scholarly journals Prevalence of Anemia in Pregnant Women under Antenatal Care at the Rivers State University Teaching Hospital, Port-Harcourt, Nigeria and Association to Knowledge and Attitude on Anemia and Its Prevention

Author(s):  
P. A. Awoyesuku ◽  
C. Ohaka ◽  
B. Ngeri

Background: Anemia in pregnancy is an important public health problem worldwide. Despite the efforts of government and health bodies, maternal anemia continues to be a common cause of morbidity and mortality. This suggests that other factors contribute to the high prevalence of anemia in pregnancy despite the intervention efforts. Objective: This study sought to determine the prevalence and anemic status of pregnant women at booking, to assess their knowledge of anemia and attitude to anemia prevention measures. And to determine associated risk factors for anemia and if there is a correlation between anemic status and level of knowledge/attitude to anemia prevention Methodology: An institutional-based, cross-sectional study was carried out. 322 consenting participants between 18-48 years were interviewed at booking using a structured questionnaire. Information on socio-demographic characteristics; their knowledge on causes, symptoms, prevention, and complications of anemia in pregnancy; and information on attitude towards anemia prevention strategies were collected. The PCV and HIV results of the women were retrieved. Data were entered into an Excel spreadsheet and analyzed with SPSS version 20. Associations between different variables were determined using Fisher's exact test or Chi-square test, as appropriate, and logistic regression was used to test statistical significance at P<0.05. Results: Their mean age±SD was 31.65±4.72 years and the median parity was 1.Of the 322 women, 194(60.2%) were anemic, with 186(57.8%) having mild anemia. There was no significant association between anemia and age, marital status, education, employment, parity, pregnancy interval and socio-economic status, but there was a significant association between gestational age and HIV status, with only gestational age remaining significant after logistic regression. The relationship between anemia and knowledge and attitude was not significant, but the higher educational status was significantly related to knowledge of anemia and its prevention. Conclusion: The prevalence of anemia in this study was high. Despite good knowledge and attitude to anemia prevention, late booking for ANC caused a significant association with the occurrence of anemia. Efforts are needed to encourage early booking and early commencement of iron and folic acid supplements.

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.


2021 ◽  
Vol 3 (1) ◽  
pp. 041-048
Author(s):  
Sylivester W. Mkama

Background: Anemia in pregnancy is a worldwide public health problem affecting both developing and developed countries with significant impact on the health of mothers and fetus. Objective: This study aimed to determine the prevalence of anemia among pregnant women attending antenatal clinic at St. Francis Referral Hospital (SFRH), Ifakara, Tanzania. Methodology: This was a descriptive cross-sectional study conducted from January to March 2021. A total of 116 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Results: The results revealed the prevalence of anemia among pregnant women attending antenatal clinic at SFRH to be 52.6%. In this study mild anemia was 34.5%, moderate anemia13.8% and severe anemia 4.3%. Conclusion: Anemia in pregnancy is a public health problem in study setting of St. Francis Referral Hospital, Ifakara, Tanzania.


Author(s):  
Ilboudo Bernard ◽  
Savadogo G. Léon Blaise ◽  
Kinda Maurice ◽  
Guiguemde T. Robert ◽  
Dramaix-wilmet Michèle ◽  
...  

Objectives: To analyze the factors associated with anemia in pregnancy in the Cascades region in Burkina Faso. Methods: A cross-sectional study was carried out in antenatal clinics of the Cascades region in Burkina Faso during one month from May to June 2012. We collected data on socio-demographics and health characteristics of pregnant women attending these clinics. Hemoglobin was measured to assess anemia. Factors associated with anemia were identified through a multivariate analysis. Results: A total of 1763 pregnant women, irrespectively of pregnancy stage, were enrolled. The mean (SD) hemoglobin level was 10.6 (1.4) g/dl. The prevalence of anemia in pregnancy was 58.9%, 3.2% of them being severe. Factors associated with anemia were the absence of intermittent preventive treatment of malaria with sulfadoxin-pyrimetamin (OR = 1.3, 95% CI: 1.0-1.7), number of pregnancies >6 (OR = 1.4, 95% CI: 1.1-1.9). Moderate consumption of local alcohol extracted from Palmyra was associated with a lower prevalence of anemia (OR = 0.7, 95% CI: 0.5-0.9). Surprisingly, anemia was not associated with supplementation with folic acid + iron (p = 0.60). Conclusions: Interventions which aim to reduce the prevalence of anemia in pregnancy in Burkina Faso should improve the coverage of the intermittent preventive treatment of malaria and support the limitation of births.


