Sociodemographic factors associated with anaemia in pregnancy at booking for antenatal care

Smoking in pregnancy is a key health issue in Australia, particularly among Indigenous women. However, few studies have examined the sociodemographic factors associated with smoking in pregnancy or the predictors of antenatal-care attendance among Indigenous and non-Indigenous Australian women who smoke. Data from the South Australian perinatal statistics collection of all births from 2000–2010 (n=197538) were analysed separately by Indigenous status to determine the sociodemographic factors associated with smoking in pregnancy and antenatal-care attendance by women who smoke. For Indigenous and non-Indigenous women, smoking in pregnancy was significantly independently associated with socioeconomic disadvantage, residing in regional or remote areas, increased parity, unemployment, being a public patient and attending fewer antenatal care visits. Smoking in pregnancy was associated with younger age and not being partnered only for non-Indigenous women. For Indigenous and non-Indigenous pregnant women who smoked, antenatal-care attendance was lower among women who were of younger age, higher parity, unemployed and not partnered. Differences in attendance within sociodemographic factors were greater for Indigenous women. Therefore, while sociodemographic correlates of smoking in pregnancy and antenatal-care attendance are largely similar for Indigenous and non-Indigenous women, tailored cessation and antenatal-care programs that reflect the differences in sociodemographic groups most at risk may be beneficial.

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Prevalence and obstetric factors associated with anaemia among pregnant women, attending antenatal care in Unguja island, Tanzania

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190577 ◽

2019 ◽

Vol 6 (3) ◽

pp. 950 ◽

Cited By ~ 1

Author(s):

Mwanaisha M. Ali ◽

Agatha F. Ngowi ◽

Nyasiro S. Gibore

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Major Health Problem ◽

Factors Associated ◽

Obstetric Factors ◽

Anaemia In Pregnancy ◽

In Pregnancy

Background: Anaemia in pregnancy remains a major health problem with adverse maternal and fetal outcome worldwide, especially in developing countries such as Tanzania. The study aimed to establish prevalence and obstetric factors associated with anaemia among pregnant women attending antenatal care visits in Unguja Island, Tanzania.Methods: This cross sectional survey used systemic random sampling in three hospitals of Unguja Island to select 388 pregnant women. Demographic and obstetric characteristics of respondents were collected using a structured questionnaire. Hemoglobin levels were measured by using Hemocue machine. Multivariate logistic regression analysis was carried out in SPSS version 21.0 to measure obstetric factors associated with anaemia among pregnant women.Results: The overall prevalence of anaemia among pregnant women was 80.8%, whereby 68.64% of respondents had mild anaemia, 11.24% had moderate anaemia and 0.89% had severe anaemia. The factors associated with anaemia in pregnancy were gravidity, (AOR= 1.185, 95% CI=0.317-4.338, p<0.001), irregular taking of iron tablets (AOR=0.288, 95% CI=0.149-0.556, p<0.001) and age of the child <2 years, (AOR 3.635, 95% CI= 1.103-11.882, p<0.034).Conclusions: The prevalence of anaemia among pregnant women in Unguja is high. Timely and regular intake of iron tablets during pregnancy, child spacing as well as having children within the capacity of parents to raise them up may significantly reduce the prevalence of anaemia in pregnancy. Therefore health education on family planning and the importance of taking of iron tablet is critical.

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Prevalence and factors associated with anemia in pregnancy among women receiving antenatal care at the West Gonja District Hospital of Northern Ghana.

Obstetrics Gynecology and Reproductive Sciences ◽

10.31579/2578-8965/042 ◽

2020 ◽

Vol 4 (3) ◽

pp. 01-12

Author(s):

