Volume 6, Issue 3, May 2018, Page: 31-39
Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017
Bizuneh Ayano, Department of Public health, Addis Ababa University, Selale Campus, Fiche, Ethiopia
Befekadu Amentie, Department of Medical Ward, Adama Hospital Medical College, Adamma, Ethiopia
Received: Nov. 2, 2017;       Accepted: May 2, 2018;       Published: May 24, 2018
DOI: 10.11648/j.jgo.20180603.11      View  1565      Downloads  289
Abstract
Background: Anemia is a significant public health problem in developing countries, particularly in pregnant women. It refers to a condition in which the hemoglobin content of the blood is lower than normal. In developing countries, the cause of anemia during pregnancy is multifactorial and includes nutritional deficiencies. It is associated with an increased risk of maternal and perinatal morbidity and mortality. In order to design an intervention for prevention of anemia in pregnancy, determination of its magnitude and identifying associated risk factors for anemia are paramount importance. Objectives: To determine the magnitude and factors associated with anemia during pregnancy among mothers attending antenatal care at Adama Hospital Medical College antenatal care clinic from November to December 2017. Methods: Institution based cross sectional study design was used in Adama Hospital Medical College from November to December 2017. The study participants were selected using systematic sampling technique from their sequence of antenatal care visit in the period of study, and associated risk factors data were collected using structured questionnaire by trained antenatal care service providers. Level of haemoglobin was determined. Descriptive and analytical statistics were computed using SPSS version 20. Odds Ratios, P-values and 95% CIs - the analytical statistics from bivariate and multi variate logstic regression were used to identify predictor variables associated with the dependent variable - anaemia. Result: A total of 329 participants completed the study making the response rate of 97.0%. The mean age of the participants was (26.5 ± 4.03). The prevalence of anaemia was found to be 14.9%. Pregnant women who had pica during pregnancy had 33.6(13.92 -81.48) times more likely to be anemic compared with those had no history of pica. Pregnant women who didn’t take iron supplementation during their pregnancy were 0.196(.085-.445) times more likely to be affected by anemia when they compared with those who took iron supplementation. Conclusion: The prevalence of anaemia was found to be 14.9%. Iron supplementation during pregnancy and presence of pica were significantly associated with anaemia in the study population. Therefore, long term and short term strategies helpful in alleviating these predisposing factors need to be developed so as to reduce the number of mothers affected by anaemia.
Keywords
Anaemia, Magnitude, Factors, Pregnancy, Ethiopia
To cite this article
Bizuneh Ayano, Befekadu Amentie, Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017, Journal of Gynecology and Obstetrics. Vol. 6, No. 3, 2018, pp. 31-39. doi: 10.11648/j.jgo.20180603.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
World Health Organization/United Nations University/UNICEF: Iron Deficiency Anemia, Assessment, Prevention and Control: A Guide for Programme Managers. Geneva: WHO; 2001.
[2]
WHO: Reducing Risks, Promoting Healthy Life, The World health report. Geneva, Switzerland; 2001.
[3]
World Health Organization. WHO/NUT/MCM/92.2. WHO; Geneva: 1992. The prevalence of anemia in women: A tabulation of available information.
[4]
WHO. The World Health Report 2002: Reducing risks, promoting healthy life. Geneva, World Health Organization, 2002.
[5]
Benoist B, McLean E, Egli I, Cogswell M, World Health Organization, Centers for Disease Control and Prevention (Eds): Worldwide Prevalence of Anemia 1993–2005. Geneva: World Health Organization; 2008.
[6]
AAdish, SA Esrey, TW Gyorkos, et. al. Risk factors for iron deficiency anaemia in preschool children in northern Ethiopia. Public Health Nutrition 1998; 2(3): 243–252.
[7]
Y. Balarajan, U. Ramakrishnan, E. Özaltin, A. H. Shankar, and S. V. Subramanian, “Anaemia in low-income and middle-income countries,” The Lancet, vol. 378, no. 9809, pp. 2123–2135, 2011. View at Publisher View at Google Scholar View at Scopus.
[8]
WHO, UNICEF, UNFPA, and World Bank, Maternal Mortality in 2005: Estimates Developed by WHO, UNICEF, UNFPA and World Bank, WHO, Geneva, Switzerland, 2007.
[9]
WHO and UNICEF, Focusing on Anaemia: Towards an Integrated Approach for Effective Anaemia Control, WHO, Geneva, Switzerland, 2004.