Author(s):  
Shridevi .

Background: Anemia during pregnancy is a major cause of morbidity and mortality in pregnant women in developing countries and has both maternal and fetal consequences. The objective of the present study was to evaluate the prevalence of anemia among pregnant women attending antenatal checkup in a rural teaching hospital in Telangana.Methods: It is a hospital based cross-sectional observational study conducted in the department of Obstetrics and Gynecology at Maheshwara Medical College and Hospital, Telangana for duration of two years from March 2016 to April 2018. A total of 600 cases were studied and screened. Prevalence of anemia was calculated. Anemia was classified morphologically based on peripheral smear findings and classified as microcytic hypochromic, macrocytic, dimorphic anemia, normocytic normochromic anemia and normocytic hypochromic anemia. Based on hemoglobin values anemia was classified into mild, moderate, and severe anemia.Results: Prevalence of anemia in pregnancy in rural Telangana was about 20%. Age-wise, majority (58.3%) of the patients were between 21 to 25 years. Gravida more than 2 were more 66.6% (400/600) when compared to lower parity. Among 600 cases, 140 pregnant women (23.3%) suffered with mild anemia, 340 cases (56.6%) with moderate anemia and 20% with severe anaemia. Morphologically, microcytic hypochromic type i.e., iron deficiency anaemia was the most common.Conclusions: Anemia in pregnancy in rural Telangana is quite high and was found to be 20% in routine antenatal outpatient cases. Multiple pregnancies and low level of education indirectly contribute to anemia of pregnancy. Education and awareness about anemia in pregnancy can lead to better fetal and maternal outcomes.


Author(s):  
Sarala V. ◽  
Ushadevi Gopalan

Background: Anemia in pregnancy is a major health problem worldwide, especially in developing countries like India. Maternal and fetal outcomes are poor in pregnant patients with anemia. The most important cause of anemia is iron deficiency anemia which can be prevented by early oral iron supplementation.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology of our tertiary care teaching institution for a period of one year. 1290 pregnant women coming to the antenatal OPD were screened for anemia and 490 women. Patients who were not anemic were excluded. 800 patients were enrolled in the study. Each patient was interviewed using a structured interview schedule and the data obtained was analyzed.Results: The percentage of anemia in pregnant women was 62% in our study of which 40% were mildly anemic, 55% were moderately anemic and 5% were severely anemic. Maximum number of anemic women -mild, moderate and severe was seen in the age group 20-24 years. Mild and severe anemia was seen more in the secondary educated women. Maximum percentage of anemia was seen in the lower socio-economic status followed by middle and was lowest in the higher socio-economic status group. Prevalence of anemia was almost equal in primigravida and multigravidas (around 50%) but 80% of severely anemic patients were multigravida. Almost 68% took iron and folic acid tablets regularly.Conclusions: Treating anemia in pregnant women will go a long way in improving maternal and fetal outcome. Hence a future healthy younger generation can be produced. Iron tablets can be distributed at school to young girls to prevent anemia in future women.


2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Felix Bongomin ◽  
Ronald Olum ◽  
Andrew Peter Kyazze ◽  
Sandra Ninsiima ◽  
Gloria Nattabi ◽  
...  

