cross-sectional study in the Bolgatanga Municipality, northern Ghana

Abaane,

Adokiya,

Abiiro

2023

PLoS ONE

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Background Anaemia in pregnancy (AIP) remains a severe public health problem associated with adverse outcomes. This study assessed haemoglobin levels and the prevalence of anaemia during antenatal care (ANC) registration, at 28 weeks and 36 weeks of gestation as well as the factors associated with AIP at the different stages of pregnancy. Methods A retrospective cross-sectional design was implemented. Using ANC registers as the sampling frame, 372 pregnant women, within 36 and 40 weeks of gestation were randomly sampled from 28 health facilities for the study. The participants were all receiving ANC in the Bolgatanga Municipality. Data were collected via clinical records review and a questionnaire-based survey between October and November, 2020. Using the Statistical Package for the Social Sciences (SPSS), descriptive analysis of haemoglobin levels and the prevalence of anaemia were performed. In addition, binary logistic regression was used to identify the factors associated with anaemia in pregnancy. AIP was determined using the national practice of 11.0g/dl haemoglobin cut-off point and the World Health Organisation’s recommended adjustment for the 2nd trimester of pregnancy was made using the cut-off of 10.5g/dl to account for the effect of haemodilution. Results At booking, AIP prevalence was 35.8% (95%CI:30.9, 40.9) using a cut-off of 11.0g/dl and 25.3% (95%CI:20.9, 30.0) using a cut-off of 10.5g/dl for those in the 2nd trimester. At 28 weeks, AIP prevalence was 53.1% (95%CI:45.8, 60.3) and 37.5 (95%CI:30.6, 44.8) using a cut-off of 11.0g/dl and 10.5g/dl for those in the 2nd trimester, respectively. At 36 weeks, AIP prevalence was 44.8% (95%CI:39.2, 50.4) using a cut-off of 11.0g/dl. At p<0.05, registering after the first trimester (AOR = 1.87, 95%CI: 1.17, 2.98, P = 0.009) and at a regional hospital (AOR = 2.25, 95%CI: 1.02, 4.98, P = 0.044) were associated with increased odds of AIP but registering at a private hospital (AOR = 0.32, 95%CI: 0.11, 0.92, P = 0.035) was associated with decreased odds of AIP at booking. At 28 weeks, age group 26–35 years (AOR = 0.46, 95%CI: 0.21, 0.98, P = 0.044), Christianity (AOR = 0.32, 95%CI: 0.31, 0.89, P = 0.028.), high wealth (AOR = 0.27, 95%CI: 0.09, 0.83, P = 0.022) and tertiary education (AOR = 0.09, 95%CI:0.02, 0.54, P = 0.009) were associated with decreased odds of AIP. At 36 weeks, booking after first trimester of pregnancy was associated with increased odds (AOR = 1.72, 95%CI: 1.05, 2.84, P = 0.033) whilst high wealth (AOR = 0.44, 95%CI: 0.20, 0.99, P = 0.049), higher age groups—26–35 (AOR = 0.38, 95%CI: 0.21, 0.68, P = 0.001) and 36–49 years (AOR = 0.35, 95%CI: 0.13, 0.90, P = 0.024) and secondary education of spouse were associated with reduced odds (AOR = 0.35, 95%CI: 0.14, 0.88, P = 0.026) of AIP. Conclusion AIP consistently increased from registration to 36 weeks of gestation. Given the observed correlates of AIP, we recommend that interventions geared towards early ANC registration, improved household wealth, and improved maternal education are required to reduce AIP.

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“…Also, the women in the middle age group had some protection against anaemia at 28 weeks when haemodilution is not taken into consideration. This also falls in line with some studies that found isolated risk for speci c age groups [70,71]. Also, the lack of association between anaemia at registration and age groups as observed in this study has also been reported in other studies [35,36,72].…”

Section: Socio-economic Characteristics Of the Respondentssupporting

confidence: 93%

Factors Associated With Anaemia in Pregnancy: a Retrospective Cross-sectional Study in Northern Ghana

Abaane,

Adokiya,

Abiiro

2021

Preprint

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Background: Anaemia in pregnancy (AIP) is associated with adverse pregnancy outcomes. AIP occurs when a pregnant woman’s haemoglobin level falls below 11.0 g/dl, and 10.5g/dl specifically in the second trimester of pregnancy if adjustment for haemodilution is considered. This study assessed the prevalence of AIP at antenatal care (ANC) registration, 28 weeks and 36 weeks of pregnancy gestation and the correlates of AIP in the Bolgatanga Municipality of northern Ghana. Methods: A retrospective cross-sectional design was implemented among a random sample of 372 pregnant women within 36-40 weeks of pregnancy gestation, who were receiving ANC in the Bolgatanga Municipality. Data were collected via clinical records review and a questionnaire-based survey between October and November, 2020. Using the Statistical Package for Social Science, descriptive analysis of haemoglobin levels and the prevalence of anaemia was done and binary logistic regression was used to identify the correlates of AIP. Results: At ANC registration, the prevalence of AIP was 35.8% (95%CI:30.9, 40.9) which decreased to 25.3% (95%CI:20.9, 30.0) after Haemodilution. At 28 weeks of gestation, the AIP prevalence was 53.1% (95%CI:45.8, 60.3) which fell to 37.5 (95%CI:30.6, 44.8) with haemodilution. At 36 weeks of pregnancy, AIP prevalence was 44.8% (95%CI:39.2, 50.4) without the need for haemodilution. At 5% significance level, the odds of AIP at registration increased if the woman registered for ANC after the first trimester of pregnancy and at a regional hospital but decreased if she registered at a private hospital. At 28 weeks of gestation, age group 26 – 35 years, Christianity, high wealth and tertiary education were associated with lower odds of AIP. At 36 weeks of gestation, booking after first trimester of pregnancy was associated with higher odds whilst high wealth, higher age groups (26–35 and 36–49 years) and secondary education of spouse were associated with reduced odds of AIP. Conclusion: AIP consistently increased from registration to 36 weeks of gestation. Given the observed correlates of AIP, we recommend that interventions aimed at encouraging early ANC registration, improved household wealth, and improved maternal education are required to reduce AIP.

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Magnitude of Anemia and Associated Factors Among Pregnant Women Visiting Public Health Institutions for Antenatal Care Services in Adama Town, Ethiopia

Cited by 7 publications

References 12 publications

Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study

Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study

Factors associated with anaemia in pregnancy: A retrospective cross-sectional study in the Bolgatanga Municipality, northern Ghana

Factors Associated With Anaemia in Pregnancy: a Retrospective Cross-sectional Study in Northern Ghana

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