Prevalence and Risk Factors of Iron Deficiency Anemia among Postpartum Women
Abstract
One of the problems that contributes to the highest number of maternal mortality and morbidity is postpartum anemia. It is estimated that 50–80% of women experience anemia within 48 hours after giving birth. Globally, the commonest cause of anemia is iron deficiency. In Aceh, study on anemia in the postpartum period is still rare and requires to get more attention. This study aims to identify the prevalence of anemia among postpartum women and the associated risk factors that influence the incidence of postpartum iron deficiency anemia. This study is a quantitative study with a cross-sectional study design conducted at dr. Zainoel Abidin Hospital. Participants in this study were recruited using a non-probability sampling method and obtained 102 participants. Data were analyzed using chi-square tests with a confidence level of 95%. This study showed that 49.0% of the postpartum women had mild anemia, 10.8% of them had moderate anemia, and another 40.2% do not have anemia. It is found that there is a significant relationship between obstetric factors (type of labor, delivery complications) with anemia among anemia postpartum mothers ( .014 and .047 respectively).
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Achebe, M. M., & Gafter-gvili, A. (2017). How I treat anemia in pregnancy: iron, cobalamin, and folate. Blood, 129(8), 940–949. http://doi.org/10.1182/blood-2016-08-672246
Adam, I., Ibrahim, Y., & Elhardello, O. (2018). Prevalence, types and determinants of anemia among pregnant women in Sudan: A systematic review and meta-analysis. BMC Hematology, 18(1), 4–11. http://doi.org/10.1186/s12878-018-0124-1
Ayano, B., & Amentie, B. (2018). Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017. Journal of Gynecology and Obstetrics, 6(3), 31–39. http://doi.org/10.11648/j.jgo.20180603.11
Barduagni, P., Ahmed, A. S., Curtale, F., Raafat, M., & Soliman, L. (2003). Performance of Sahli and colour scale methods in diagnosing anaemia among school children in low prevalence areas. Tropical Medicine and International Health, 8(7), 615–618. http://doi.org/10.1046/j.1365-3156.2003.01062.x
Bergmann, R. L., Richter, R., Bergmann, K. E., & Dudenhausen, J. W. (2010). Prevalence and risk factors for early postpartum anemia. European Journal of Obstetrics and Gynecology, 150(2), 126–131. http://doi.org/10.1016/j.ejogrb.2010.02.030
da Costa, A. G., Vargas, S., Clode, N., & Graca, L. M. (2016). Prevalence and Risk Factors for Iron Deficiency Anemia and Iron Depletion During Pregnancy: A Prospective Study. Acta Medica Portuguesa, 29(9), 514–518. http://doi.org/10.20344/amp.6808
Daka, K. B., Jayanthigopal, & Demisie, D. B. (2018). Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care at Government Hospitals in West Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care. Journal of Health, Medicine and Nursing, 50, 31–40.
Grove, S. K., Gray, J. R., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice. Missouri: Elsevier.
Judd, S. J. (2010). Blood and circulatory disorders. Omnigraphics, Inc. (Ed. 3). United States: Omnigraphics, Inc.
Kavak, E. Ç., & Kavak, S. B. (2017). The association between anemia prevalence, maternal age and parity in term pregnancies in our city. Perinatal Journal, 25(1), 6–10. http://doi.org/10.2399/prn.17.0251002
Manik, I. N., Dewi, R., Sari, P., Wulan, A. J., Obstetrik, B., Kedokteran, F., & Lampung, U. (2017). Hubungan Status Preeklampsia dengan Kejadian Perdarahan Postpartum pada Ibu Bersalin di RSUD Dr H Abdul Moeloek Provinsi Lampung Periode 1 Juli 2014 - 30 Juni 2015 Relationship between Status of Preeclampsia with The Insidence of Maternal Postpartum Haemo, 6, 51–57.
Milman, N. (2011). Postpartum anemia I : definition , prevalence , causes , and consequences. Annals of Hematology, 90, 1247–1253. http://doi.org/10.1007/s00277-011-1279-z
Milman, N. (2015). Postpartum anemia II : prevention and treatment. Annals of Hematology, 91, 143–154. http://doi.org/10.1007/s00277-011-1381-2
Mulyawati, I., Azam, M., & Ningrum, D. (2011). Faktor Tindakan Persalinan Operasi Sectio Caesarea. KESMAS - Jurnal Kesehatan Masyarakat, 7(1), 14–21. http://doi.org/10.15294/kemas.v7i1.1788
Öztürk, M., Öztürk, Ö., Ulubay, M., Karaşahin, E., Özgürtaş, T., Yenen, M., … Bodur, S. (2017). Anemia prevalence at the time of pregnancy detection. Journal of Turkish Society of Obstetric and Gynecology, 14(3), 176–180. http://doi.org/10.4274/tjod.06337
Pawlowski, M., Latute, F., Bardou-Jacquet, E., Latournerie, M., Zerrouki, S., Bendavid, C., … Ropert, M. (2015). Portable hemoglobinometer is a reliable technology for the follow-up of venesections tolerance in hemochromatosis. Clinics and Research in Hepatology and Gastroenterology, 39(5), 570–575. http://doi.org/10.1016/j.clinre.2014.09.014
Polit, & Beck. (2006). The content validity index: Are you know whats being reported? Research in Nursing & Health, 29, 487–497.
