PDF(Pubmed)
Abstract：
BACKGROUND: Postpartum anemia, characterized by hematocrit or hemoglobin levels below the defined cutoff point (< 11gm/dl or hematocrit < 33%), is a prevalent global issue. It serves as an indirect contributor to maternal mortality and morbidity. Mothers in the postpartum period experience diminished quality of life, impaired cognitive function, emotional instability, and an increased risk of postpartum depression due to anemia. Additionally, infants of affected mothers may face challenges such as insufficient breast milk supply and a lack of proper care. Examining the combined prevalence and factors associated with postpartum anemia is crucial for addressing maternal health risks and complications during the postnatal phase attributed to anemia.
OBJECTIVE: The study aimed to synthesize the existing literature on the prevalence and associated factors of postpartum anemia in public health facilities of Ethiopia, in 2024.
METHODS: The study was conducted by searching through the Google Scholar, PubMed, and Cochrane Library search engines. The search utilized keywords and MeSH terms such as anemia, low hemoglobin, postpartum, postnatal women, and Ethiopia. The collected data underwent analysis and comparison with the WHO criteria to determine if it met the threshold for declaring a public health concern. Heterogeneity was evaluated through the Cochran Q test and I2 statistics. Prevalence and odds ratio estimations were performed using a random-effects model with a 95% confidence interval.
RESULTS: Four studies were included in this systematic review and meta-analysis. The overall pooled prevalence of anemia among postpartum women in Ethiopia was 69% (95% CI: 60- 77%).Lack of formal education(OR = 3.5;CI:2.639,4.408),Low Pre-delivery hemoglobin (OR = 4.2;CI: 1.768-6.668), Postpartum women < 4 ANC visit (OR = 2.72; 95% CI:2.14,3.3 ),history of post partum hemorrhage (OR = 2.49; CI: 1.075-3.978),history of Forceps/vacuum delivery(OR = 3.96; CI:2.986-4.947), Poor iron and folic acid adherence (OR = 2.8;95% CI:2.311,3.297), C/S (OR = 4.04; 95% CI: 3.426,4.671),lower dietary diversity (OR = 4.295% CI:1.768,6.668) were significantly associated postpartum anemia.
CONCLUSIONS: Postpartum women in Ethiopia continue to face a considerable public health challenge in the form of anemia. Consequently, there is a pressing need for the government to formulate comprehensive, multi-sectorial policies and strategies. These initiatives should be designed to address the substantial regional disparities influenced by interconnected factors, with the aim of reducing the prevalence of anemia among postpartum women in Ethiopia.
OBJECTIVE: The study aimed to synthesize the existing literature on the prevalence and associated factors of postpartum anemia in public health facilities of Ethiopia, in 2024.
METHODS: The study was conducted by searching through the Google Scholar, PubMed, and Cochrane Library search engines. The search utilized keywords and MeSH terms such as anemia, low hemoglobin, postpartum, postnatal women, and Ethiopia. The collected data underwent analysis and comparison with the WHO criteria to determine if it met the threshold for declaring a public health concern. Heterogeneity was evaluated through the Cochran Q test and I2 statistics. Prevalence and odds ratio estimations were performed using a random-effects model with a 95% confidence interval.
RESULTS: Four studies were included in this systematic review and meta-analysis. The overall pooled prevalence of anemia among postpartum women in Ethiopia was 69% (95% CI: 60- 77%).Lack of formal education(OR = 3.5;CI:2.639,4.408),Low Pre-delivery hemoglobin (OR = 4.2;CI: 1.768-6.668), Postpartum women < 4 ANC visit (OR = 2.72; 95% CI:2.14,3.3 ),history of post partum hemorrhage (OR = 2.49; CI: 1.075-3.978),history of Forceps/vacuum delivery(OR = 3.96; CI:2.986-4.947), Poor iron and folic acid adherence (OR = 2.8;95% CI:2.311,3.297), C/S (OR = 4.04; 95% CI: 3.426,4.671),lower dietary diversity (OR = 4.295% CI:1.768,6.668) were significantly associated postpartum anemia.
