The influence of anemia on maternal and neonatal outcomes in adolescent pregnant

Yılmaz, Engin; Işıtan, Özlem Yazıcı; Soysal, Çağanay; Yılmaz, Zehra; Kara, Osman; Küçüközkan, Tuncay

doi:10.28982/josam.393143

Cited by 7 publications

(9 citation statements)

References 20 publications

(37 reference statements)

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“…Frass in her study reported that postpartum hemorrhage was related to Hb levels at labor and the severity of anaemia was an important factor that causes greater blood loss and adverse maternal outcomes. (44) Similarly, studies done by Kavle et al, (45) and Yılmaz et al, (46) found that anaemia increased the incidence of hemorrhage during pregnancy. A possible explanation for this finding is that women with anaemia are more likely to have uterine atony due to impaired transport of oxygen and Hb to the uterus.…”

Section: Discussionmentioning

confidence: 78%

Perinatal Outcomes of Maternal Anemia in Alexandria, Egypt

Elzeiny

Sultan

Shetya

2019

Journal of High Institute of Public Health

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Background & Objective(s): Anaemia is considered the most frequent complication related to pregnancy. It is also the most common preventable cause of fetal and maternal mortality and morbidity. Despite the routine use of iron and folate supplementation for prevention of anaemia in Egypt, the prevalence of anaemia is still high This study was conducted to estimate the occurrence of anaemia and investigate the relationship between maternal anaemia and perinatal outcomes at Karmouz Family Health Unit in Alexandria. Methods: The study involved 206 pregnant women in third trimester. It was conducted on two phases: First, a cross sectional study using an interviewing questionnaire to collect data about sociodemographic profile and drug history. Laboratory data was collected from records to estimate the occurrence of anaemia. Then, a prospective cohort study was carried out using a follow up sheet to assess perinatal outcomes of maternal anaemia. Results: The results of our study show that the occurrence of anaemia among studied pregnant women was high (73.8%). Most of the women who did not regularly receive iron supplementation were anaemic. Maternal anaemia was shown to be significantly associated with preterm labor, low birth weight, congenital anomalies, small head sized babies and neonatal intensive care admission. Moreover, hemorrhage and infection were significantly encountered maternal complications. Conclusion: Irregular intake of iron supplementation during pregnancy was significantly associated with anaemia. Moreover, maternal anaemia was significantly related to maternal and neonatal complications.

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Section: Discussionmentioning

confidence: 78%

Perinatal Outcomes of Maternal Anemia in Alexandria, Egypt

Elzeiny

Sultan

Shetya

2019

Journal of High Institute of Public Health

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“…Likewise, the risk of poor neonatal outcomes such as low birth weight [ 3 , 4 , 13 , 16 ], small-for-gestational-age [ 3 , 5 , 13 ], preterm birth [ 3 , 4 , 6 , 12 , 13 ], low Apgar score [ 3 , 5 , 6 ], stillbirth [ 12 , 13 ], and neonatal and perinatal mortality [ 5 , 13 , 16 ] is higher among neonates and children born to anemic mothers. In addition, low maternal hemoglobin level during pregnancy was also found to increase the risk of placenta previa [ 5 ] and abruption, fetal malformation, growth restriction [ 12 ], and neonatal admission [ 6 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of anemia level among reproductive-age women in 29 Sub-Saharan African countries: A multilevel mixed-effects modelling with ordered logistic regression analysis

Mare,

Aychiluhm,

Sabo

et al. 2023

PLoS ONE

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Background Despite the implementation of different nutritional and non-nutritional interventions, 43% of reproductive-age women in Africa suffer from anemia. Recent evidence also shows that none of the Sub-Saharan African (SSA) countries are on the track to achieve the nutrition target of 50% anemia reduction by 2030. To date, information on the level of anemia and its determinants among reproductive-age women at the SSA level is limited. Thus, this study aimed to estimate the pooled prevalence of anemia level and its determinants in SSA countries. Methods We used a pooled data of 205,627 reproductive-age women from the recent demographic and health surveys of 29 SSA countries that were conducted between 2010–2021. A multilevel mixed-effects analysis with an ordered logistic regression model was fitted to identify determinants of anemia level and the deviance value was used to select the best-fitted model. First, bivariable ordinal logistic regression analysis was done and the proportional odds assumption was checked for each explanatory variable using a Brant test. Finally, in a multivariable multilevel ordinal logistic regression model, a p-value<0.05 and AOR with the corresponding 95% CI were used to identify determinants of anemia level. All analyses were done using Stata version 17 software. Results The pooled prevalence of anemia among women of reproductive age in SSA was 40.5% [95% CI = 40.2%-40.7%], where 24.8% [95% CI: 24.6%-25.0%], 11.1% [95% CI = 10.9%-11.2%], and 0.8% [95% CI = 0.7%-0.8%] had mild, moderate, and severe anemia, respectively. The prevalence significantly varied from the lowest of 13% in Rwanda to the highest of 62% in Mali, and anemia was found as a severe public health problem (prevalence of ≥ 40%) in 18 countries. The regression result revealed that polygamous marriage, women and husband illiteracy, poor household wealth, shorter birth interval, non-attendance of antenatal care, underweight, unimproved toilet and water facilities, and low community-level women literacy were positively linked with high anemia level. Additionally, the likelihood of anemia was lower in women who were overweight and used modern contraception. Conclusions Overall results showed that anemia among women of reproductive age is a severe public health problem in SSA countries, affecting more than four in ten women. Thus, enhancing access to maternal health services (antenatal care and contraception) and improved sanitation facilities would supplement the existing interventions targeted to reduce anemia. Moreover, strengthening women’s education and policies regulating the prohibition of polygamous marriage are important to address the operational constraints.