Rakesh, P., Gopichandran, V., Jamkhandi, D., Manjunath, K., George, K., & Prasad, J. (2014). Determinants of postpartum anemia among women from a rural population in southern India. International Journal of Women’s Health, 395–400.
Rubio-álvarez, A., Molina-alarcón, M., & Hernández-martínez, A. (2017). Incidence of postpartum anaemia and risk factors associated with vaginal birth. Women and Birth, (7). http://doi.org/10.1016/j.wombi.2017.09.020
Selvaraj, R., Ramakrishann, J., Sahu, S. K., Kar, S. S., Laksham, K. B., Premarajan, K., & Roy, G. (2019). High prevalence of anemia among postnatal mothers in Urban Puducherry: A community-based study. Journal of Family Medicine and Primary Care, 8(8), 2703–2707. http://doi.org/10.4103/jfmpc.jfmpc_386_19
Silverberg, D. S. (2012). Anemia. Croatia: InTech.
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia. http://doi.org/10.1155/2018/1846280
Sumitra, M., & Kumari, C. T. (2017). Determinants of Anemia Among Pregnant Women Attending in a Tertiary Level Hospital, Kathmandu. Med Phoenix, 2(1), 24–33. http://doi.org/10.3126/medphoenix.v2i1.18382
Vir, S. C. (2011). Public health nutrition in developing countries. New Delhi: Woodhead Publishing India Pvt. Ltd.
Wessells, K., Ouédraogo, C. T., Young, R. R., Thierno Faye, M., Brito, A., & Hess, S. Y. (2017). Micronutrient status among pregnant women in zinder, niger and risk factors associated with deficiency. Nutrients, 9(5). http://doi.org/10.3390/nu9050430
Achebe, M. M., & Gafter-gvili, A. (2017). How I treat anemia in pregnancy: iron, cobalamin, and folate. Blood, 129(8), 940–949. http://doi.org/10.1182/blood-2016-08-672246
Adam, I., Ibrahim, Y., & Elhardello, O. (2018). Prevalence, types and determinants of anemia among pregnant women in Sudan: A systematic review and meta-analysis. BMC Hematology, 18(1), 4–11. http://doi.org/10.1186/s12878-018-0124-1
Ayano, B., & Amentie, B. (2018). Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017. Journal of Gynecology and Obstetrics, 6(3), 31–39. http://doi.org/10.11648/j.jgo.20180603.11
Barduagni, P., Ahmed, A. S., Curtale, F., Raafat, M., & Soliman, L. (2003). Performance of Sahli and colour scale methods in diagnosing anaemia among school children in low prevalence areas. Tropical Medicine and International Health, 8(7), 615–618. http://doi.org/10.1046/j.1365-3156.2003.01062.x
Bergmann, R. L., Richter, R., Bergmann, K. E., & Dudenhausen, J. W. (2010). Prevalence and risk factors for early postpartum anemia. European Journal of Obstetrics and Gynecology, 150(2), 126–131. http://doi.org/10.1016/j.ejogrb.2010.02.030
da Costa, A. G., Vargas, S., Clode, N., & Graca, L. M. (2016). Prevalence and Risk Factors for Iron Deficiency Anemia and Iron Depletion During Pregnancy: A Prospective Study. Acta Medica Portuguesa, 29(9), 514–518. http://doi.org/10.20344/amp.6808
Daka, K. B., Jayanthigopal, & Demisie, D. B. (2018). Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care at Government Hospitals in West Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care. Journal of Health, Medicine and Nursing, 50, 31–40.
Grove, S. K., Gray, J. R., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice. Missouri: Elsevier.
Judd, S. J. (2010). Blood and circulatory disorders. Omnigraphics, Inc. (Ed. 3). United States: Omnigraphics, Inc.
Kavak, E. Ç., & Kavak, S. B. (2017). The association between anemia prevalence, maternal age and parity in term pregnancies in our city. Perinatal Journal, 25(1), 6–10. http://doi.org/10.2399/prn.17.0251002
Manik, I. N., Dewi, R., Sari, P., Wulan, A. J., Obstetrik, B., Kedokteran, F., & Lampung, U. (2017). Hubungan Status Preeklampsia dengan Kejadian Perdarahan Postpartum pada Ibu Bersalin di RSUD Dr H Abdul Moeloek Provinsi Lampung Periode 1 Juli 2014 - 30 Juni 2015 Relationship between Status of Preeclampsia with The Insidence of Maternal Postpartum Haemo, 6, 51–57.