CONCLUSIONS: Postpartum women in Ethiopia continue to face a considerable public health challenge in the form of anemia. Consequently, there is a pressing need for the government to formulate comprehensive, multi-sectorial policies and strategies. These initiatives should be designed to address the substantial regional disparities influenced by interconnected factors, with the aim of reducing the prevalence of anemia among postpartum women in Ethiopia.
摘要：
背景：产后贫血，以血细胞比容或血红蛋白水平低于定义的截止点（<11gm/dl或血细胞比容<33%）为特征，是一个普遍的全球性问题。它是孕产妇死亡率和发病率的间接因素。母亲在产后经历生活质量下降，认知功能受损，情绪不稳定,以及因贫血而导致产后抑郁症的风险增加。此外,受影响母亲的婴儿可能面临母乳供应不足和缺乏适当护理等挑战。检查与产后贫血相关的综合患病率和因素对于解决产后贫血引起的孕产妇健康风险和并发症至关重要。
目的：本研究旨在综合现有的有关埃塞俄比亚公共卫生机构产后贫血患病率及相关因素的文献，在2024年。
方法：这项研究是通过搜索谷歌学者，PubMed,和Cochrane图书馆搜索引擎。搜索使用关键词和MeSH术语，如贫血，低血红蛋白,产后,产后妇女，埃塞俄比亚。对收集的数据进行了分析，并与WHO标准进行了比较，以确定其是否达到宣布公共卫生关注的阈值。通过CochranQ检验和I2统计量评估异质性。使用具有95%置信区间的随机效应模型进行患病率和比值比估计。
结果：本系统综述和荟萃分析包括四项研究。埃塞俄比亚产后妇女贫血的总体汇总患病率为69％（95％CI：60-77％）。缺乏正规教育（OR=3.5；CI：2.639,4.408），分娩前血红蛋白低（OR=4.2；CI：1.768-6.668），产后妇女<4次ANC访视（OR=2.72;95％CI：2.14,3.3），产后出血病史（OR=2.49；CI：1.075-3.978），产钳/真空分娩史（OR=3.96；CI：2.986-4.947），铁和叶酸依从性差（OR=2.8；95％CI：2.311,3.297），C/S（OR=4.04；95%CI：3.426,4.671），低膳食多样性(OR=4.295%CI:1.768,6.668)与产后贫血显著相关。
结论：埃塞俄比亚的产后妇女继续以贫血的形式面临相当大的公共卫生挑战。因此,政府迫切需要制定全面的，多部门政策和战略。这些举措应旨在解决受相互关联的因素影响的巨大区域差异，目的是降低埃塞俄比亚产后妇女贫血的患病率。
目的：本研究旨在综合现有的有关埃塞俄比亚公共卫生机构产后贫血患病率及相关因素的文献，在2024年。
方法：这项研究是通过搜索谷歌学者，PubMed,和Cochrane图书馆搜索引擎。搜索使用关键词和MeSH术语，如贫血，低血红蛋白,产后,产后妇女，埃塞俄比亚。对收集的数据进行了分析，并与WHO标准进行了比较，以确定其是否达到宣布公共卫生关注的阈值。通过CochranQ检验和I2统计量评估异质性。使用具有95%置信区间的随机效应模型进行患病率和比值比估计。
结果：本系统综述和荟萃分析包括四项研究。埃塞俄比亚产后妇女贫血的总体汇总患病率为69％（95％CI：60-77％）。缺乏正规教育（OR=3.5；CI：2.639,4.408），分娩前血红蛋白低（OR=4.2；CI：1.768-6.668），产后妇女<4次ANC访视（OR=2.72;95％CI：2.14,3.3），产后出血病史（OR=2.49；CI：1.075-3.978），产钳/真空分娩史（OR=3.96；CI：2.986-4.947），铁和叶酸依从性差（OR=2.8；95％CI：2.311,3.297），C/S（OR=4.04；95%CI：3.426,4.671），低膳食多样性(OR=4.295%CI:1.768,6.668)与产后贫血显著相关。
结论：埃塞俄比亚的产后妇女继续以贫血的形式面临相当大的公共卫生挑战。因此,政府迫切需要制定全面的，多部门政策和战略。这些举措应旨在解决受相互关联的因素影响的巨大区域差异，目的是降低埃塞俄比亚产后妇女贫血的患病率。
