Prevalence and Associated Factors of Anemia in Different Periods of Pregnancy

Article Sidebar

Fulltext
Published: Jan 1, 2023
DOI: https://doi.org/10.14456/tjog.2023.7
Keywords:
anemia pregnancy iron supplementation morning sickness compliance education

Main Article Content

Suphawet Lertprasopsuk
Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
Budsaba Viriyasirivet
Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand

Abstract

Objectives: This study aimed to study the prevalence of anemia in the different period of pregnancy and also indicated precipitating factors that caused failure of anemia prophylaxis in antenatal care.
Materials and Methods: This was a longitudinal prospective study enrolled total 130 pregnant women who visit antenatal care (ANC) clinic from November 2020 to August 2021. A questionnaire was completed during the third trimester and complete blood count was evaluated at each period of pregnancy: in first ANC, during third trimester and intrapartum period. All data were analyzed by SPSS software (version 22.0).
Results: The prevalence of anemia in first ANC, third trimester and intra-partum was 6.92%, 24.62%, and 4.76% respectively. Poor compliance of iron supplementation and clinical morning sickness were associated with anemia in the third trimester of pregnancy.
Conclusion: Anemia in pregnancy remains an urgent public health problem in Thailand. Strict compliance with iron supplementation is vital for preventing anemia in pregnancy.

Article Details

How to Cite
(1)
Lertprasopsuk, S. .; Viriyasirivet, B. . Prevalence and Associated Factors of Anemia in Different Periods of Pregnancy. Thai J Obstet Gynaecol 2023, 31, 56-63.
Issue
VOL. 31, NO. 1: (January - February 2023)
Section
Original Article
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

World health organization. WHO recommendation on antenatal care for a positive pregnancy experience. Geneva: World Health Organization 2016.

Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams Obstetrics. 25th ed. New York: McGraw-hill 2019:57-58.

Daru J, Zamora J, Fernández-Félix BM, Vogel J, Oladapo OT, Morisaki N, et al. Risk of maternal mortality in women with severe anaemia during pregnancy and post-partum: a multilevel analysis. Lancet Glob Health 2018;6:548-54.

Ren A, Wang J, Ye RW, Li S, Liu JM, Li Z. Low first-trimester hemoglobin and low birth weight, preterm birth and small for gestational age newborns. Int J Gynaecol Obstet 2007;98:124-8.

Taner CE, Ekin A, Solmaz U, Gezer C, Cetin B, Kelesoglu M, et al. Prevalence and risk factors of anemia among pregnant women attending a high-volume tertiary care center for delivery. J Turk Ger Gynecol Assoc 2015;6: 231-6.

Suryanarayana R, Chandrappa M, Santhuram AN, Prathima S, Sheela SR. Prospective study on prevalence of anemia of pregnant women and its outcome: a community based study. J Family Med Prim Care 2017;6:739-43.

Siriwong O. Anemia in pregnant women attending the Antenatal Care Clinic, Mae Sot Hospital. Thai J Obstet Gynaecol 2012;20:186-90.

Chotnopparatpattara P, Limpongsanurak S, Charnngam P. The prevalence and risk factors of anemia in pregnant women. J Med Assoc Thai 2003;86:1001-7.

Sayomporn S., Pisek L., Eakachai K., Attasit S. Pregnancy care guideline. 1. Bangkok: wvo officer of printing mill 2016.

Eleje GU, Iqwegbe AO, Okonkwo JE, Udigwe GO, Eke AC. Elderly primigravidae versus young primigravidae: a review of pregnancy outcome in a low resource setting. Niger J Med 2014;23:220-9.

World Health Organization. Report of a WHO technical consultation on birth spacing. Geneva: World Health Organization 2007.

Moller AB, Petzold M, Chou D, Say L. Early antenatal care visit: a systematic analysis of regional and global level and trends of coverage from 1990 to 2013. Lancet Glob Health 2017;5:e977-83.

Trinh LT, Rubin G. Late entry to antenatal care in New South Wales, Australia. Reprod Health 2006;3:8.

Morey SS. CDC issues guidelines for prevention, detection and treatment of iron deficiency. Am Fam Physician 1998;58:1475-7.

Thongperm W, Chaisen M, Chunchom Y, Aueduldecha S, Sarakul O. Preliminary study for the prevalence and causes of anemia in pregnant women attending an antenatal care unit in different periods of gestation. JAMS 2018;51:122-7.

Sukrat B, Suwathanapisate P, Siritawee S, Poungthong T, Phupongpankul K. The prevalence of iron deficiency anemia in pregnant women in Nakhonsawan, Thailand. J Med Assoc Thai 2010;93:765-70.

Sukrat B, Sirichotiyakul S. The prevalence and causes of anemia during pregnancy in Maharaj Nakorn Chiang Mai Hospital. J Med Assoc Thai 2006;89: 142-6.

Stephen G, Mgongo M, Hashim TH, Katanga J, Stray-Pedersen B, Msuya SE. Anaemia in pregnancy: prevalence, risk factors, and adverse perinatal outcomes in northern Tanzania. Anemia 2018;2018:1846280.

Nasir BB, Fentie AM, Adisu MK. Adherence to iron and folic acid supplementation and prevalence of anemia among pregnant women attending antenatal care clinic at Tikur Anbessa Specialized Hospital, Ethiopia. PLOS One 2020;15:e0232625.

Fouelifack FY, Sama JD, Sone CE. Assessment of adherence to iron supplementation among pregnant women in the Yaounde gyneco-obstetric and pediatric hospital. Pan Afr Med J 2019;34:211.

Kiwanuka TS, Ononge S, Kiondo P, Namusoke F. Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study. BMC Res Notes 2017;10:510.

Sirisopa N, Pongchaidecha M. Evaluation of a pharmaceutical care program with pregnant women with iron deficiency anemia. J Sci Technol Ubon Ratchathani Univ 2015;2:53-62.