Search results

Although anemia during pregnancy is common in the USA, socio-demographic factors make pregnant women enrolled in Women, Infants and Children (WIC) program more vulnerable than the general population. The purpose of this study was to examine the socio-demographic characteristics, blood hemoglobin concentrations, nutrition knowledge and potential associations among these factors in a sample of pregnant women participating in the WIC program.

A cross-sectional study using survey methodology was conducted. In total, 60 pregnant women who were between 12 and 24 weeks of gestation and were carrying a single fetus were recruited from two WIC clinics. Overall nutrition knowledge was assessed with 42 questions arranged into three subscales. Participants’ scores were transformed into tertiles. WIC program records were used to record blood hemoglobin values. Principal component analysis was used to validate the knowledge subscales. Correlational and multivariate regression analyses were conducted to examine the relationship among variables.

Prevalence of anemia among the participants was higher than the national averages. Only 10 per cent of participants scored in the high tertile for nutrition knowledge. Anemia-during-pregnancy knowledge score was positively correlated with blood hemoglobin concentrations (r = 0.23, p < 0.05), and it was also a predictor of blood hemoglobin levels (R2 = 0.364, p = 0.02).

This is the first study to report on the knowledge of anemia, anemia during pregnancy and preventive measures among pregnant women enrolled in the WIC program.

Continuous integration of health screens to investigate and track variations in the students’ healthiness over time is essential. However, the sustainability of this practice remains challenging. The purpose of this paper is to identify the prevalence of anaemia based on haemoglobin (Hb) estimation among Saudi school girls in Jeddah city by examining capillary and venous blood.

The design is investigative, using primary data to define the prevalence of anaemia based on two techniques. Samples of venous (n=408) and capillary (n=797) blood from Saudi school girls in Jeddah city was collected and compared using: Reflotron Plus System method (capillary blood) and ABX MICROS 60-OT Automated Haematology Analyser for (venous blood).

When the capillary blood was used, the prevalence of anaemia was 40 per cent (n=319 out of 797). Using the venous blood, the prevalence was 29.4 per cent (n=120 out of 408). Comparison of Hb data for both tests showed a significant difference in Hb levels with levels between the 10g and 12 g/dl particularly and both measurements demonstrated good agreement (ICC=0.87, 95 per cent CI (0.845, 0.892)).

The data were collected only in Jeddah city. Further studies should include a national sample that is representative of both gender from different backgrounds and geographical areas in the kingdom of Saudi Arabia.

The high prevalence of anaemia within the school girls’ population require decision makers to devise a set of maintainable projects to progress students’ general health, including health education and supplementation such as iron, particularly if anaemia is diagnosed to be nutrition-related. This particularly applied to the health centres at female schools that have anaemia screening programmes that going on in Saudi schools.

This study reveals a technique-based measures of anaemia prevalence that have public and practical health implications.

The purpose of the study was to assess the association between iron intake and the incidence of anaemia during pregnancy as well as estimate the prevalence and magnitude of anaemia in pregnancy.

A retrospective case-control study was conducted on 383 postnatal women at four health-care facilities. Data on iron supplementation and haemoglobin (Hb) levels during pregnancy was collected from the respondents. Spearman, Pearson Chi-square tests of independence were used to measure associations between variables, a log-linear model was adopted to ascertain the association and level of interaction among variables. All p-values < 0.05 were considered statistically significant.

Results show 54.3% prevalence of anaemia at registration and 33.6% at 36 weeks of pregnancy, p < 0.001. Iron supplement intake during pregnancy was 96.3%. The log-linear analysis model retained the Parity × Marital Status interaction across the levels of anaemia (p < 0.001). Compared to married pregnant women, single pregnant women were almost equally likely to be anaemic (OR = 1.06).

One of the limitations of retrospective studies is recall bias; however, this was likely to be minimal, as participants were approached within 8 days after delivery. Despite this, this study still holds promise as it reports a rather high prevalence of anaemia at 36 weeks even with the high intake of iron.

Anaemia in pregnancy is a major public health issue because of the consequential outcomes on maternal and child health. The study identified a high prevalence of anaemia at registration; which could be the basis for intensifying pre-natal iron supplementation before pregnancy.

This study aims to assess dietary choices of pregnant women and its relationship with their anaemia status.

A mixed-method study comprising a survey and three focus group discussions (FGDs). The survey included 380 adult pregnant women with data collected on food choices, preferences and haemoglobin (Hb) status.

More than 50% of women in the study had Hb concentration < 11.0 g/dl; mean Hb was 10.24 g/dl (SD = 1.59). Univariate analysis was used to generate descriptive tabulations for socio-demographic characteristics of respondents, dietary choices for women and anaemia status. T-test and bivariate analysis between dietary diversity score of the women among the food groups consumed as well as their anaemia (Hb) status. This showed that women with high dietary diversity score had improved Hb status (P = 0.003), and those who consumed meat and fish as well as dark leafy vegetables had significantly high diversity scores (P = 0.031 and P = 0.049). Thematic analysis was used for analysing qualitative data.

The sample used in the study is unlikely to be fully representative of pregnant women in the Accra Metropolis. In addition, this study used a cross-sectional study design, making it difficult to establish causal associations between nutritional status and food choice of pregnant women. It does not also show variation in dietary practices by seasons of the year. The scope of the study did not allow for a detailed analysis, and this should be considered in future studies. Also, the study did not explore an obstetric factor like past bleeding history as well as the menstrual cycle of these pregnant women, as these factors are likely to interfere with the anaemia status of the pregnant women.

