scholarly journals Factors associated with maternal anaemia among pregnant women in rural India

2018 ◽  
Vol 17 (4) ◽  
pp. 583-592 ◽  
Author(s):  
Neerja Singal ◽  
Geetanjali Setia ◽  
Bal Krishan Taneja ◽  
Kiran Kumar Singal

Background: Anaemia in pregnancy is one of the most important and common public health problem not only in India but also in most of the South East Asian countries. Anaemia is the most common nutritional deficiency disorder in the world. There is predominance of iron deficiency anaemia (nutritional anaemia). In pregnancy, it is one of the leading causes responsible for maternal and perinatal morbidity and mortality.Objective: To find out the risk factors associated with anaemia in pregnant women at MMIMSR during the study period with special reference to the severity of the disease.Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala. The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria.Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia.Conclusion: In the present study maternal illiteracy, low SES, inadequate antenatal care, close birth spacing, poor nutrition were all risk factors for anaemia in pregnancy Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.583-592

2018 ◽  
Vol 17 (3) ◽  
pp. 446-454 ◽  
Author(s):  
Neerja Singal ◽  
Geetanjali Setia ◽  
Bal Krishan Taneja ◽  
Kiran Kumar Singal

Background: Anaemia in pregnancy is one of the most important and common public health problem not only in India but also in most of the South East Asian countries. Anaemia is the most common nutritional deficiency disorder in the world. There is predominance of iron deficiency anaemia (nutritional anaemia). In pregnancy, it is one of the leading causes responsible for maternal morbidity and mortality.Objective: To find out the maternal outcome in pregnant women with anaemia at MMIMSR during the study period with special reference to the severity of the disease.Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala(India). The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria.Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia. Higher incidence of preterm (17%), PPH (7.5%), maternal morbidity (14.5%) was found in anaemic group as compared to non anaemic controls.Conclusion: Anaemia in pregnancy has adverse maternal outcome in the form of maternal morbidity, preterm labour, and increased incidence of operative delivery.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.446-454


2018 ◽  
Vol 18 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Neerja Singal ◽  
Bal Krishan Taneja ◽  
Geetanjali Setia ◽  
Kiran Kumar Singal

Objective: To find out the situation and causes of anaemia in pregnant women at MMIMSR during the study period with special reference to the severity of the disease and to find out foetal outcome in pregnant women with anaemia. Methods: The study was conducted in Department of Obstetrics and Gynaecology, MMIMSR, Mullana, Ambala(India). The study was carried out between the period of october 2012 to September 2014.A total of 200 cases of moderate and severe anaemia were included in the study on the basis of simple random sampling method and 200 cases of non anaemic subjects were included to serve as controls for the anaemic group, during the study period. Hb gm/dl was taken as criteria for deciding anaemia cases and also to classify them according to the severity. Cases were classified according to WHO criteria. Results: Out of 200 cases of anaemia, 70% were moderately anaemic (Hb 7 – 9.9gm/dl) and 30% were severly anaemic (Hb < 7gm/dl). Microcytic hypochromic type of anaemia (82.5%) was more prevalent suggesting nutritional inadequacies as cause of anaemia. Adverse foetal outcome in the form of preterm birth (17%), still birth (3.5%), low birth weight babies (27.5%), neonatal morbidity (23.3%) was more in the anaemic group than non anaemic controls Conclusion: Anaemia in pregnancy has adverse foetal outcome in the form of decreased birth weight, increased perinatal morbidity and mortality. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.63-72


2019 ◽  
Vol 3 (2) ◽  
pp. p47
Author(s):  
Isah Balarabe Adamu ◽  
Azeez Shareef Ayotunde ◽  
Kehinde Joseph Awosan ◽  
Edzu Usman Yunusa

