article · Anemia
Immediate postpartum anaemia affects roughly one in four postnatal mothers at Debre Markos Referral Hospital in northwest Ethiopia, representing a moderate public health concern. Clinical findings from 424 participants revealed that specific maternal healthcare and nutritional factors significantly increase the likelihood of developing the condition. Women with fewer than four antenatal care visits, those suffering from antepartum or postpartum haemorrhage, and those requiring instrument-assisted births, such as vacuum or forceps deliveries, faced substantially higher risks. Nutritional indicators also proved critical, as poor adherence to iron and folic acid supplements alongside a mid-upper arm circumference below 23 centimetres were strongly linked to anaemia. These results demonstrate that improving maternal nutrition, ensuring regular antenatal appointments, managing haemorrhage effectively, and monitoring delivery procedures are vital components for addressing anaemia among women during the immediate postnatal period.
Postpartum anaemia harms the health of both mothers and newborn babies, yet it receives limited attention compared to anaemia during pregnancy. Understanding the major clinical and nutritional risks allows healthcare providers and health systems to direct targeted interventions, such as promoting supplement adherence and tracking physical indicators, towards vulnerable mothers during pregnancy and delivery to prevent serious postpartum health complications.
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Background . Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods . Institutional-based cross-sectional study was conducted among 424 study participants from August 1 st to October 30 th , 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mi>p</mml:mi></mml:math> value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at <mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M2"><mml:mi>p</mml:mi></mml:math> value <0.05 were considered as statistically significant. Results . The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion . The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.
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DOI: 10.1155/2020/8979740
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