Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study

Abstract

Background. Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 424 study participants from August 1st to October 30th, 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at p value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at p value <0.05 were considered as statistically significant. Results. The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion. The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.

Trend and determinants of anemia change among pregnant and/or lactating women in Ethiopia: A multivariate decomposition analysis

“…The prevalence of anemia among pregnant women was 19.7% in Mekelle [5], 14.9% in Adama [6], 10% in Debre Birhan [7] and 32.4% in Dembia, Ethiopia. It was also reached to 24.3% in immediate postpartum or breast feeding women in a study conducted in Debre Markos, Ethiopia [8]. According to the 2016 Ethiopian Demographic and Health Survey (EDHS) data, the prevalence of anemia in reproductive-age women was 24% [9].…”

Magnitude of postpartum hemorrhage and its associated factors in Ethiopia: a systematic review and meta-analysis

“…The current systematic review and meta-analysis included 21 primary studies with a total of 93,898 study participants. Of the total of 21 studies; 7 studies were conducted in Amhara region [11,[36][37][38][39][40][41], 6 studies in South nation nationality and people (SNNP) region [30,[42][43][44][45][46], 2 studies in Oromia region [10,47], 2 studies in Addis Ababa City administration [29,48], 1 study in Tigray region [49], 1 study in Dire Dawa City administration [50], 1 study in Harar region [51] and 1 study was conducted national-wide [52] (Table 1). Only 4 studies were conducted in rural area, the rest 17 were conducted in urban area.…”

Magnitude of Postpartum Hemorrhage and Its Associated Factors in Ethiopia: Systematic Review and Meta-analysis.

“…The current systematic review and meta-analysis included 20 primary studies with a total of 93,600 study participants. Of the total of 20 studies; 7 studies were conducted in Amhara region [10,[31][32][33][34][35][36], 5 studies in SNNP region [26,[37][38][39][40], 2 studies in Oromia region [9,41], 2 studies in Addis Ababa city administration [25,42], 1 study in Tigray region [43], 1 study in Dire Dawa city administration [44], 1 study in Harar region [45] and 1 study was conducted national-wide [46] (Table 1).…”