Martin Malick

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Hemoglobin Concentration ◽

World Health ◽

Multiple Gestation ◽

The West ◽

Factors Associated ◽

Folate Supplement ◽

Anemia In Pregnancy ◽

In Pregnancy

Background: Anemia in pregnancy is a major public health problem especially in Low and Middle-income countries (LMIC) including Ghana and is defined by the World Health Organization (WHO) as being present when the hemoglobin concentration in the peripheral blood is 11g/dl or less. In most African countries anemia in pregnancy occurs if the hemoglobin concentration falls below 10g/dl. Pregnant women are at a higher risk of developing anemia due to several factors such as hemodilution, nutritional factors, multiple gestation, socio-economic status and malaria infestation. Anemia in pregnancy is an important cause of maternal mortality and affects half of pregnant women worldwide; with 56% of West African pregnant women being anemic. The objective of this study is to assess the prevalence and identify the risk factors associated with anemia among pregnant women receiving antenatal care at the West Gonja Hospital (WGH) Methods: A cross-sectional was conducted with 136 pregnant women receiving antenatal care at the WGH between January 2017 to February 2018. Random sampling was used to select participants and data was collected using a structured questionnaire. Data was analyzed using the SPSS Version 24.0. Results: A total 71(52.2%) of the study population were anemic, while 65 (47.8%) were not anemic. 20(74.1%) of the 27 pregnant housewives were anemic, while 11(64.7%) of the pregnant farmers were anemic. 27 (96.4%) of the 28 pregnant women who took their iron/folate supplement only some few days were anemic. 12 (100%) of the 12 participants who took their iron/folate supplement a few times a week were anemic. 4 (80%) of the 5 participants who never took their iron/folate supplement were anemic. 21 (70%) of those who did not sleep under ITN were anemic. 33 (84.6%) of the 39 patients who were diagnosed with malaria were also anemic. 28 (87.5%) of the 32 participants who took only 2 meals a day were anemic. 27 (79.4%) of the 34 patients who took liver, beef, chicken and fish only twice weekly were anemic. 15 (88.2%) of the 17 patients who drank tea some days in a week were anemic. Conclusion: Although most of the pregnant women were adequately educated on the most relevant aspects of anemia in pregnancy, more than half of them were still anemic. Anemia was more prevalent among pregnant uneducated housewives with poor nutritional habits. All the pregnant sickle cell disease patients as well as those diagnosed with malaria were also anemic.

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Sociodemographic factors associated with postnatal maternal complications in public hospitals in Nairobi City County, Kenya

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2019.0030 ◽

2021 ◽

Vol 15 (1) ◽

pp. 1-7

Author(s):

Raheli Misiko Mukhwana ◽

Margaret N Keraka ◽

Meshack Onyambu

Keyword(s):

Antenatal Care ◽

Mode Of Delivery ◽

Cost Effective ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Public Hospitals ◽

Maternal Complications ◽

Cross Sectional ◽

Factors Associated ◽

Focused Antenatal Care

Introduction/Aims Focused antenatal care provides individualised counselling, targeted assessment and safe, cost effective, evidence-based intervention. It has been implemented in developing countries as a strategy to improve maternal health. This study aimed to investigate sociodemographic factors associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methods This was a cross-sectional study using a sample of 397 postnatal women who were given a questionnaire, with sections on their sociodemographic and health characteristics. Data analysis was done using the Chi Square test to determine the association between study variables, with P<0.05 considered statistically significant. Results The study found that 30% of respondents reported a maternal complication during their current delivery outcome. Sociodemographic factors significantly associated with maternal complications were age (P=0.002), occupation (P=0.001) and income (P=0.011). The health factors associated with occurrence of maternal complications were number of deliveries (P=0.001) and mode of delivery (P=0.001). Conclusions A number of factors were found to be significantly associated with maternal outcomes, including age and occupation. Further studies to determine why young women do not use focused antenatal care are necessary, as this would help reduce the incidence of birth-associated complications.

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Factors Associated with Uptake of De-Worming Drugs During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania HIV and Malaria Indicators Survey

10.21203/rs.3.rs-72727/v1 ◽

2020 ◽

Author(s):

Li Yinglan ◽

Vicent Bankanie ◽

Fabiola Vincent Moshi

Keyword(s):

