Adequacy of antenatal care services utilisation and its effect on anaemia in pregnancy (original) (raw)
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African Journal of Primary Health Care & Family Medicine
Background: Anaemia in pregnancy is associated with adverse obstetric outcomes. When detected early in pregnancy, it can be treated; however, information on its prevalence and associated factors is limited in rural Ghana.Aim: The aim of this study was to determine the prevalence and maternal factors associated with anaemia in pregnancy at first antenatal care (ANC) visits.Setting: The study was conducted in the Navrongo War Memorial Hospital, a secondary referral facility in the Kassena-Nankana district in rural northern Ghana.Methods: A retrospective analysis of antenatal clinic records of pregnant women collected from January to December 2014. All pregnant women initiating antenatal clinic, who had initial haemoglobin (Hb) levels measured, were included in the study. Logistic regression analyses were carried out to determine factors associated with anaemia at the initiation of ANC.Results: We analysed data from 506 women with median Hb of 11.1 g/dL (IQR 7.31–13.8). The median gest...
Background: Anaemia is a common problem in pregnancy, particularly in developing countries; it causes low birth weight and increased risk of maternal and perinatal morbidity and mortality. Objective: To determine the prevalence and identify risk factors for anaemia in pregnant women attending ante natal clinic in the Saboba district of Northern Ghana. Design: Cross-sectional survey using an interview guide Settings: Health centre based in the Saboba district of Ghana Participants: 400 pregnant women attending prenatal care at a health centre. Main outcome variables: prevalence and factors affecting anaemia.
Journal of Gynecology & Reproductive Medicine
Introduction: Anaemia during pregnancy is known to be a major contributor to maternal and neonatal morbidity, therefore affecting most pregnant women especially those in developing countries. Preventable causes such as poor maternal nutrition and infections causes severe complications in maternal and neonatal health. This study, therefore, aimed to determine the burden and determinants of anaemia among pregnant women attending antenatal clinics at rural facilities in the Ada West District of Ghana. Methodology: The study was quantitative and employed a cross-sectional study design. A simple random sampling technique was applied to enlist respondents (n=345). Data was collected with the aid of validated and structured questions and was administered one on one with respondents. Data gathered were analysed with the (STATA version 17). Descriptive and inferential statistics were conducted on the data collected and findings were depicted graphically and on tables. In the bivariate and multivariate models, an alpha value less than 0.05 was considered statistically significant between the dependent and independent variables. Results: The prevalence of anaemia among pregnant women was 51.0%. Unemployment and travelling long distances (>5km) were associated with anaemia. Again, late initiation to antenatal care, third trimester of pregnancy, and birth spacing of less than four years in addition to malaria parasite infection significantly contributed to anaemia. However, sleeping under insecticide-treated nets protected pregnant women from anaemia. Conclusion and Recommendation: The prevalence of anaemia was high and factors such as unemployment, long distance to a health facility, late initiation of antenatal care, third trimester in pregnancy, and birth spacing less than a year, in addition to malaria parasite infection significantly predicted anaemia among pregnant women. Health education through mass media and during antenatal care clinics by health care practitioners would help reduce the occurrence of anaemia among pregnant women. Regular antenatal visits and testing of malaria parasite infection for pregnant women would also be beneficial in reducing the occurrence of anaemia. Further investigations are recommended to explore pregnant women's knowledge of anaemia and associated burden in the district.
BMC Nutrition
Background Anaemia among pregnant women and post-partum mothers is a public health challenge in Ghana, especially in the Volta Region. While literature abounds on anaemia among pregnant women, the same cannot be said for anaemia among post-partum mothers in the region. This study, therefore, examined the prevalence and associated risk factors of anaemia among women attending antenatal care and post-natal care. Methods This descriptive cross-sectional survey recruited 409 pregnant women and 194 post-natal mothers attending antenatal and post-natal care, at the Hohoe Municipal Hospital. Background characteristics were collected using a semi-structured questionnaire, blood samples were analysed for the presence of anaemia and malaria parasitaemia and folders were reviewed for estimated blood loss. Results We found the prevalence of anaemia among pregnant women and post-partum mothers to be 33 and 16% respectively. Higher malaria parasitaemia (2%) was found in pregnant women compared wi...
Journal of Advances in Medicine and Medical Research
Background: Anaemia in pregnancy is an indirect cause of maternal mortality. Myriad of factors predispose pregnant women to anaemia in pregnancy in the developing countries of the world of which poverty, illiteracy and ignorance are central. The prevalence of anaemia in the developing countries of the world is between 32% and 62.2%. Objective: To determine the prevalence of anaemia amongst antenatal clinic attendees in Ogoni, South-South Nigeria and offer preventive measures. Material and Methods: This was a retrospective four months cross-sectional study of antenatal clinic attendees at booking in three (3) primary health care facilities and general hospitals Bori and Tera, in Ogoni, South-South Nigeria. Three hundred and eighty (380) pregnant women’s biodata including their packed cell volume were collected. These pieces of information were computed using a structured proforma. The data were coded and analysed using statistical package for social sciences (SPSS) software version 2...
