Department of Pathology, Faculty of Medicine, Umm-Al-Qura University, Makkah, Kingdom of Saudi Arabia.
Department of Obstetrics and Gynecology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Trans R Soc Trop Med Hyg. 2022 Dec 2;116(12):1123-1128. doi: 10.1093/trstmh/trac037.
Lactating mothers are susceptible to anaemia. Little published data are available on lactational anaemia in Africa, including Sudan. This study was conducted to assess the prevalence of and associated factors for anaemia among lactating mothers in eastern Sudan.
A cross-sectional study was conducted and sociodemographic and clinical characteristics were gathered through a questionnaire.
A total of 650 lactating mothers were included in the analysis. Their median age and parity were 28.0 y (interquartile range [IQR] 23.7‒32.0) and 3.0 (IQR 2.0‒4.0), respectively. Haemoglobin (Hb) levels ranged from 7.0 to 15.0 g/dL (median 11.2 [IQR 10.4‒12.0]). Of the 650 lactating mothers, 442 (68.0%) had anaemia (Hb <12.0 g/dL). In multivariate analysis, lactating mothers with education less than the secondary level (adjusted odds ratio [AOR] 1.58 [95% confidence interval {CI} 1.05 to 2.37]) and lactating mothers who underwent caesarean delivery (AOR 1.74 [95% CI 1.17 to 2.58]) had a higher probability of being anaemic. Employment was associated to a lower frequency of anaemia (AOR 0.39 [95% CI 0.20 to 0.79]).
This study showed a high prevalence of anaemia among lactating mothers. Public health intervention activities designed towards education would be helpful to reduce anaemia.
哺乳期妇女容易贫血。在非洲,包括苏丹,有关哺乳期贫血的发表数据很少。本研究旨在评估苏丹东部哺乳期妇女贫血的患病率及相关因素。
采用横断面研究,通过问卷收集社会人口学和临床特征。
共纳入 650 名哺乳期妇女进行分析。她们的中位年龄和产次分别为 28.0 岁(四分位间距 23.7-32.0)和 3.0(2.0-4.0)。血红蛋白(Hb)水平为 7.0-15.0 g/dL(中位数 11.2 [10.4-12.0])。650 名哺乳期妇女中,442 名(68.0%)有贫血(Hb <12.0 g/dL)。多因素分析显示,受教育程度低于中学(调整优势比 [AOR] 1.58 [95%置信区间 {CI} 1.05-2.37])和剖宫产(AOR 1.74 [95% CI 1.17-2.58])的哺乳期妇女贫血的可能性更高。就业与贫血频率较低相关(AOR 0.39 [95% CI 0.20-0.79])。
本研究表明哺乳期妇女贫血患病率较高。针对教育的公共卫生干预活动将有助于减少贫血。