PDF(Pubmed)
Abstract：
BACKGROUND: Immediate postpartum anemia occurs when the amount of red blood cell count is reduced or hemoglobin concentration is below 10 g/dl in the immediate postpartum. It occurs primarily due to inadequate iron intake before and during pregnancy and blood loss during delivery. The aim of this study is to assess the proportion of immediate postpartum anemia and associated factors among mothers who gave birth at Shewarobit health facilities; in Amhara, Ethiopia.
METHODS: Institutional-based cross-sectional study was conducted from June to September 2022. A systematic random sampling method was employed to select the study participants. The data were collected through interviewer-assisted questions. Data were entered into Epi Data software version 4.6.0.4 and exported to SPSS 21 for analysis, and descriptive statistics were computed. Logistic regression was applied, and P-values less than 0.05 were considered statistically significant.
RESULTS: This study was conducted among 307 study participants and, the proportion of immediate postpartum anemia was 41.4% [95% CI: 36.7-46.6]. Having postpartum hemorrhage [AOR = 4.76, 95% CI: 2.44-9.28], not taking iron and folic acid supplementation [AOR = 6.19, 95% CI: 2.69, 14.22], having a prolonged second stage of labor [AOR = 2.52, 95% CI: 1.16-5.44], and mid-upper arm circumference < 23 cm [AOR = 2.02, 95% CI: 1.11-3.68] were factors significantly associated with immediate postpartum anemia.
CONCLUSIONS: The proportion of immediate postpartum anemia was public problem in Shewarobit health facilities. Following the progress of labor using a partograph, closely monitoring and immediate intervention of PPH, and prevent undernutrition during antenatal care is recommended.
METHODS: Institutional-based cross-sectional study was conducted from June to September 2022. A systematic random sampling method was employed to select the study participants. The data were collected through interviewer-assisted questions. Data were entered into Epi Data software version 4.6.0.4 and exported to SPSS 21 for analysis, and descriptive statistics were computed. Logistic regression was applied, and P-values less than 0.05 were considered statistically significant.
RESULTS: This study was conducted among 307 study participants and, the proportion of immediate postpartum anemia was 41.4% [95% CI: 36.7-46.6]. Having postpartum hemorrhage [AOR = 4.76, 95% CI: 2.44-9.28], not taking iron and folic acid supplementation [AOR = 6.19, 95% CI: 2.69, 14.22], having a prolonged second stage of labor [AOR = 2.52, 95% CI: 1.16-5.44], and mid-upper arm circumference < 23 cm [AOR = 2.02, 95% CI: 1.11-3.68] were factors significantly associated with immediate postpartum anemia.
CONCLUSIONS: The proportion of immediate postpartum anemia was public problem in Shewarobit health facilities. Following the progress of labor using a partograph, closely monitoring and immediate intervention of PPH, and prevent undernutrition during antenatal care is recommended.
摘要：
背景：当产后立即红细胞计数减少或血红蛋白浓度低于10g/dl时，就会发生产后立即贫血。它的发生主要是由于怀孕前和怀孕期间铁摄入不足以及分娩期间失血。这项研究的目的是评估在Shewarobit医疗机构分娩的母亲中立即产后贫血的比例和相关因素；在阿姆哈拉，埃塞俄比亚。
方法：基于机构的横断面研究于2022年6月至9月进行。采用系统随机抽样方法选择研究参与者。数据是通过面试官协助的问题收集的。将数据输入EpiData软件4.6.0.4版，并输出到SPSS21进行分析。并计算描述性统计数据。采用Logistic回归，P值小于0.05被认为具有统计学意义。
结果：这项研究是在307名研究参与者中进行的，产后即刻贫血的比例为41.4%[95%CI:36.7~46.6].产后出血[AOR=4.76,95%CI:2.44-9.28],不补充铁和叶酸[AOR=6.19，95%CI：2.69，14.22]，第二产程延长[AOR=2.52，95%CI：1.16-5.44]，上臂中围<23cm[AOR=2.02,95%CI:1.11-3.68]是与产后即刻贫血显著相关的因素。
结论：立即产后贫血的比例是Shewarobit医疗机构的公共问题。在使用Partograph进行劳动之后，密切监测和立即干预PPH，并建议在产前护理期间预防营养不良。
方法：基于机构的横断面研究于2022年6月至9月进行。采用系统随机抽样方法选择研究参与者。数据是通过面试官协助的问题收集的。将数据输入EpiData软件4.6.0.4版，并输出到SPSS21进行分析。并计算描述性统计数据。采用Logistic回归，P值小于0.05被认为具有统计学意义。
结果：这项研究是在307名研究参与者中进行的，产后即刻贫血的比例为41.4%[95%CI:36.7~46.6].产后出血[AOR=4.76,95%CI:2.44-9.28],不补充铁和叶酸[AOR=6.19，95%CI：2.69，14.22]，第二产程延长[AOR=2.52，95%CI：1.16-5.44]，上臂中围<23cm[AOR=2.02,95%CI:1.11-3.68]是与产后即刻贫血显著相关的因素。
结论：立即产后贫血的比例是Shewarobit医疗机构的公共问题。在使用Partograph进行劳动之后，密切监测和立即干预PPH，并建议在产前护理期间预防营养不良。