BMC Research Notes
Background: Anaemia in pregnancy is an important health issue resulting in high maternal morbidity and mortality. The purpose of the current study was to identify factors associated with anaemia among pregnant women receiving antenatal care at the Sunyani Municipal Hospital in Ghana. Methods: A cross-sectional study involving pregnant women seeking antenatal care at the Sunyani Municipal Hospital was conducted between May and June, 2015. It involved the collection of data on socio demographic and obstetric variables, medical interventions and malaria infection, consumption of iron containing foods and supplements using a case record form and a structured questionnaire. Also, data on haemoglobin concentrations at first and current antenatal visit were collected. Bivariate and multivariate statistical analysis were done to determine factors associated with anaemia. Results: Out of the 316 participants, 129 (40.8%) were found to be anaemic (Hb <11.0 g/dl) at the time of their first ANC visit (mean Hb: 11.21 g/dl, range 6.8-15.1 g/dl). Seventy-nine (61.2%) of them had mild anemia (Hb 9.0-10.9 g/ dl), 48 (37.2%) had moderate anemia (Hb 7.0-8.9 g/dl) whilst 2 (1.6%) had severe anemia (Hb <7.0 g/dl). During their most recent ANC visit, the prevalence of anaemia was found to be similar to that of the first visit with 131 (41.5%) of them being anaemic [mean Hb: 11.24 g/dl, range 8.10-14.5 g/dl]. The haemoglobin levels however improved significantly during the most recent visit compared to the first with none of the women being severely anaemic (Hb <7.0 g/ dl). The prevalence of moderate anaemia reduced from 37.2% (CI 28.9-46.2) during the first visit to 19.1% (12.7-26.9) during the most recent visit, a reduction of 48.7%. Malaria infection, frequency at which one consumed fish/snails and gestational age at first ANC visit were the main factors found to be associated with anaemia among the pregnant women. Conclusions: Malaria infection, fish/snails intake and gestational age at first ANC visit were significantly associated with anaemia. Addressing these factors can reduce the incidence of anaemia in pregnancy.
Predictors of Anaemia prevalence among pregnant women in urban Ghana: a cross-sectional study
2019
Background Anaemia during pregnancy is a major public health concern. Despite its wide scope and adverse effects including increased maternal and perinatal morbidity and mortality, and long-term adverse effects in the new born, extensive interventions using upstream approaches to public health have largely not been implemented. This study investigated the prevalence and associated factors of anaemia in pregnant women in four health facilities in the Kwabre East Municipality of Ghana.Method A cross-sectional survey with a two-stage sampling technique was conducted on 220 pregnant women who attended antenatal care at the selected health facilities. Interview-based structured questionnaires were used. Bivariate and multivariate logistic regression were used to identify predictors.Results The prevalence of anaemia was 11.4%. Few women (25) were anaemic and morphologically, 14 had normocytic normochromic (56%) anemia and 9 had Microcytic hypochromic (36) anaemia. Iron deficiency was repo...
https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.1\_Jan2018/IJHSR\_Abstract.028.html, 2018
Background: Anemia troubles about half of Ghanaian grown-up population and its highest value over the past 16 years was 56.40% in 2011, while its lowest value was 49.20% in 1999. Objective: To determine the prevalence of anaemia among pregnant women attending antennal clinic of a selected private hospital in Accra, Ghana. Methodology: Using across-sectional design, 200 consenting participants were selected for the study. Hemoglobin levels were assessed. Maternal age, gestational age, parity and number of antennal visits were collected from the antenatal record booklet. Data were analyzed using the SPSS programme IBM version 20. Chi-square was used to investigate the association between independent variables and prevalence of anemia. The data were further analyzed using binary logistic regression methods to evaluate possible risk factors associated with anemia. Odd ratio was reported to establish the risk of anemia and 95% confidence interval were estimated. A p<0.05 was considered as statistically significance. Results: The findings revealed that, the mean with ± standard deviation of hemoglobin value was 10.9±1.3 (95% [confidence interval] =10.7-11.1), and the overall prevalence of anemia from a total of 200 study subjects was 102 (51.0%). The severities of all diagnosed anemia cases were mild (60.8%) to moderate (39.2%). Severe anemia was not found in any of the participants. Conclusion: The study established that the prevalence of anemia was high and it is associated with parity. Preventive efforts targeting preconception nutrition and promotion of regular antenatal care visit throughout the normal pregnancy is urgently required.
International Journal of Innovative Research in Medical Science
Background: Anemia in pregnancy is a major public health problem especially in Low and Middle-income countries (LMIC) including Ghana and is defined by the World Health Organization (WHO) as being present when the hemoglobin concentration in the peripheral blood is 11g/dl or less. In most African countries anemia in pregnancy occurs if the hemoglobin concentration falls below 10g/dl. Pregnant women are at a higher risk of developing anemia due to several factors such as hemodilution, nutritional factors, multiple gestation, socio-economic status and malaria infestation. Anemia in pregnancy is an important cause of maternal mortality and affects half of pregnant women worldwide; with 56% of West African pregnant women being anemic. The objective of this study is to assess the prevalence and identify the risk factors associated with anemia among pregnant women receiving antenatal care at the West Gonja Hospital(WGH) Methods: A cross-sectional was conducted with 136 pregnant women rece...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Anaemia in pregnancy is the commonest haematological condition seen in pregnant women in most developing countries. It is a global public health problem causing maternal and fetal morbidity and mortality. Objective was to determine the prevalence of anaemia and associated socio-demographic factors among pregnant women at booking at Rivers State University Teaching Hospital (RSUTH).Methods: A retrospective study conducted from 1st January, 2015 to 31st December, 2020 at the antenatal clinic (ANC) of RSUTH. The laboratory records of 9990 pregnant women who booked for antenatal care were retrieved and reviewed. This included the socio-demographic characteristics and routine investigations. Data was extracted, coded and analyzed using the IBM statistical package for social sciences (SPSS) version 23.0 (Armonk, NY). P value <0.05 was considered statistically significant.Results: Total number of women who booked for antenatal care was 9990 women. Of this, 8635 women were an...