[10]
E. McLean, M. Cogswell, I. Egli, D. Wojdyla, and B. De Benoist, “Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005,” Public Health Nutrition, vol. 12, no. 4, pp. 444–454, 2009. View at ublisher View at Google Scholar View at Scopus.
[11]
Ethiopia, Demographic and Health Survey, Central Statistics Agency, Addis Ababa, Ethiopia, 2011.
[12]
Mulugeta Melku, Zelalem Addis, Meseret Alem and BamlakuEnawgaw Research ArticlePrevalence and Predictors of Maternal Anemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study Volume 2014 (2014), Article ID 108593, 9 pages http://dx.doi.org/10.1155/2014/108593
[13]
Ethiopia Central Statistical Agency and ICF International: 2011 Ethiopia Demographic and Health Survey: Key Findings. Calverton, Maryland, USA: CSA and ICF International; 2012.
[14]
Walter T: Effect of iron-deficiency anemia on cognitive skills and neuromaturation in infancy and childhood. Food Nutr Bull 2003, 24:S104-S110. PubMed Abstract.
[15]
Juarez-Cedillo T, Basurto-Acevedo L, Vega-Garcia S, Manuel-Apolinar L, Cruz-Tesoro E, Rodriguez-Perez JM, Garcia-Hernandez N, Perez-Hernández N, Fragoso JM: Prevalence of anemia and its impact on the state of frailty in elderly people living in the community: SADEM study. Ann Hematol 2014. doi:10.1007/s00277-014-2155-4.
[16]
Chen MH, Su TP, Chen YS, Hsu JW, Huang KL, Chang WH, Chen TJ, Bai YM: Association between psychiatric disorders and iron deficiency anemia among children and adolescents: A nationwide population-based study. BMC Psychiatry 2013, 13:161. PubMed Abstract | BioMed Central Full Text | PubMed Central Full Text.
[17]
Jufar AH, Zewde T: Prevalence of anemia among pregnant women attending antenatal care at tikuranbessa specialized hospital, Addis Ababa Ethiopia. J HematolThromb Dis 2014., 2 doi:10.4172/2329-8790.1000125
[18]
Filagot Kefiyalew, Endalew Zemene, Yaregal Asres and Lealem Gedefaw BMC Research Notes 2014, 7:771 doi: 10.1186/1756-0500-7-771Rrisk factors for anemia among pregnant women attending antenatal clinic at jimma university hospital, southwest ethiopia. belachew t, legesse y. ethiop med j. 2006 jul;44(3):211-20.
[19]
Desalegn S: Prevalence of anemia in pregnancy in jimma town, southwestern Ethiopia. Ethiop Med J 1993, 31:251-258. PubMed Abstract.
[20]
F. W. Lone, R. N. Qureshi, and F. Emanuel, “Maternal anaemia and its impact on perinatal outcome,” Tropical Medicine and International Health, vol. 9, no. 4, pp. 486–490, 2004. View at Publisher View at Google Scholar View at Scopus.
[21]
T. Kousar, Y. Memon, S. Sheikh, S. Memon, and R. Sehto, “Risk factors and causes of death in Neonates,” Rawal Medical Journal, vol. 35, no. 2, pp. 205–208, 2010. View at Google Scholar View at Scopus.
[22]
B. J. Brabin, M. Hakimi, and D. Pelletier, “An analysis of anemia and pregnancy-related maternal mortality,” Journal of Nutrition, vol. 131, no. 2, pp. 604S–615S, 2001. View at Google Scholar View at Scopus.
[23]
T. Marchant, J. A. Schellenberg, R. Nathan et al., “Anaemia in pregnancy and infant mortality in Tanzania,” Tropical Medicine and International Health, vol. 9, no. 2, pp. 262–266, 2004. View at Publisher View at Google Scholar.
[24]
View at Scopus Sight and Life, “Nutritional Anemia,” SIGHT AND LIFE Press, 2007, http://www.sightandlife.org/fileadmin/data/Books/Nutritional_anemia_book.pdf.
[25]
S. Ouédraogo, G. K. Koura, K. Accrombessi, F. Bodeau-Livinec, A. Massougbodji, and M. Cot, “Maternal anemia at first antenatal visit: prevalence and risk factors in a malaria-endemic area in Benin,” The American Journal of Tropical Medicine and Hygiene, vol. 87, no. 3, pp. 418–424, 2012. View at Google Scholar.