This paper contributes significant value by specifically focusing on and clarifying the complex relationship between dietary choices and aneamia among pregnant women. It also provides insights into the distinct dietary patterns and preferences of pregnant women, which may be contributing to the high prevalence of aneamia. The results of the study can inform the development of localized, evidence-based interventions to address this critical public health concern, ultimately leading to improved maternal and foetal health outcomes.

Adolescents are a vulnerable age group in the human life cycle for the development of anemia. Despite limited health infrastructures, there are limited studies in the pastoral community of the Afar region. Thus, this study aims to assess anemia and associated factors among adolescent school girls in the Aysaita district, the pastoral community of the Afar region, Ethiopia.

An institution-based cross-sectional study was conducted among 522 randomly selected adolescent girls in the Aysaita district. A pretested structured questionnaire was used to collect data, and a systematic random sampling technique was used using school registration rosters. Hemoglobin was measured using a complete blood count machine from the vein blood sample. Anthropometric measurements were done to assess the nutritional status of adolescents. Descriptive logistic regression analysis was used to summarize the results and identify the factors associated with anemia.

In this study, the prevalence of anemia among adolescent school girls was 109 (21.7%) [95% CI: (18.1%, 25.3%)]. School adolescent girls from rural residence [adjusted odds ratio (AOR) = 3.42, 95% CI (1.97, 5.94)], who had a minimum dietary diversity score less than 4 [AOR = 3.4, 95% CI (2.1, 5.42)] and menstrual duration 5 and above days [AOR = 2.34, 95% CI (1.36, 4.01)] were associated with increased odds of anemia.

This is original manuscript. Not submitted and published elsewhere.

This study evaluated the prevalence of anaemia and its association with various risk factors in 500 infants attended at two municipal primary health care centres in Rio de Janeiro. Anaemia was assessed using a portable haemoglobinometer (HemoCue). Nutritional status was assessed via weight/age, weight/height and height/age indices. The cut off value –2 z score was used to define underweight, wasted and stunted children according to the National Centre for Health and Statistics – NCHS – curves. Socio‐economic and biological data were obtained from the child’s mother through the use of questionnaires. No association was corroborated between the prevalence of anaemia and the studied risk factors. Development of primary health care intervention is important as a means of reducing the incidence of anaemia in infants, especially in boys and children in the second semester of life, who demonstrated a higher risk.

Anaemia is much more serious and of greater social significance than is generally realised. According to WHO ‘… a great deal of ill‐health, sapping energy and productiveness in many countries and causing tragedies in childbirth, is due to anaemia’.

Anaemia is a disease characterised by a reduction in the number of red cells in the blood, or in the amount of the iron‐containing red pigment, haemoglobin. Various types of anaemia are known, thus macrocytic anaemia is the name given to the condition when there is an increase in the average size of the red cells in the blood. It is now known that two vitamins, viz. folic acid and vitamin B12, are involved in the prevention of some anaemias.

Recurrent pregnancy losses (RPL), a major contributor of reproductive wastage, affect maternal health both physically and mentally. Folate and B12 (Vitamin B12) deficiency anemia is common in the reproductive age group women in developing countries like India. And due to proven role of folate in various maternal and fetal anomalies, women are routinely prescribed folic acid under various national policies. However, B12 supplementation is rare, despite known deleterious effects of its deficiency. The purpose of this paper is to understand RPL through anemia with special reference to folate and B12 imbalance.

Multiparous women with normal obstetric outcomes (n=135) and women with Idiopathic RPL (n=105) were recruited in the study. All women were non-pregnant and belonged to North Indian population. Hb, serum folate and B12 and plasma homocysteine were measured in all the women. Anemia was classified according to WHO guidelines (Hemoglobin (Hb)<12g/dL).

The incidence of Anemia was more among normal multiparous women (73 percent) as compared to women with RPL (60 percent). However, unlike folate deficiency anemia among controls, B12 deficiency anemia was observed in women with RPL. Moreover, these women, despite being less anemic, with high B12 deficiency and folate sufficiency (presumably due to folate supplementation) had more imbalanced vitamin metabolism, as evident from homocysteine levels. The study suggests that anemic or non-anemic deficiencies of B12 and folate among women with RPL may be combated by screening for both vitamins, rather than supplementing folate indiscriminately to all.

One of the limitations is that ferritin levels for iron deficiency anemia could not be measured in this study.

The present study is the first study, to the best of our knowledge, where we looked for the role of imbalance of folate and B12 in women with RPL.

Anaemia during pregnancy is an important contributor to maternal mortality and morbidity in Kenya. A prospective study was conducted in Kisumu District, a region characterized by high incidences of maternal and infant mortality, to determine the levels and prevalence of maternal complications. Four health facilities were purposely selected to act as sentinel centres from urban and rural clusters. All the obstetric‐related cases were recorded between January and July 1997, and the outcomes of the pregnancies were recorded. Details on the respondents socioeconomic, demographic, biomedical and environment characteristics were also recorded. A total of 1,455 cases were recorded, of which 59 percent experienced obstetric‐related complications. Of those with complications, 22 percent were suffering from severe anaemia. Among other things, the study reveals that anaemia prevalence is determined by maternal and environmental factors. These include poor pregnancy care, illness during pregnancy, socioeconomic conditions of the mother and the sanitary conditions of the household. Policy measures aimed at managing anaemia should seek to address all these factors.