Prevalence of anemia and its risk factors among pregnant women in Khorramabad (Iran) 2010–2014

Mardani, Mahnaz; Rezapour, Sadegh; Ahmadipour, Shokoufeh; Mohsenzadeh, Azam; Rad, Afagh Hassanzadeh; Roosta, Sajjad; Ebrahimzadeh, Farzad

doi:10.1080/14767058.2016.1187126

Cited by 14 publications

(9 citation statements)

References 28 publications

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“…This study revealed anemia (Hb<11 g/dl) in 8.2% of women in first trimester and higher than one-quarter of women in third trimester of pregnancy. Similarly, 16.8% of pregnant women were anemic in Iran (11). We found lower frequency of anemia in Iranian pregnant women compared to some other developing countries.…”

Section: Discussionmentioning

confidence: 42%

The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

Motlagh¹,

Shirvani²,

Torkestani³

et al. 2019

ijph

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Background: Anemia is a common nutritional disorder that is more prevalent in pregnant women than other population groups. This study aimed to assess the frequency of anemia and its association with health care determinants among Iranian pregnant women from provinces with different Maternal Mortality Rate (MMR). Methods: This cross-sectional survey was carried out on 2737 pregnant women referred to public health centers in Iran, 2015. The participants were randomly selected by multistage sampling from six provinces with low, moderate or high MMR. The level of hemoglobin lower than 11 g/dl were defined as anemia in first and third trimester of pregnancy. Results: The rate of anemia in first and third trimester were respectively 8.2 and 26.7%. The most determinants of anemia among women in both first and third trimester of pregnancy were geographical classes with high MMR, no care before pregnancy, and type of house. Moreover, lower number of previous pregnancies (OR, 0.48; 95% CI, 0.27 to 0.85) and adequate care during pregnancy (OR, 0.66; 95% CI, 0.47 to 0.92) were protected women from anemia and high number of children (OR, 2.07; 95% CI, 1.13 to 3.80) enhanced risk of anemia in first trimester of pregnancy. Moreover, higher body mass index had lower odds of anemia in third trimester. Conclusion: The rate of anemia is differed in various parts of Iran, and this disorder gets worse in third trimester of pregnancy than first. Strengthening health care programs may be a useful strategies to prevent and control anemia.

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Section: Discussionmentioning

confidence: 42%

The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

Motlagh¹,

Shirvani²,

Torkestani³

et al. 2019

ijph

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“…Cette prévalence de 39,8% est superposable à celle deDesalegn et alen Ethiopie et Taner et al en Turkie qui ont retrouvé respectivement 41,9% et 41,6% [ 7 , 11 ]. Des prévalences plus basses ont été rapportées en Iran (16,8%), en Ouganda (22,1%) et en Grande Bretagne (24,4%) [ 3 – 5 ]. Selon les statistiques de l’OMS, la prévalence de l’anémie est liée au développement et reste plus basse dans les pays développés.…”

Section: Discussionunclassified

“…Il s’agit d’un trouble de gravité variable auquel sont exposées 17 à 31% des femmes enceintes dans les pays développés et 52,8 à 61,3% en Afrique au Sud du Sahara [ 1 ]. Quelques études consultées rapportent des prévalences de 16,8%, 22,1%, 24,4%32,8%,41,6% et 100% respectivement en Iran, Ouganda, en Grande Bretagne,en Ethiopie, en Turkie et Inde [ 3 – 8 ]. Les facteurs de risques de l’anémie en grossesse varient considérablement d’un milieu à l’autre.…”

Section: Introductionunclassified

Prévalence et facteurs associés à l’anémie en grossesse à l’Hôpital Général de Douala