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“…Además, se asoció a la hemorragia postparto, parto por cesárea, oligohidramnios y trastorno hipertensivo del embarazo, resultado, en la mayoría de casos, de la relajación de la fibra muscular del útero por hipoxia secundaria a los niveles bajos de hemoglobina. La evidencia disponible coincide con dichos resultados, al respecto Uzunov et al 18 identificaron asociación entre anemia y el parto por cesárea (p= 0.001), así también Basbug y Sonmez 20 refirieron asociación con trastornos hipertensivos (p = 0.01) mientras Yilmaz et al 21 evidenciaron asociación significativa entre anemia y hemorragia postparto (p= 0.003). Ver en tabla 8.…”

Section: Discussionunclassified

“…Entre las pacientes anémicas se observó preeclampsia mientras que el grupo no anémico se presentó en menor frecuencia; la diferencia fue estadísticamente significativa. Yilmaz et al 21 , 2018, realizaron un estudio "The influence of anemia on maternal and neonatal outcomes in adolescent pregnant", cuyo objetivo fue evaluar la influencia de la anemia en los resultados maternos y neonatales en adolescentes embarazadas. En materiales y métodos, la metodología de estudio fue analítico, retrospectivo, la población estuvo conformada por 1407 adolescentes embarazadas.…”

Section: Internacionalesunclassified

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Anemia del tercer trimestre como factor asociado a resultados materno-perinatales adversos en gestantes adolescentes. Instituto Nacional Materno Perinatal, 2020-2021

Canasa Estraver

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Objetivo: Determinar si la anemia del tercer es un factor asociado a resultados materno- perinatales adversos en gestantes adolescentes atendidas en el INMP, 2020-2021. Materiales y métodos: Se desarrolló un estudio analítico, transversal, retrospectivo de tipo cuantitativo, con una población de 1001 gestantes adolescentes atendidas en el INMP y muestra de 46 gestantes con anemia del tercer trimestre y 92 sin anemia. Además, toda la información fue obtenida mediante una ficha de recolección de datos y analizada en el software estadístico SPSS v.25. Resultados: De las gestantes adolescentes con anemia, el 95.7% tuvieron entre 15 y 19 años, 67.4% fueron solteras, el 84.8% presentaron primaria completa, y el 43.5% fueron amas de casa. En relación a la edad gestacional, el 80.4% tuvieron 37 semanas o más, el 64.4% recibieron menos de 6 controles y el 97.5% fueron primíparas, además, el 33.3% presentó anemia del tercer trimestre, siendo el 58.7% del tipo leve. Los resultados maternos-perinatales adversos significativos en las gestantes con anemia del tercer trimestre fueron la ruptura prematura de membranas (p=0.006), la hemorragia postparto (p=0.011), parto por cesárea (p=0.000),el oligohidramnios (p=0.041), prematuridad (p=0.002), bajo peso al nacimiento (p=0.016), el retraso del crecimiento intrauterino (p=0.000) y sufrimiento fetal (p=0.044). Conclusión: La anemia del tercer trimestre representa un factor asociado a múltiples eventos adversos maternos-perinatales, entre los que incluyen RPM, hemorragia del tercer trimestre, prematuridad y BPN.

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The influence of anemia on maternal and neonatal outcomes in adolescent pregnant

Cited by 7 publications

References 20 publications

Perinatal Outcomes of Maternal Anemia in Alexandria, Egypt

Perinatal Outcomes of Maternal Anemia in Alexandria, Egypt

Determinants of anemia level among reproductive-age women in 29 Sub-Saharan African countries: A multilevel mixed-effects modelling with ordered logistic regression analysis

Anemia del tercer trimestre como factor asociado a resultados materno-perinatales adversos en gestantes adolescentes. Instituto Nacional Materno Perinatal, 2020-2021

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