[26]
K. Tolentino and J. F. Friedman, “An update on anemia in less developed countries,” The American Journal of Tropical Medicine and Hygiene, vol. 77, no. 1, pp. 44–51, 2007. View at Google Scholar View at Scopus.
[27]
Determinants of anaemia in pregnantWomen with emphasis on intestinal Helminthic infection at bushulo health Center southern ethiopiabamlakutadegetsehayu Feburary, 2009 addisababa, Ethiopia.
[28]
Survey of causes of death (rural), India: annual report 1994. New Dehli: Office of the Registra-General, India, 1994. K. E. Agho et. al.
[29]
Factors Associated with Haemoglobin Concentration among Timor-Leste Children Aged 6-59 Months. J. Health Popul. Nutrition 2008; 26(2):200-209.
[30]
Lindsay H. Allen. Biological mechanisms that might underlie iron’s effects on fetal growth and preterm birth. Journal of Nutrition2001; 131:581S-9S.
[31]
Steer PJ. Maternal haemoglobin concentration and birth weight. Am. J. Clin. Nutr. 2000; 71:1285S–1287S.
[32]
Micronutrient initiative. Ethiopian Country Profile (document on the enternet). The institute 2006; [cited 2009 Dec 20]. Avialable from: http://micronutrients
[33]
Anemia among pregnant women in Southeast Ethiopia: prevalence, severity and associated risk factorsmagnitude of anemia and associated risk factors among pregnant women attending antenatal care in shalla woreda, west arsi zone, oromia region, ethiopia.[ethiop j health sci. 2013 Office of the Registrar-General.
[34]
World Health Organization (WHO). Nutrition. Geneva: WHO, www.who.int/nutrition/en: WHO 2007.
[35]
Allen L, De Benoist B, Dary O, Hurrell R. Guidelines on food fortification with micronutrients. Geneva: WHO, 2006. Jane Crawley.
[36]
Guyatt L., Snow W. (2001). The epidemiology and burden of Plasmodium falciparumrelatednemia among pregnant women in sub-Saharan Africa.Am.J. Trop.Med.Hyg. 64 (S1–2), 36–44.
[37]
G S. Toteja, P. Singh, B. S. Dhillon et al., “Prevalence of anemia among pregnant women and adolescent girls in 16 districts of India,” Food and Nutrition Bulletin, vol. 27, no. 4, pp. 311–315, 2006. View at Google Scholar View at Scopus.
[38]
R Aikawa, N. C. Khan, S. Sasaki, and C. W. Binns, “Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam,” Public Health Nutrition, vol. 9, no. 4, pp. 443–448, 2006. View at Publisher View at Google Scholar.
[39]
Esmat, R. Mohammad, S. Behnam et al., “Prevalence of iron deficiency anemia among iranian pregnant women; a systematic review and meta-analysis,” Journal of Reproduction and Infertility, vol. 11, no. 1, pp. 17–24, 2010. View at Google Scholar.
[40]
Pregnant Women, vol. 5, no. 3, pp. 216–223, 2012. View at Google Scholar.
[41]
Z. Makhoul, D. Taren, B. Duncan et al., “Risk factors associated with anemia, iron deficiency and iron deficiency anemia in rural Nepali pregnant women,” Southeast Asian Journal of Tropical Medicine and Public Health, vol. 43, no. 3, pp. 735–745, 2012. View at Google Scholar View at Scopus.
[42]
M. Akhtar and I. Hassan, “Severe Anemia during late pregnancy,” Case Reports in Obstetrics and Gynecology, vol. 2012, Article ID 485452, 3 pages, 2012. View at Publisher View at Google Scholar.
[43]
Kefyalew Addis Alene1 and Abdulahi Mohamed Dohe Prevalence of Anemia and Associated Factors among Pregnant Women in an Urban Area of Eastern Ethiopia Volume 2014 (2014), Article ID 561567, 7 pages http://dx.doi.org/10.1155/2014/561567
[44]
Susan T, Blackburn DO. Maternal, Fetal, & Neonatal Physiology: A Clinical Niguse Obse, Andualem Mossie, and Teshome Gobena Magnitude of Anemia and Associated Risk Factors among Pregnant Women Attending Antenatal Care in Shalla Woreda, West Arsi Zone, Oromia Region, Ethiopia Ethiop J Health Sci. 2013 Jul; 23(2): 165–173. PMCID: PMC3742894.
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