Determinant of Anemia among Pregnant Women Attended Antennal Care Clinic in Selected Public Hospitals, Case Control Study,in Addis Ababa, Ethiopia, 2021
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Date
2021-07
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Addis Abeba University
Abstract
Background:Anemia is a common clinical problem contributing to increased maternal and fetalmorbidityand mortality during pregnancy. Anemia can be caused bydifferent factors apart fromknown diseases. The main aim of this study is to identify determinants of anemia amongpregnant women attending antenatal care at the public health facilities of GMH,ZMH andALERT hospitals
Objective:-This studyaims to assess the determinantfactors of anemia among pregnant womenattending Antenatal Care (ANC) in three selected public hospitals (GMH, ZMH and ALERThospitals), Addis AbabaEthiopia,case-control study.
Methods:-A health facility-basedunmatchedcasecontrolstudydesign wasapplied, among 126cases and 252 controls from JAN,2021-APRIL, 2021G.C in three public hospitals in A.A,Ethiopia. Data were collected using interviewer-administered questionnaires. Controls werepregnant ladieswhosehemoglobinlevel was 11 g/dl and above at their first antenatal care clinic,and cases were pregnant ladies whose hemoglobin level less than 11 g/dl in the first and 3rdtrimester and 10.5g/dl in the second trimester.collected data were entered using SPSS version 25for analysis. First Bi-variable logistic regressions were used to find out determinant factors ofanemia at P–value≤ 0.025, and thenmultivariable logistic regressions were used to control outconfounding variables. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value<0.05 will be used to see the significant association.
Result:According to bivariate analysis result;educational level of mothers and occupationalstatusof respondents,family monthly income, those mothers havehistory of abortion,number offamily living together,parity of mothers,thoseothers hadhistory of abortionand thosewomen’shad intestinal parasite parity, were significantly associated with maternal anemia. Aftercontrolling the effect of confounding factors (variables)multiple logistic regression analysisrevealed that:family monthly income between1001–3500 ETB.,werewith (AOR꞊5.252; 95%CI (2.346,11.746), those motherswho had parity four and abovewith (AOR꞊5.623; 95% CI;(2.023, 15.592),and those mothers had History of abortion with (AOR= 1.971, 95% CI(1.124,3.459), had significant association with anemia.
Conclusion. monthly family income, having previous history of abortion and parity arepositively associated with anemia in current pregnancy.Early identification of determinants ofanemia and appropriate interventions have paramount importance in fighting anemia to helpmothers enjoy their pregnancy. family planning, hemoglobin determination in all pregnantwomenare valuable
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Keywords
Anemia,Pregnant women