Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria

Background: Anemia in pregnancy affects about half of pregnant women and constitutes a serious health problem. Objectives: The aim was to determine the prevalence of anemia in pregnancy, as well as its pattern and determinants. Materials and Methods: This was a prospective cross-sectional study cond...

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Main Authors: R C Onoh, O L Lawani, P O Ezeonu, P O Nkwo, T. J. P. Onoh, L O Ajah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Sahel Medical Journal
Subjects:
Online Access:http://www.smjonline.org/article.asp?issn=1118-8561;year=2015;volume=18;issue=4;spage=182;epage=187;aulast=Onoh
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author R C Onoh
O L Lawani
P O Ezeonu
P O Nkwo
T. J. P. Onoh
L O Ajah
author_facet R C Onoh
O L Lawani
P O Ezeonu
P O Nkwo
T. J. P. Onoh
L O Ajah
author_sort R C Onoh
collection DOAJ
description Background: Anemia in pregnancy affects about half of pregnant women and constitutes a serious health problem. Objectives: The aim was to determine the prevalence of anemia in pregnancy, as well as its pattern and determinants. Materials and Methods: This was a prospective cross-sectional study conducted at antenatal booking clinic of Federal Teaching Hospital Abakaliki from February to July 2012. Hemoglobin <11 g/dl was regarded as anemia. Estimation of hemoglobin concentration, HIV infection, blood group, genotype and blood film for malaria parasite and erythrocyte morphology were done. Stool analysis was also done. Results: Prevalence of anemia in pregnancy was 58%. Anemia in pregnancy was a common finding among primigravida 82 (66.1%), social Class II 14 (56.0%), social Class III 98 (53.6%), social Class IV 45 (61.6%), social Class V 117 (65.4%), antenatal booking at 14–27 weeks 211 (70.3%), and antenatal booking at ≥28 weeks 47 (74.6%). The significant predictors of anemia in pregnancy include HIV in pregnancy (odds ratio [OR] =4.88 [1.09–21.84]), P = 0.04, obstetric hemorrhage (OR = 2.97 [1.27–6.97]), P = 0.01, malaria parasitemia (OR = 4.28 [2.28–8.03]), P < 0.001, primigravidity (OR = 0.04 [1.03–2.41]), P = 0.04, and helminthiasis (P < 0.001). Conclusion: Anemia is still a common finding in pregnancy, and important contributing factors include malaria parasitemia, helminthic infestation and HIV in pregnancy.
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spelling doaj.art-c6c7ae03a6c14cc4ad18396d7870cd952022-12-22T03:18:15ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892015-01-0118418218710.4103/1118-8561.176588Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern NigeriaR C OnohO L LawaniP O EzeonuP O NkwoT. J. P. OnohL O AjahBackground: Anemia in pregnancy affects about half of pregnant women and constitutes a serious health problem. Objectives: The aim was to determine the prevalence of anemia in pregnancy, as well as its pattern and determinants. Materials and Methods: This was a prospective cross-sectional study conducted at antenatal booking clinic of Federal Teaching Hospital Abakaliki from February to July 2012. Hemoglobin <11 g/dl was regarded as anemia. Estimation of hemoglobin concentration, HIV infection, blood group, genotype and blood film for malaria parasite and erythrocyte morphology were done. Stool analysis was also done. Results: Prevalence of anemia in pregnancy was 58%. Anemia in pregnancy was a common finding among primigravida 82 (66.1%), social Class II 14 (56.0%), social Class III 98 (53.6%), social Class IV 45 (61.6%), social Class V 117 (65.4%), antenatal booking at 14–27 weeks 211 (70.3%), and antenatal booking at ≥28 weeks 47 (74.6%). The significant predictors of anemia in pregnancy include HIV in pregnancy (odds ratio [OR] =4.88 [1.09–21.84]), P = 0.04, obstetric hemorrhage (OR = 2.97 [1.27–6.97]), P = 0.01, malaria parasitemia (OR = 4.28 [2.28–8.03]), P < 0.001, primigravidity (OR = 0.04 [1.03–2.41]), P = 0.04, and helminthiasis (P < 0.001). Conclusion: Anemia is still a common finding in pregnancy, and important contributing factors include malaria parasitemia, helminthic infestation and HIV in pregnancy.http://www.smjonline.org/article.asp?issn=1118-8561;year=2015;volume=18;issue=4;spage=182;epage=187;aulast=OnohAnemiaantenatal carepoor resource settingpredictorspregnancy
spellingShingle R C Onoh
O L Lawani
P O Ezeonu
P O Nkwo
T. J. P. Onoh
L O Ajah
Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
Sahel Medical Journal
Anemia
antenatal care
poor resource setting
predictors
pregnancy
title Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
title_full Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
title_fullStr Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
title_full_unstemmed Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
title_short Predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in South Eastern Nigeria
title_sort predictors of anemia in pregnancy among pregnant women accessing antenatal care in a poor resource setting in south eastern nigeria
topic Anemia
antenatal care
poor resource setting
predictors
pregnancy
url http://www.smjonline.org/article.asp?issn=1118-8561;year=2015;volume=18;issue=4;spage=182;epage=187;aulast=Onoh
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