School of Nursing, College of Health Sciences, Woldia University, P.O. Box: 400, Woldia, Ethiopia.
Department of Midwifery, College of Health Sciences, Injibara University, P.O. Box: 40, Injibara, Ethiopia.
J Health Popul Nutr. 2022 Aug 4;41(1):32. doi: 10.1186/s41043-022-00315-9.
Anaemia in pregnancy is the leading cause of maternal morbidity and mortality and poor birth outcomes in low- and middle-income countries. The most common cause of anaemia during pregnancy is acute blood loss and iron deficiency due to physiological changes and increasing demand for iron on the mother and growing foetus. Iron and folic acid supplementation is the most widely employed strategy to alleviate iron deficiency anaemia during pregnancy. The mother's knowledge of anaemia and the benefit of iron-folic acid is crucial in reducing the magnitude of anaemia due to iron deficiency. In Woldia town, despite the efforts made to reduce iron deficiency anaemia during pregnancy, information on pregnant mother knowledge on anaemia and the benefit of iron-folic acid and its associated factors are scarce.
A facility-based cross-sectional study design was conducted, on 414 pregnant mothers attending antenatal care in Woldia town, Northern Ethiopia. Systematic random sampling methods were used to select study participants. The data were entered into Epi-data version 4.2 and analysed using SPSS version 24. Bivariable and multivariable analysis was done to see the association between the dependent variable and independent variables.
This study revealed that 54.1% and 57.7% of pregnant women had good knowledge of anaemia and the benefit of iron-folic acid, respectively. Maternal education status (AOR = 2.19, 95% CI 1.32-3.64), good knowledge of iron-folic acid (AOR = 5.85, 95% CI 3.60-9.50) and residence (AOR = 5.43, 95% CI 2.36-12.51) were statistically associated with pregnant mothers knowledge on anaemia. Obtained counselling on the benefit of iron-folic acid (AOR = 2.04, 95% CI 1.11-3.75), having four or more antenatal care visit (AOR = 3.12, 95% CI 1.38-7.07) and good knowledge of anaemia (AOR = 5.88, 95% CI 3.63-9.50) was statistically associated with pregnant mothers knowledge on the benefit of iron-folic acid.
Promoting frequent antenatal care visits and giving counselling on the benefit of iron-folic acid and cause, prevention and treatment of anaemia were essential strategies to raise knowledge of pregnant mother on anaemia and the benefit of iron-folic acid.
在中低收入国家，孕期贫血是导致产妇发病率和死亡率以及不良分娩结局的主要原因。孕期贫血最常见的原因是由于生理变化和母亲及不断生长的胎儿对铁的需求增加而导致急性失血和缺铁。铁和叶酸补充是缓解孕期缺铁性贫血最广泛采用的策略。母亲对贫血的认识以及铁叶酸的益处对于减少缺铁性贫血的严重程度至关重要。在沃尔迪亚镇，尽管为减少孕期缺铁性贫血做出了努力，但有关孕妇对贫血和铁叶酸益处的知识及其相关因素的信息仍然匮乏。
采用基于机构的横断面研究设计，对在埃塞俄比亚北部沃尔迪亚镇接受产前护理的 414 名孕妇进行了研究。采用系统随机抽样方法选择研究参与者。数据输入 Epi-data 版本 4.2 并使用 SPSS 版本 24 进行分析。采用单变量和多变量分析来观察因变量与自变量之间的关联。
这项研究表明，54.1%和 57.7%的孕妇对贫血和铁叶酸的益处有较好的认识。母亲的教育程度（AOR=2.19，95%CI 1.32-3.64）、对铁叶酸的良好认识（AOR=5.85，95%CI 3.60-9.50）和居住地（AOR=5.43，95%CI 2.36-12.51）与孕妇对贫血的认识呈统计学相关。获得铁叶酸益处的咨询（AOR=2.04，95%CI 1.11-3.75）、进行了四次或更多次产前护理（AOR=3.12，95%CI 1.38-7.07）和对贫血的良好认识（AOR=5.88，95%CI 3.63-9.50）与孕妇对铁叶酸益处的认识呈统计学相关。
促进频繁的产前保健访问，并提供有关铁叶酸的益处以及贫血的原因、预防和治疗的咨询，是提高孕妇对贫血和铁叶酸益处的认识的重要策略。