Background: Anaemia in pregnancy remains a major cause of maternal death in Sub-Saharan Africa, and it mostly results from a deficiency of iron and folate.Objectives: To determine the prevalence of anemia and the factors associated with it among pregnant women in Bunza, Nigeria. Materials and Method: A cross-sectional study conducted among 327 pregnant women attending ANC in General Hospital Bunza, Kebbi State, Nigeria. Data were collected using a pretested questionnaire. Estimation of packed cell volume and RDT were alsodone for the participants; datawereanalysedusing IBMSPSS version 20. Results: The mean packed cell volume of the respondents was 30.7, with a SD 3.7 and majority of the respondents were having anemia 240(75.7%). Level of education of the respondents and their spouses, age at first pregnancy, spouses’ occupation, and the trimester at which the respondents booked were found to be significant p ?0.05for anemic status. Conclusion: The prevalence of anemia in pregnancy is high among pregnant women in Bunza, Nigeria, with the factors associated with it being the levels of education of the woman and that of her spouse, spouse’s occupation, having the first pregnancy before the age of 19 years, and late booking. Recommendations: Anemia in Pregnancy should be considered a public health problem in the LGA and state in general and girl child education should be given priority as a long term measure.


Author(s):  
Dattatraya D. Bant ◽  
Shiv Kumar

Background: Anaemia in pregnancy is one of the major causes of maternal morbidity and mortality in India and world. Anaemia in pregnancy continues to be a problem in spite of national programs for its prevention and control. It accounts for 1/5th of maternal deaths worldwide and 16% in India and is the major factor responsible for low birth weight, abortions, premature birth, and post-partum haemorrhage. Hence determining the status and factors influencing anaemia among pregnant women is essential to treat and prevent the same. Objective of this study was to assess the prevalence and risk factors associated with anaemia among pregnant women.Methods: A cross sectional study was conducted among 200 pregnant women attending for antenatal care at KIMS OPD from 3rd June to 4th July. A pretested, semi-structured questionnaire was applied to collect data. Haemoglobin estimation was done by Sahli’s method.Results: Prevalence of anaemia among pregnant women was found to be 81%; majority had moderate anaemia 57%. The mean age of pregnant women in the study is 24.55 years and 46.5% belong to lower socioeconomic status, 43% lived in joint families. Factors influencing anaemia were multi-parity, short inter-pregnancy interval, no history of recent deworming and iron and folic acid tablets intake.Conclusions: In the present study, the prevalence of anaemia among pregnant women was found to be very high i.e., 81% especially among illiterates, low income groups, multiparous women, short inter-pregnancy interval, no history of recent deworming and iron and folic acid tablets intake. 


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Temitope Elizabeth Adeboye ◽  
Akinkunmi Paul Okekunle

Abstract IntroductionAnaemia in pregnancy is a global public health problem and about half of all anaemia cases among pregnant women in developing countries are attributable to iron (Fe) deficiency. Perhaps, nutritional knowledge on the vitality of Fe-containing foods among pregnant women is lacking. In the light of the perpetually high burden of anaemia in pregnancy in Nigeria, we conducted a study to assess the knowledge of Fe-containing foods among pregnant women in Lagos, Nigeria.Materials and MethodsFour hundred and thirty two (432) pregnant women in the 2nd and 3rd trimester of pregnancy (across eight Primary Health Centers in a local government area) from Lagos Nigeria identified through multi-stage sampling method completed validated semi-structured questionnaires on socio-demographic characteristic and knowledge of Fe-containing foods using a validated 10-question knowledge scale (designed by nutrition experts) measured on a 2-point scale. Knowledge score (KS) was categories as poor (2 test was used to evaluate the association between age groups, education, marital status and knowledge of Fe-containing foods (at P < 0.05).ResultsMean age of all respondents was 28.5 ± 4.6years and 43.3% were below 28years. Mean gestational age was 31.3 ± 4.1weeks, 6.5% and 1.9% reported having a primary formal education only and never married respectively. Mean knowledge score of all respondents was 6.7 ± 2.2 and 34.7% had poor KS about Fe-containing foods. While age of respondents was insignificantly associated with KS, proportion of pregnant women who had good KS was significantly higher (χ2 = 6.6, P = 0.01) among those with at least a college education (66.8%) compared to their counterpart having at a primary formal education only (42.9%). In addition, proportion of respondents with poor KS was significantly lower (χ2 = 9.9, P = 0.007) among those ever married (34.8%) compared to respondents who never married (75.0%).ConclusionAside nutrition education, the vitality of adequate formal education for women prior to pregnancy and care giving roles cannot be undermined in advancing the knowledge of women on anemia and alleviating the burden anaemia in pregnancy in developing countries.