Abstract Background Anemia in pregnancy represents a global public health concern due to wide ranging maternal and neonatal adverse outcomes in all peripartum periods. We estimated the prevalence and factors associated with anemia in pregnancy at a national obstetrics and gynecology referral hospital in Uganda and in addition performed a systematic review and meta-analysis of the overall burden of anemia in pregnancy in Uganda. Methods We conducted a cross-sectional study among 263 pregnant women attending the antenatal care clinic of Kawempe National Referral Hospital, Kampala, Uganda, in September 2020. Anemia in pregnancy was defined as a hemoglobin level of < 11.0 g/dl and microcytosis as a mean corpuscular volume (MCV) of < 76 fL. We also performed a systematic review (PROSPERO Registration ID: CRD42020213001) and meta-analysis of studies indexed on MEDLINE, Embase, African Journal Online, ClinicalTrials.gov, ICTRP, and the Cochrane Library of systematic review between 1 January 2000 and 31 September 2020 reporting on the prevalence of anemia in pregnancy in Uganda. Results The prevalence of anemia was 14.1% (n= 37) (95%CI 10.4–18.8), of whom 21 (56.8%) had microcytic anemia. All cases of anemia occurred in the second or third trimester of pregnancy and none were severe. However, women with anemia had significantly lower MCV (75.1 vs. 80.2 fL, p<0.0001) and anthropometric measurements, such as weight (63.3 vs. 68.9kg; p=0.008), body mass index (25.2 vs. 27.3, p=0.013), hip (98.5 vs. 103.8 cm, p=0.002), and waist (91.1 vs. 95.1 cm, p=0.027) circumferences and mean systolic blood pressure (BP) (118 vs 125 mmHg, p=0.014). Additionally, most had BP within the normal range (59.5% vs. 34.1%, p=0.023). The comparison meta-analysis of pooled data from 17 published studies of anemia in pregnancy in Uganda, which had a total of 14,410 pregnant mothers, revealed a prevalence of 30% (95% CI 23–37). Conclusions Despite our study having a lower prevalence compared to other studies in Uganda, these findings further confirm that anemia in pregnancy is still of public health significance and is likely to have nutritional causes, requiring targeted interventions. A larger study would be necessary to demonstrate potential use of basic clinical parameters such as weight or blood pressure as screening predictors for anemia in pregnancy.


Author(s):  
Asma Nigar ◽  
Ausaf Ahmad

Background: Anemia in pregnancy is one of the most common nutritional deficiency disorders affecting the pregnant women in the developing countries. The aim of our study was to understand the prevalence of anemia among pregnant women, and factors associated with anemia.Methods: It was a retrospective record based study conducted in pregnant women, attending antenatal clinic and emergency in the Department of Obstetrics and Gynecology at Integral Institute of Medical Sciences and Research, Luck now, Uttar Pradesh, India. Data from 422 pregnant women regarding pregnancy were collected from 1st January 2018 to 30th June 2018 by referring the records.Results: Present study included 422 pregnant females in first, second and third trimester. In the present study, majority of the pregnant women belonged to the age group of 20-25 years (49.5%) followed by age group of 26-30 years (35.5%). The prevalence rate of anemia was found to be 57.6%, with moderate anemia being the most common (44.8%). Higher proportion of anemia was found in third trimester (75.3%) followed by second trimester (16.5%).Conclusions: High prevalence (57.6%) of anemia was observed in pregnant women. We are far away from achieving our target of Anemia Mukht Bharat by 2022. There is need to create awareness among females regarding ANC visits, birth spacing and iron and folic acid supplementation during pregnancy.


Author(s):  
Bernard Ilboudo ◽  
Léon G. B. Savadogo ◽  
Isidore Traoré ◽  
Clément Z. Meda ◽  
Maurice Kinda ◽  
...  

