Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis

Rahman, Mizanur; Abe, Sarah Krull; Rahman, Shafiur; Kanda, Mikiko; Narita, Saki; Bilano, Ver; Ota, Erika; Gilmour, Stuart; Shibuya, Kenji

doi:10.3945/ajcn.115.107896

Cited by 427 publications

(383 citation statements)

References 42 publications

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“…With further progression of pregnancy in iron deficiency, oxygenation of the blood worsens and total pathological disturbances occur in the tissues which affects the fetoplacental complex, fetal growth, pregnancy and parturition. A systematic review of "Maternal anemia and pregnancy outcomes in low-and middle-income countries" according to the scientific data of world-wide publications in 2016 found that anemia during pregnancy is associated with significantly higher risks [12]:…”

Section: Results Of Our Studiesmentioning

confidence: 99%

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Anemia in Women of Reproductive Age

Solovyeva¹,

Gace²,

Ermolenko³

et al. 2018

Current Topics in Anemia

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Anemia is a common condition in women of childbearing age which is associated with wide spread hyperplastic processes in the uterus (leiomyomas, etc.) and abnormal and/ or abundant uterine bleeding (AUB). Our study has considered the main causes of bleeding and the therapy aimed on limiting the amount of blood loss, as well as preoperative treatment of iron deficiency in women with uterine leiomyomas, planning for pregnancy.The combination of anemia with other abnormalities in the woman's health status is associated with complications during pregnancy such as premature births, the birth of small children and failure of the formation of neural tube in iron deficiency and hypoxia. During the treatment of iron deficiency anemia (IDA) with saline iron, we noted severity and pain in the stomach in 11.9% of patients, nausea in 13.1%, constipation in 21.4%, and diarrhea in 7.1% of women. Such complications did not occur while treating with ferric iron. The use of drugs Iron III hydroxide polymaltozate in women after the end of lactation resulted in normalization of the blood hemoglobin within 30 days and the number of erythrocytes and of serum ferritin by the 90th day.

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Section: Results Of Our Studiesmentioning

confidence: 99%

“…The effectiveness of COC is 43 -88% [12]. Bleeding when using COC usually stops within 24 hours (the so-called hormonal hemostasis).…”

Section: Coagulopathymentioning

confidence: 99%

Anemia in Women of Reproductive Age

Solovyeva¹,

Gace²,

Ermolenko³

et al. 2018

Current Topics in Anemia

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show abstract

“…Recent reports have compelling evidence of the role of nutritional deficiencies and inadequacies in pre-eclampsia particularly micronutrients, iron supplementation and inadequate diversity in food sources [32][33][34]. Anaemia is a common maternal nutritional disorder that has also recently been shown to lead to fetal anaemia, poor growth and LBW [35][36][37]. Interestingly, there was little evidence in our study that vascular tree structure associated with LBW suggesting that the structure may not strongly impact the volume or available surface area for nutrient exchange in the study population.…”

Section: Discussionmentioning

confidence: 99%

Maternal Demographic and Placental Risk Factors in Term Low Birth Weight in Ghana

Aleksenko

Tettey

Richard³

et al. 2017

J Preg Child Health

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“…A nivel mundial, se han generado avances en la reducción de la prevalencia de anemia gestacional, pasando de 43% en 1995 a 38% en 2011, y de 37 a 31% en países de América Latina y el Caribe en el mismo periodo (3) . A pesar de esta disminución, aún representa un importante problema de salud en los países en desarrollo (4) y contribuye con el 20% de todas las muertes maternas en todo el mundo (5) .…”

Section: Introductionunclassified

Análisis espacial de la anemia gestacional en el Perú, 2015.

Hernández-Vasquéz

Azañedo

Antiporta

et al. 2017

Rev Peru Med Exp Salud Publica

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Objetivos. Establecer las prevalencias regionales e identificar conglomerados distritales con altas prevalencias de anemia en gestantes atendidas en los establecimientos de salud públicos del Perú en el 2015. Materiales y métodos. Se realizó un estudio ecológico de datos de gestantes con anemia, registrados en el Sistema de Información del Estado Nutricional (SIEN), que fueron atendidas en 7703 establecimientos públicos de salud durante el 2015. Se calcularon prevalencias de anemia gestacional regionales y distritales. Mediante el índice de Moran se identificaron conglomerados distritales con alta prevalencia de anemia gestacional. Resultados. Se recolectó información de 311 521 gestantes, distribuidas en 1638 distritos del Perú. La prevalencia nacional de anemia fue de 24,2% (IC 95%: 24,0-24,3) y 30,5% en el área rural vs. 22,0% en el área urbana. Las regiones de Huancavelica (45,5%; IC 95%: 44,2-46,7), Puno (42,8%; IC 95%: 41,9-43,7), Pasco (38,5%; IC 95%: 36,9-40,0), Cusco (36,0%; IC 95%: 35,8) y Apurímac (32,0%; IC 95%: 30,8-33,1) tuvieron las mayores prevalencias de anemia. El índice local de Moran identificó 202 distritos (12,3%) (44 urbanos y 158 rurales) de alta prioridad (alto-alto o hot spots) situados en Ancash, Apurímac, Arequipa, Ayacucho, Cajamarca, Cusco, Huancavelica, Huánuco, Junín, La Libertad, Lima, Pasco y Puno, que muestran conglomerados distritales con altas prevalencias. Conclusiones. La anemia gestacional en Perú concentra sus mayores prevalencias en las áreas rural y sur de la sierra. Los conglomerados distritales con altas prevalencias de anemia gestacional coinciden con las zonas de alta prevalencia regional. Palabras clave: Sistemas de Información Geográfica; Anemia; Mujeres Embarazadas; Embarazo; Perú (fuente: DeCS BIREME). SPATIAL ANALYSIS OF GESTATIONAL ANEMIA IN PERU, 2015 ABSTRACTObjectives. To establish regional prevalences of anemia in pregnant women receiving care at public clinics in Peru in 2015 and identify high-prevalence district conglomerates. Materials and Methods. An ecological study was carried out on data from pregnant women with anemia registered on the Nutritional Status Information System (SIEN) who received care in 7703 public clinics in 2015. Regional and district prevalences of gestational anemia were calculated. District conglomerates with a high prevalence of gestational anemia were identified using the Moran Index. Results. Information was gathered from 311,521 pregnant women distributed in 1638 districts in Peru. The national prevalence of anemia was 24.2% (95% confidence interval [95% CI]: 24.0-24.3%), the rural prevalence was 30.5%, and the urban prevalence was 22.0%. The regions of Huancavelica (45.5%; 95% CI: 44.2-46.7%), Puno (42.8%; 95% CI: 41.9-43.7%), Pasco (38.5%; 95% CI: 36.9-40.0%), Cusco (36.0%; 95% CI: 35.3-36.8%), and Apurímac (32.0%; 95% CI: 30.8-33.1%) had the highest prevalences of anemia. The local Moran Index identified 202 high-priority districts (hot spots) (12.3% of total; 44 urban and 158 rural) located in Ancash, Apurímac, Arequipa, ...

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Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis

Abstract: Maternal anemia remains a significant health problem in low- and middle-income countries.

Cited by 427 publications

References 42 publications

Anemia in Women of Reproductive Age

Anemia in Women of Reproductive Age

Maternal Demographic and Placental Risk Factors in Term Low Birth Weight in Ghana

Análisis espacial de la anemia gestacional en el Perú, 2015.

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