Tchente¹,

Tsakeu²,

Nguea³

et al. 2016

Pan Afr Med J

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IntroductionL’anémie est un problème de santé publique, prédominant chez les enfants et les femmes en âge de procréer. L’objectif de l’étude était de déterminer la prévalence et les facteurs associés à l’anémie chez les femmes enceintes à l’Hôpital Général de Douala.MéthodesIl s’agissait d’une étude transversale qui s’est déroulée de juillet 2012 à juillet 2013. Toutes les femmes enceintes consentantes se présentant pour consultation prénatale et ayant réalisées une numération formule sanguine (NFS) étaient incluses. Les caractéristiques sociodémographiques, les antécédents obstétricaux et les résultats de la NFS étaient enregistrés sur une fiche technique pré-testée. L’anémie était définie selon les critères de l’OMS. Après quelques statistiques descriptives, nous avons effectué une analyse bivariée à l’aide du test de Chi 2 et la probabilité exacte de Fisher pour rechercher les facteurs associés à l’anémie. Une valeur de p< 0,05 était considérée significative.RésultatsAu total 415 gestantes ont été recrutées. La prévalence de l’anémie était de 39,8%. L’âge moyen était de 29,89±4,835ans. Le taux moyen d’hémoglobine était de 10,93±1,23.L’anémie normochrome normocytaire (53,3%) était prédominante. L’anémie était sévère dans 2,4% des cas. L’anémie en grossesse était significativement associée aux antécédents de pathologies chroniques (P=0,02) et d’anémie gravidique antérieure (P=0,003). L’anémie était plus observée au 3ème trimestre (P=0,04) et l’allaitement maternel était protecteur (P=0,02).ConclusionLa prévalence de l’anémie chez la femme enceinte reste élevée. Un accent doit être mis sur une meilleureprise en charge des pathologies chroniques chez les gestantes et sur leur suivi en post natal afin de corriger l’anémie avant la grossesse ultérieure.

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“…Anemia classification was performed based on world health organization guidelines. Subjects with hemoglobin level lower than 11 g/dL were divided in exposed group and subjects with hemoglobin level higher than 11 g/dL were divided into un-exposed group (6,11).…”

Section: Study Populationmentioning

confidence: 99%

Maternal Anemia in Various Trimesters and Related Pregnancy Outcomes: Results from a Large Cohort Study in Iran

et al. 2019

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Background: Undesirable health outcomes of anemia impact all different groups of people within a society especially pregnant women (PW). Objectives: This study aimed to evaluate other fetal and maternal complications of anemia in various trimesters of pregnancy. Methods: A large retrospective cohort study was conducted on Iranian PW in 2017. The first and third trimesters of pregnancy were assessed as a separate study. The first study included 1038 anemic and 2463 non-anemic PW and the second comprised 756 anemic and 1986 non-anemic PW. The outcome-related pregnancies were analyzed for each study. Results: After adjusting for the potential confounding factors, the odds of neonatal mortality (OR = 1.63; CI 95%, 1.25 -2.13) were significantly higher and the odds of cesarean delivery (OR = 0.6; CI 95%, 0.46 -0.75) were significantly lower in women who had anemia during the first trimester. The chance of pre-term delivery (< 37 weeks; OR = 2.15; CI 95%, 1.6 -2.91) and abortion (OR = 1.68; CI 95%, 1.11 -2.53) was significantly higher in women who had anemia during the third trimester, while the chance of low birth weight (< 2500 kg) (OR = 0.66; CI 95%, 0.46 -0.93) was lower in anemic women during the third trimester than in those without anemia. Conclusions: Pregnant women who experience anemia in both first and third trimesters of pregnancy have different unpleasant pregnancy outcomes. Since anemia is preventable during pregnancy, many of these outcomes such as neonatal mortality, low birth weight, preterm and cesarean delivery, and abortion could be prevented and decreased by providing health education before pregnancy.

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Prevalence of anemia and its risk factors among pregnant women in Khorramabad (Iran) 2010–2014

Abstract: Staff working at different parts of health care centers were advised to pay more attention to this problem. They should also try to control and treat anemia by regular distribution of iron supplements among women referred to health care centers.

Cited by 14 publications

References 28 publications

The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

The Frequency of Anemia and Underlying Factors among Iranian Pregnant Women from Provinces with Different Maternal Mortality Rate

Prévalence et facteurs associés à l’anémie en grossesse à l’Hôpital Général de Douala

Maternal Anemia in Various Trimesters and Related Pregnancy Outcomes: Results from a Large Cohort Study in Iran

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