UNASSIGNED: The main aim of this study was to determine the extent of postpartum anemia and associated factors among postnatal women in two selected health facilities in Gondar, Northwest Ethiopia.
UNASSIGNED: A facility-based, cross-sectional study was conducted among 282 postnatal women from March to May 2021. A systematic sampling technique was used to recruit study participants from each institute. Sociodemographic, obstetric, and clinical data were collected through a semi-structured questionnaire. A venous blood sample was collected to determine the red blood cell parameters. A thin blood smear preparation was performed to examine blood morphology. In addition, direct wet mount and formalin-ether sedimentation techniques were used for stool examination to identify intestinal parasites. Data were entered into EpiData and exported to Stata 14 for statistical analysis. Descriptive statistics were presented in text, tables, and figures. A binary logistic regression model was used to identify factors associated with postpartum anemia. A p-value <0.05 was considered statistically significant.
UNASSIGNED: The proportion of postpartum anemia was 47.16%; 95% CI; 41.30-53.03 with moderate, mild, and severe anemia accounting for 45.11, 42.86, and 12.03%, respectively. The majority of the anemia (94%) was of the normocytic normochromic type. It was associated with postpartum hemorrhage (AOR = 2.23; 95% CI: 1.24-4.01), cesarean section (AOR = 4.10; 95% CI: 2.11-7.78), lack of iron and folate supplementation during pregnancy (AOR = 2.12; 95% CI: 1.17-4.02), and low diet diversity level (AOR = 1.83; 95% CI: 1.05-3.18).
UNASSIGNED: The prevalence of anemia was found to be a major public health concern. Iron and folate supplementation during pregnancy, improved management of PPH, an effective cesarean section with post-operative care, and taking a diversified diet will reduce the burden. Therefore, identified factors should be considered to prevent and control postpartum anemia.
■这项研究的主要目的是确定在冈达尔两个选定的医疗机构中产后贫血的程度和相关因素,埃塞俄比亚西北部。
■基于设施的,我们于2021年3月至5月对282名产后妇女进行了横断面研究.使用系统抽样技术从每个研究所招募研究参与者。社会人口统计学,产科,和临床数据通过半结构化问卷收集。收集静脉血样品以确定红细胞参数。进行薄的血液涂片制备以检查血液形态。此外,直接湿法安装和福尔马林-乙醚沉降技术用于粪便检查,以鉴定肠道寄生虫。将数据输入EpiData并输出至Stata14用于统计分析。描述性统计数据在文本中呈现,tables,和数字。使用二元逻辑回归模型来确定与产后贫血相关的因素。P值<0.05被认为是统计学上显著的。
■产后贫血比例为47.16%;95%CI;41.30-53.03中度,温和,严重贫血占45.11、42.86和12.03%,分别。大多数贫血(94%)是正常细胞正常变色型。与产后出血相关(AOR=2.23;95%CI:1.24-4.01),剖宫产(AOR=4.10;95%CI:2.11-7.78),怀孕期间缺乏铁和叶酸补充(AOR=2.12;95%CI:1.17-4.02),和低饮食多样性水平(AOR=1.83;95%CI:1.05-3.18)。
■发现贫血的患病率是一个主要的公共卫生问题。怀孕期间补充铁和叶酸,改善PPH的管理,有效的剖宫产术后护理,多样化的饮食会减轻负担。因此,预防和控制产后贫血应考虑已确定的因素。