Author(s):  
Geraldine U. Ndukwu ◽  
Paul O. Dienye

Background: Anaemia, though a common problem in Nigeria, has not been adequately studied amongst pregnant women in primary health care facilities. Objective: This study is aimed at determining the prevalence of anaemia and sociodemographic factors associated with anaemia in pregnancy in a primary health centre in Rivers State, Nigeria.Methodology: This is a cross-sectional study carried out in a primary health centre. Association between variables was analysed using the Chi-square test.Results: Two hundred and twenty-seven pregnant women whose ages ranged from 16 to 40 years with a mean age of 26.8 ± 4.3 years were recruited for the study. The haemoglobin concentration ranged from 6 g/dL – 15 g/dL with a mean of 10.10 ± 1.27g/dL. A total of 142 (62.6%) participants were anaemic. Anaemia was observed to be least prevalent in women within the extremes of reproductive age (≤ 20 years and 36–40 years). There was no statistically significant association between age, educational level and marital status (p > 0.05). The association of anaemia with social class was statistically significant (p = 0.000). Severe anaemia was not a common finding amongst the patients but it was significantly associated with educational status (p = 0.02) and socio-economic status (p = 0.03).Conclusion: The prevalence of anaemia amongst the pregnant participants in the primary health centre was high. Out of all the socio-demographic characteristics, only socio-economic status was significantly associated with anaemia. It is recommended that the socio-economic status of women should be enhanced in line with the Millennium Development Goals to prevent anaemia and to enhance pregnancy outcomes.


2021 ◽  
Vol 14 (3) ◽  
pp. 042-049
Author(s):  
Ndukwu Geraldine ◽  
Dienye Paul ◽  
Adesokun Bolanle

Anaemia has been reported as one of the commonest medical complications associated with pregnancy in the developing countries. It increases maternal, fetal and neonatal morbidity and mortality significantly. In Nigeria, maternal anaemia usually predates the period of pregnancy in the life of most of the mothers. These women succumb to early unprepared marriage, give birth to many children with poor child spacing and due to poverty and ignorance they book late for antenatal. This study determines the obstetric factors associated with anaemia in pregnancy in a primary health centre in Port Harcourt in order to create awareness on maternal anaemia and the need to institute preventive and therapeutic measures. Methods: This is a cross-sectional; hospital- based study. A total of two hundred and twenty-seven pregnant women attending the antenatal clinic were enrolled into the study at booking in a primary health centre. Data was collected by administrating questionnaires. Blood sample was collected for haemoglobin estimation. Means were compared using z-test and statistical significance was set at P<0.05. Results: Out of the 227, 111(48.9%) were primigravida, most of whom were anaemic (65.8%). Majority of the women booked in the second trimester 135 (59.3%) and those that booked at the third trimester were more anaemic (70.9%). Pregnant women with birth interval of <1(66.7) and > 4years (78.6%) were mostly anaemic Conclusion: Anaemia in pregnancy especially for those living in developing countries can be reduced if women are educated on the need for proper nutrition before pregnancy and on early ante-natal booking.


