scholarly journals Association of Iron Rich Foods Consumption, Supplement Intake and Prevalence of Anaemia Among Pregnant Women in Owerri Imo State, Nigeria (P24-038-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Cyril Anoshirike ◽  
Chinagorom Asinobi ◽  
Vivienne Ibeanu

Abstract Objectives This study assessed the association of iron rich foods consumption, supplement intake and prevalence of anaemia among pregnant women in Owerri Imo state, Nigeria. Methods A cross-sectional study design was used, 429 pregnant women attending antenatal care were randomly selected from each of the five hospitals randomly selected from Owerri. Biochemical test (Haemoglobin determination) and a structured and pre-tested questionnaires was used for data collection. Data were statistically analyzed using Pearson correlation and Chi-square test with SPSS Version 22 at significance level of P < 0.05. Results Result shows that two third (72.3%) of the respondents were aged 26–35yrs, 72.3% were in the third trimester, 77.4% had multigravida, 43.4% had a birth spacing of 12–18months, 28.1% and 26.8% had loss a child at birth and caesarean delivery respectively, 51.0% commenced antenatal care visit at 13–24 weeks of their pregnancy, 75% had malaria and 39% were anaemic (17% mild, 17% moderate and 5% severe anaemia). More than half of the pregnancy women took folic acid (61.1%), B-complex vitamin (53.6%) and one third (35.9%) took Ferrous Sulphate at least once daily, 78% sourced their supplements from hospital. Most of the pregnant women consumed animal protein, green leafy vegetable and fruits at least 4 times weekly; there are significant (P < 0.05) associations between consumption of iron rich foods, supplement intake and prevalence of anaemia among pregnant women. Conclusions In conclusion, this study revealed a high prevalence of anaemia among pregnant women, moderate consumption of iron rich foods, poor intake of iron supplement and a significant association between prevalence of anaemia in pregnant women, consumption of iron rich food and intake iron supplement among pregnant women in the study area. Funding Sources Self Funded (Author).

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 934-934
Author(s):  
Cyril Anoshirike ◽  
Chinagorom Asinobi ◽  
Jaustina Chikwendu ◽  
Elizabeth Udenta ◽  
Scholastica Eze

Abstract Objectives The study assessed the compliance level of Antenatal Care Visit, Iron Supplement Intake and Prevalence of Anaemia among Pregnant Women in Owerri, Imo State Nigeria. Methods A cross-sectional study design was used, 429 pregnant women attending antenatal care were randomly selected from each of the five hospitals randomly selected from Owerri. Biochemical test (Haemoglobin determination) and a structured and pre-tested questionnaires was used for data collection. Data were statistically analyzed using Pearson correlation and Chi-square test with SPSS Version 22 at significance level of P &lt; 0.05. Results Result shows that many of the respondents were young adults (aged 26 to 35 years), married, educated (literate), unemployed and petty traders and low income earners. One third (33.6%) of the pregnant women attended Antenatal Care (ANC) for more than 5 times while half (51.0%) commenced antenatal care visit at 13–24 weeks of their pregnancy, about 35.9% took Ferrous Sulphate at least once daily and 39% were anaemic (17% mild, 17% moderate and 5% severe anaemia). There is a significant (P &lt; 0.05) association between supplement intakes with prevalence of anaemia among pregnant women. Conclusions In conclusion, this study revealed a prevalence of anemia among pregnant women increased with poor compliance to supplementation intake and frequent visit to antenatal care. Hence, this study called for monitoring and evaluation of the antenatal care and iron supplement intake component of maternal and child health nutrition for reduction of anaemia in pregnancy and other complications. Funding Sources This study is self funded.


2018 ◽  
Vol 21 (1) ◽  
pp. 15-21
Author(s):  
Sendy Ayu Mitra Uktutias ◽  
Niniek Lely Pratiwi ◽  
Windhu Purnomo

Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional  study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.


2004 ◽  
Vol 7 (8) ◽  
pp. 1065-1070 ◽  
Author(s):  
SM Ziauddin Hyder ◽  
Lars-Åke Persson ◽  
Mushtaque Chowdhury ◽  
Bo Lönnerdal ◽  
Eva-Charlotte Ekström

AbstractObjective:To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women.Design:Cross-sectional survey.Setting:Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh.Subjects:The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l−1) or high sTfR (>8.5 mg l−1).Results:The prevalence of anaemia (Hb <110 g l−1) was 50%, but severe anaemia (Hb >70 g l−1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70–99 g l−1) and 50% with mild (Hb 100–109 g l−1) anaemia. Four out of 10 non-anaemic women (Hb >110 g l−1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P=0.001).Conclusions:Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.


2021 ◽  
Vol 3 (3) ◽  
pp. 265
Author(s):  
Lilik Anggraini ◽  
Sunarsih Sunarsih ◽  
Baksono Winardi

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10  to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.


2016 ◽  
Vol 32 (12) ◽  
pp. 467
Author(s):  
Sri Juana ◽  
Detty Siti Nurdiati ◽  
Atik Triratnawati

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper. 


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jaffar H. Saffarini ◽  
Qais T. Ahmad ◽  
Ahmad M. Samara ◽  
Dima S. Jabri ◽  
Zaina H. Safarini ◽  
...  

Abstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem.


2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes


2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


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