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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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Series: | Sahel Medical Journal |
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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. |
first_indexed | 2024-04-12T20:10:36Z |
format | Article |
id | doaj.art-c6c7ae03a6c14cc4ad18396d7870cd95 |
institution | Directory Open Access Journal |
issn | 2321-6689 |
language | English |
last_indexed | 2024-04-12T20:10:36Z |
publishDate | 2015-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Sahel Medical Journal |
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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