Burkina Faso has high prevalence of anemia in pregnancy (hemoglobin < 11 g/dL), despite the implementation of the WHO recommended guidelines. This study aimed to test the effects of personalized support for pregnant women at home on the trend of anemia prevalence in pregnancy. A cluster randomized trial was conducted from January 2015 to August 2016 at Sindou health district in Burkina Faso. Data were collected from 617 women in their first or second trimester of pregnancy, including 440 and 177 women in the intervention and control groups, respectively. The intervention consisted of a monthly home-based visit to the pregnant woman, focusing on nutritional counseling and pregnancy management, alongside an improvement antenatal visit quality. Compared with the prevalence of anemia in pregnancy in the control group [64.0% (95% confidence interval [CI]: 52.1–74.4%)], that of the intervention group was significantly lower from the fifth home visit onward [36.8% (95% CI: 32.1–41.8%)] (P < 0.001). The adjusted difference-in-differences in anemia prevalence between the two groups was –19.8% (95% CI: –30.2% to –9.4%) for women who received more than four home visits (P < 0.001). The corresponding difference in hemoglobin levels was 0.644 g/dL (95% CI: 0.309–0.167; P < 0.001). Personalized support for pregnant women at home, combined with appropriate antenatal care, can significantly reduce anemia prevalence during pregnancy in rural Burkina Faso.


Author(s):  
Murali Lingala ◽  
Manisha D. ◽  
Bhagath . ◽  
Kavitha .

ABSTRACTINTRODUCTION: Anemia in pregnancy is an important factor which is associated with a number of maternal and fetal complications. It is a major contributor to poor pregnancy and birth outcomes in developing countries. This study aims at finding the prevalence of anemia among pregnant women living in rural Warangal and to determine the socio-demographic features of pregnant women.METHODOLOGY: A community based cross-sectional study was conducted in Wardhanapet, the rural field practicing area of Kakatiya medical college, Warangal, Telangana. All pregnant women between the ages of 15 and 49 years were included in the study.The sample size was calculated by using the formula *P*Q/ = 382 pregnant women. Where Z is confidence level at 95% (standard value is 1.96); P is proportion (prevalence of anemia during pregnancy 54.4%, NFHS-5); L is precision at 95% CI = 0.05.Simple random sampling was done and the data was collected using a pre-designed, semi-structured questionnaire. Hemoglobin levels were taken from existing lab reports of the subjects. Hemoglobin cut-off for anemia during pregnancy was taken as per WHO criteria. The data collected was entered in MS-EXCEL and exported to SPSS V20 for further analysis. Chi square test was used to find out the significance and p value ≥0.05 was considered significant.RESULTS: Among 382 subjects, the prevalence of anemia was 62%. Of them, 40% (n=130) had mild, 55% (n=155) had moderate anemia and 5% (n=12) had severe anemia. Significant association was found between anemia and parity, birth spacing, intake of IFA tablets, education and type of diet. There was no association between age of the subject, age at first conception and socioeconomic status.CONCLUSION: As prevalence of anemia is 62%, efforts to identify modifiable factors of anemia the importance of prevention of anemia must be reinforced in pregnant women.


Author(s):  
Sarojamma C. ◽  
R. Atchutha Subiksha

Background: In developing countries the prevalence of anemia among pregnant women averages 60% resulting in varying levels of adverse pregnancy outcomes. Iron, Vitamin B12 and folic acid deficiencies, malaria, intestinal parasitic infections and hemoglobinopathies are the principal causes of anemia in pregnancy. Above nutritional requirements increase during pregnancy and if it is not maintained, may result in adverse maternal and fetal outcomes. The aim of this study was to study the prevalence of anemia in pregnant mothers, study the clinical patterns of anemia in pregnancy and to study the histopathological patterns of anemia during pregnancy.Methods: This is a prospective study done on 60 pregnant women whose hemoglobin level is less than 10.9 gm/dL. Blood samples were taken, and peripheral blood smears were examined along with their complete clinical and obstetric history.Results: Out of 60 cases of anemia, 40% were found to have dimorphic anemia, 30% with microscopic hypochromic anemia, 20% of patients have normocytic hypochromic anemia, 1.7% had sickle-cell anemia and 8.3% of patients were thalassemia cases. The risk factors for anemia in this study is noted to be low social economic status, occurrence of complications during previous pregnancy and multiparty. In this study anemia was more commonly found in the multigravida women and in the third trimester of pregnancy.Conclusions: With improved social economic conditions, early detection, good antenatal care, awareness regarding available treatment, a healthy diet, routine antenatal counselling and adequate iron supplementation, anemia in pregnancy can be avoided.


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