Author(s):  
Esther Ijeoma Nonye-Enyidah ◽  
Basil Omieibi A. Altraide ◽  
Awopola I. Jumbo

Background: Anaemia in pregnancy is the commonest haematological condition seen in pregnant women in most developing countries. It is a global public health problem causing maternal and fetal morbidity and mortality. Objective was to determine the prevalence of anaemia and associated socio-demographic factors among pregnant women at booking at Rivers State University Teaching Hospital (RSUTH).Methods: A retrospective study conducted from 1st January, 2015 to 31st December, 2020 at the antenatal clinic (ANC) of RSUTH. The laboratory records of 9990 pregnant women who booked for antenatal care were retrieved and reviewed. This included the socio-demographic characteristics and routine investigations. Data was extracted, coded and analyzed using the IBM statistical package for social sciences (SPSS) version 23.0 (Armonk, NY). P value <0.05 was considered statistically significant.Results: Total number of women who booked for antenatal care was 9990 women. Of this, 8635 women were anaemic giving a prevalence rate of 86.4%. Mild anaemia was seen in 7061 (70.68%); 1546 (15.48%) had moderate anaemia and 28 (0.28%) had severe anaemia. Of 8635 (86.4%) women who were anaemic, 1647 (19.07%), 5036 (58.32%) and 1952 (22.61%) were seen in the first, second and third trimesters respectively. Mean and modal packed cell volume (PCV) were 29±3.1% and 29% respectively. The range of PCV was 18-42%. Mean age was 31±4.7 years and age range was 15-48 years. Modal parity was zero. Nulliparous and multiparous women accounted for 3586 (35.9%) and 3751 (37.5%) of the women respectively. There was a significant correlation between anaemia and age, parity, level of education, occupation and genotype at booking.Conclusions: The prevalence of anaemia was unacceptably high. There is need for education on anaemia at the antenatal clinics and close monitoring of the interventional measures put in place to prevent anaemia in pregnancy, in order to improve the pregnancy outcome.


2019 ◽  
Vol 26 (3) ◽  
pp. 1-11
Author(s):  
Karin Behnke Rivera ◽  
Blanca Silvia González López ◽  
Luis Octavio Sánchez vargas ◽  
Jorge Alanís Tavira ◽  
Josue Roberto Bermeo Escalona

Tooth decay is a serious public health problem, and identifying risk factors to the disease in pregnant women is essential. The use of the Cariogram, could contribute to implementing preventive measures to improve women’s health during pregnancy. The purpose of this study was to determine the risk to dental caries in pregnant women. The Cariogram presents the results of the five risk factors of caries, and it was observed that the patients have a 42% of chance to avoid new carious lesions and 58% could present lesions, which could be caused by 40% related to diet and bacteria. Conclusion: To date, existing studies are not sufficient to ultimately identify main caries risk factors associated with dental decay in pregnant women.


Anemia ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Grace Stephen ◽  
Melina Mgongo ◽  
Tamara Hussein Hashim ◽  
Johnson Katanga ◽  
Babill Stray-Pedersen ◽  
...  

Background and Objective. Anaemia in pregnancy is a public health problem in developing countries. This study aimed to determine the prevalence, risk factors, and adverse perinatal outcomes of anaemia among pregnant women in Moshi Municipal, Northern Tanzania. Methods. This was a follow-up study conducted from October 2013 to June 2015. A total of 539 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Women were followed up at delivery and at 7 days and 28 days after delivery. Results. A total of 529 women were included in this analysis. Their mean age was 25.8 (SD 5.73). The prevalence of anaemia was 18.0% and 2% had severe anaemia. The clinic of recruitment and low education level of the women were the factors that were independently associated with anaemia during pregnancy. At delivery, there were 10 stillbirths, 16 low birth weight (LBW) newborns, and 2 preterm birth cases. No association was found between anaemia and LBW, preterm birth, or stillbirths. Conclusion. Anaemia in pregnancy was a mild public health problem in the study setting of Northern Tanzania.


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