Wealth Index ◽

Reference Population ◽

Reproductive Age ◽

Rural Residence ◽

Age Group ◽

Women Of Reproductive Age ◽

Level Of Education ◽

Factors Associated ◽

Anaemia In Pregnancy ◽

In Pregnancy

Abstract BackgroundUptake of deworming drugs is one of the important antenatal strategies in preventing anaemia in pregnancy. Little is known about the factors associated with uptake of the de-worming drugs. This study aimed at identifying the factors associated with the uptake of de-worming drugs during pregnancy among women of reproductive age.Method: The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the factors associated with uptake of deworming drugs among women of reproductive age in Tanzania.Results: Majority of interviewed women 3864(60.1%) took deworming drug while a total of 2560(39.9%) did not take deworming drugs. After controlling for confounders, factors associated with uptake of deworming drugs were early antenatal booking, (AOR=1.404 at 95% CI=1.24-1.59,p<0.001); age group of a woman [20 to 34years (AOR=1.382 at 95% CI=1.125-1.696, p=0.002), more than 34years (AOR=1.287 at 95% CI=1.004-1.65, p=0.046)] age less than 20 years was a reference population; rural residence (AOR=1.53 at 95% CI=1.099-2.128,p=0.012); wealth index [middle (AOR=1.151 at 95% CI=1.003-1.32,p=0.044), rich (AOR=1.378 at 95% CI=1.185-1.602, p<0.001) poor was a reference population; level of education [higher level (AOR=2.455 at 95% CI=1.189-5.067,p=0.015)] no formal education was a reference population; parity [para 5 and above (AOR=0.993 at 95% CI=0.824-1.197,p<0.001)] para one was the reference population; zones [Mainland rural (AOR=0.439 at 95% CI=0.307-0.628,p<0.001), Zanzibar Island (AOR=0.22 at 95% CI=0.158-0.306, p<0.001) and Pemba Island AOR=0.493 at 95% CI=0.337-0.723, p<0.001.ConclusionFactors associated with uptake of deworming drugs were early antenatal booking, age group, rural residence, zonal residence, wealth index, level of education, and parity. Considering the outcomes of anaemia in pregnancy, clinicians should consider all the modifiable factors affecting the uptake of the deworming drugs during pregnancy to every woman of reproductive age before and after conception. Whenever possible, it should be done even beyond antenatal clinics.

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Evaluation of a treatment protocol for anaemia in pregnancy nested in routine antenatal care in a limited-resource setting

Global Health Action ◽

10.1080/16549716.2019.1621589 ◽

2019 ◽

Vol 12 (1) ◽

pp. 1621589

Author(s):

Mary Ellen Gilder ◽

Julie A. Simpson ◽

Germana Bancone ◽

Laura McFarlane ◽

Neha Shah ◽

...

Keyword(s):

Antenatal Care ◽

Treatment Protocol ◽

Limited Resource ◽

Limited Resource Setting ◽

Resource Setting ◽

Anaemia In Pregnancy ◽

Routine Antenatal Care ◽

In Pregnancy

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Factors Associated with Uptake of Intermittent Preventive Treatment of Malaria in Pregnancy: A Cross-Sectional Study in Private Health Facilities in Tema Metropolis, Ghana

Journal of Tropical Medicine ◽

10.1155/2019/9278432 ◽

2019 ◽

Vol 2019 ◽

pp. 1-11 ◽

Cited By ~ 5

Author(s):

Selina Amankwah ◽

Francis Anto

Keyword(s):

Antenatal Care ◽

Intermittent Preventive Treatment ◽

Preventive Treatment ◽

Health Facilities ◽

Malaria In Pregnancy ◽

Second Trimester ◽

Cross Sectional ◽

Factors Associated ◽

Postnatal Women ◽

In Pregnancy

Introduction. Intermittent preventive treatment of malaria in pregnancy with sulfadoxine pyrimethamine (IPTp-SP) is effective in preventing the adverse consequences of malaria on birth outcomes. Methods. A cross-sectional survey was carried out among antenatal and postnatal women and midwives at private health facilities in Tema using the mixed method to investigate factors associated with uptake of IPTp-SP. Antenatal and postnatal women were consecutively enrolled and data on their sociodemographic characteristics and antenatal service utilization collected using a questionnaire and review of antenatal care (ANC) records. In-depth interviews involving attending midwives were conducted and data on ANC service delivery collected. The interviews were manually analyzed. Bivariate and multiple logistic regression analyses were done to determine factors associated with uptake of SP. Results. Of the 382 respondents, 178 (46.6%) took ≥ 3 doses of SP. Uptake was similar for those who had delivered and those yet to deliver (χ2 =2.94, p > 0.05). Ninety-seven of the 176 (55.1%) women who initiated antenatal visit during the first trimester received ≥ 3 doses of SP whilst 42.0% (76/181) of those who started during the second trimester received ≥ 3 doses (χ2 = 5.64, p = 0.02). Those who initiated ANC during the second trimester received more doses compared to those who started during the third trimester (χ2 = 4.43, p = 0.04). Respondents who attended ANC > 5 times increased their uptake by 83% compared to those who attended < 5 times (OR 0.2, 95% C.I 0.12-0.31). There was poor adherence to directly observed treatment and low knowledge of midwives on IPTp-SP protocol. Conclusion. Early initiation and regular visit to antenatal care centres promoted uptake of optimal doses of SP.

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