Infectious and obstetric determinants of anemia among pregnant women in Southwest Ethiopia.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1421884
Tewodros Yosef, Asaye Gizachew, Gossa Fetene, Desalegn Girma, Melsew Setegn, Aragaw Tesfaw, Binyam Girma Sisay, Nigusie Shifera
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Abstract

Background: Anaemia, characterized by low red blood cell or haemoglobin levels, impairs oxygen transport in the body and poses a major global public health issue, particularly affecting pregnant women and children. This study focuses on identifying the factors contributing to anaemia among pregnant women receiving antenatal care (ANC) at Mizan-Tepi University Teaching Hospital (MTUTH) in southwest Ethiopia.

Methods: A hospital-based unmatched case-control study was conducted from July 1 to August 30, 2022, involving 370 pregnant women (90 with anaemia and 280 without). Data collection included questionnaires, laboratory tests (Hgb and stool examination), and anthropometric measurements. SPSS version 21 was used for data analysis, with binary logistic regression identifying factors associated with anaemia. The significance level was set at a p-value <0.05.

Results: The study achieved a 100% response rate for both cases and controls. Factors identified as determinants of anaemia among pregnant women included malaria infection (AOR = 7.83, 95% CI: 3.89-15.8), hookworm infection (AOR = 2.73, 95% CI: 1.39-5.34), short birth interval (AOR = 7.11, 95% CI: 3.59-14.2), and history of unsafe abortion (AOR = 5.40, 95% CI: 2.46-11.8).

Conclusion: This study found that malaria infection, hookworm infection, birth interval <33 months, and a history of unsafe abortion are factors contributing to anaemia in pregnant women. Strategies such as distributing insecticide-treated bed nets (ITNs) to combat malaria, improving sanitation, anthelmintic drugs, promoting family planning to prevent unwanted pregnancies and unsafe abortions, and providing preconception care can help reduce the incidence of anaemia.

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埃塞俄比亚西南部孕妇贫血的感染和产科决定因素。
背景:贫血的特点是红细胞或血红蛋白水平低,会影响体内的氧气运输,是一个重大的全球公共卫生问题,尤其影响孕妇和儿童。本研究的重点是确定导致埃塞俄比亚西南部米赞-泰皮大学教学医院(MTUTH)接受产前保健(ANC)的孕妇贫血的因素:方法:2022 年 7 月 1 日至 8 月 30 日,在医院开展了一项非匹配病例对照研究,共有 370 名孕妇参与(其中 90 名患有贫血,280 名没有贫血)。数据收集包括问卷调查、实验室检测(血红蛋白和粪便检查)以及人体测量。数据分析采用 SPSS 21 版,通过二元逻辑回归确定与贫血相关的因素。显著性水平设定为 p 值 .结果:病例和对照组的应答率均为 100%。被确定为孕妇贫血决定因素的因素包括疟疾感染(AOR = 7.83,95% CI:3.89-15.8)、钩虫感染(AOR = 2.73,95% CI:1.39-5.34)、生育间隔短(AOR = 7.11,95% CI:3.59-14.2)和不安全堕胎史(AOR = 5.40,95% CI:2.46-11.8):本研究发现,疟疾感染、钩虫感染、出生间隔
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CiteScore
3.70
自引率
0.00%
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0
审稿时长
13 weeks
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