Abebaw Asenake, Gudayu Temesgen Worku, Kelkay Bayew
Debre Birhan Health Science College, Debre Birhan, Ethiopia.
School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Anemia. 2020 Jun 16;2020:8979740. doi: 10.1155/2020/8979740. eCollection 2020.
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.
Institutional-based cross-sectional study was conducted among 424 study participants from August 1 to October 30, 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 value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at value <0.05 were considered as statistically significant.
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.
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.
贫血是一个全球性的主要健康问题，在发展中国家尤为突出。产后贫血对母亲和新生儿的健康都有损害。孕期贫血已得到充分重视；然而，埃塞俄比亚对产后贫血的关注却很少。因此，本研究旨在调查德布雷马科斯转诊医院产后母亲中产后即刻贫血的比例及其相关因素。
2019年8月1日至10月30日，对424名研究参与者进行了基于机构的横断面研究。采用系统随机抽样技术选取研究参与者。通过面对面访谈和使用预先测试过的问卷进行产妇病历审查来收集数据。数据使用Epi Data 4.6.0.0版本进行清理、编码和录入，然后导出到SPSS 24版本进行分析。首先，应用二元逻辑回归来识别多变量回归的候选变量。然后，将P值<0.2的变量纳入多变量逻辑回归以控制可能的混杂因素。最后，将P值<0.05的变量视为具有统计学意义。
产后即刻贫血的比例为24.3%。产前检查（ANC）次数<4次[AOR = 2.40；95% CI（1.29，4.43）]、产前出血（APH）[AOR = 5.08；95% CI（1.91，13.55）]、产后出血（PPH）[AOR = 4.47；95% CI（2.25，8.88）]、器械助产（真空或产钳）[AOR = 3.99；95% CI（1.42，11.23）]、铁和叶酸（IFA）依从性差[AOR = 2.52；95% CI（1.06，6.04）]以及上臂中部周长（MUAC）<23 cm[AOR = 3.25；95% CI（1.87，5.65）]是预测因素。
产后即刻贫血的比例是一个中度的公共卫生问题。ANC、APH、PPH、分娩方式、IFA补充剂的依从性以及MUAC测量是影响贫血程度的因素。因此，需要实施解决上述因素的干预措施。
