Prevalence and Factors Associated with Anemia among Pregnant Women Attending Antenatal Clinic at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Prevalence and Factors Associated with Anemia among Pregnant Women Attending Antenatal Clinic at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
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DOI：
10.1155/2018/3942301
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发表时间：
2018
影响因子：
--
通讯作者：
Tsegaye A
中科院分区：
文献类型：
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作者：
Gebreweld A;Tsegaye A
在怀孕期间，贫血是与孕产妇，胎儿和新生儿死亡率，妊娠结局不良和认知发育受损风险增加相关的重要因素，特别是在埃塞俄比亚等发展中国家。本研究旨在评估埃塞俄比亚阿迪斯的圣保罗医院千年医学院产前门诊孕妇贫血的患病率和相关因素。 2014年6月至8月，在圣保罗医院千年医学院对284名孕妇进行了一项基于横断面卫生设施的研究，以评估贫血的患病率和相关因素。研究参与者的社会人口学和临床特征的数据收集使用预先测试的结构化问卷，通过访谈和审查的医疗记录。每例受试者采集约4 ml静脉血，用于外周血涂片和全血细胞计数（CBC）。二元Logistic回归分析已被用来检查之间的关联，因变量和自变量。在所有情况下，P值小于0.05被认为具有统计学显著性。 贫血患病率为11.6%（95%CI; 7.8%-14.8%）。妊娠中期[AOR（95% CI），6.72（1.17-38.45），P=0.03]和妊娠晚期[AOR（95% CI），8.31（1.24-55.45），P=0.029]的孕妇比妊娠早期的孕妇更容易贫血。未接受铁/叶酸补充剂的孕妇[AOR（95%CI），4.03（1.49-10.92），P=0.01]与接受补充剂的孕妇相比更容易贫血。 在这项研究中，与其他研究结果相比，妊娠期贫血的患病率较低。孕龄（三个月）和铁/叶酸补充与贫血有统计学相关性。因此，建议通过补铁和健康教育来提高人们对早期预约产前保健重要性的认识，以减少贫血。
In pregnancy, anemia is an important factor associated with an increased risk of maternal, fetal, and neonatal mortality, poor pregnancy outcomes, and impaired cognitive development, particularly in developing countries like Ethiopia. This study aimed to assess prevalence and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. A cross-sectional health facility based study was conducted on 284 pregnant women to assess prevalence and factors associated with anemia at St. Paul's Hospital Millennium Medical College from June to August 2014. Data on sociodemographic and clinical characteristics of the study participants were collected using a pretested structured questionnaire by interview and review of medical records. About 4 ml of venous blood was collected from each subject for peripheral blood film and complete blood counts (CBC). Binary Logistic regression analysis had been used to check for association between dependent and independent variables. In all cases, P value less than 0.05 was considered statistically significant. The prevalence of anemia was found to be 11.6% (95 % CI; 7.8%-14.8%). Pregnant women in the second [AOR (95% CI), 6.72 (1.17-38.45), and P=0.03] and third trimester [AOR (95% CI), 8.31 (1.24-55.45), and P=0.029] were more likely to be anemic when compared to pregnant women in their first trimester. Pregnant women who did not receive iron/folic acid supplementation [AOR (95%CI), 4.03(1.49-10.92), and P=0.01] were more likely to be anemic when compared to pregnant women who did take supplementations. In this study the prevalence of anemia in pregnancy was low compared to the findings of others. Gestational age (trimester) and iron/folic acid supplementation were statistically associated with anemia. Therefore, iron supplementation and health education to create awareness about the importance of early booking for antenatal care are recommended to reduce anemia.