Milman, N. (2011). Postpartum anemia I : definition , prevalence , causes , and consequences. Annals of Hematology, 90, 1247–1253. http://doi.org/10.1007/s00277-011-1279-z
Milman, N. (2015). Postpartum anemia II : prevention and treatment. Annals of Hematology, 91, 143–154. http://doi.org/10.1007/s00277-011-1381-2
Mulyawati, I., Azam, M., & Ningrum, D. (2011). Faktor Tindakan Persalinan Operasi Sectio Caesarea. KESMAS - Jurnal Kesehatan Masyarakat, 7(1), 14–21. http://doi.org/10.15294/kemas.v7i1.1788
Öztürk, M., Öztürk, Ö., Ulubay, M., Karaşahin, E., Özgürtaş, T., Yenen, M., … Bodur, S. (2017). Anemia prevalence at the time of pregnancy detection. Journal of Turkish Society of Obstetric and Gynecology, 14(3), 176–180. http://doi.org/10.4274/tjod.06337
Pawlowski, M., Latute, F., Bardou-Jacquet, E., Latournerie, M., Zerrouki, S., Bendavid, C., … Ropert, M. (2015). Portable hemoglobinometer is a reliable technology for the follow-up of venesections tolerance in hemochromatosis. Clinics and Research in Hepatology and Gastroenterology, 39(5), 570–575. http://doi.org/10.1016/j.clinre.2014.09.014
Polit, & Beck. (2006). The content validity index: Are you know whats being reported? Research in Nursing & Health, 29, 487–497.
Rakesh, P., Gopichandran, V., Jamkhandi, D., Manjunath, K., George, K., & Prasad, J. (2014). Determinants of postpartum anemia among women from a rural population in southern India. International Journal of Women’s Health, 395–400.
Rubio-álvarez, A., Molina-alarcón, M., & Hernández-martínez, A. (2017). Incidence of postpartum anaemia and risk factors associated with vaginal birth. Women and Birth, (7). http://doi.org/10.1016/j.wombi.2017.09.020
Selvaraj, R., Ramakrishann, J., Sahu, S. K., Kar, S. S., Laksham, K. B., Premarajan, K., & Roy, G. (2019). High prevalence of anemia among postnatal mothers in Urban Puducherry: A community-based study. Journal of Family Medicine and Primary Care, 8(8), 2703–2707. http://doi.org/10.4103/jfmpc.jfmpc_386_19
Silverberg, D. S. (2012). Anemia. Croatia: InTech.
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia. http://doi.org/10.1155/2018/1846280
Sumitra, M., & Kumari, C. T. (2017). Determinants of Anemia Among Pregnant Women Attending in a Tertiary Level Hospital, Kathmandu. Med Phoenix, 2(1), 24–33. http://doi.org/10.3126/medphoenix.v2i1.18382
Vir, S. C. (2011). Public health nutrition in developing countries. New Delhi: Woodhead Publishing India Pvt. Ltd.
Wessells, K., Ouédraogo, C. T., Young, R. R., Thierno Faye, M., Brito, A., & Hess, S. Y. (2017). Micronutrient status among pregnant women in zinder, niger and risk factors associated with deficiency. Nutrients, 9(5). http://doi.org/10.3390/nu9050430
Achebe, M. M., & Gafter-gvili, A. (2017). How I treat anemia in pregnancy: iron, cobalamin, and folate. Blood, 129(8), 940–949. http://doi.org/10.1182/blood-2016-08-672246
Adam, I., Ibrahim, Y., & Elhardello, O. (2018). Prevalence, types and determinants of anemia among pregnant women in Sudan: A systematic review and meta-analysis. BMC Hematology, 18(1), 4–11. http://doi.org/10.1186/s12878-018-0124-1
Ayano, B., & Amentie, B. (2018). Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017. Journal of Gynecology and Obstetrics, 6(3), 31–39. http://doi.org/10.11648/j.jgo.20180603.11
Barduagni, P., Ahmed, A. S., Curtale, F., Raafat, M., & Soliman, L. (2003). Performance of Sahli and colour scale methods in diagnosing anaemia among school children in low prevalence areas. Tropical Medicine and International Health, 8(7), 615–618. http://doi.org/10.1046/j.1365-3156.2003.01062.x
Bergmann, R. L., Richter, R., Bergmann, K. E., & Dudenhausen, J. W. (2010). Prevalence and risk factors for early postpartum anemia. European Journal of Obstetrics and Gynecology, 150(2), 126–131. http://doi.org/10.1016/j.ejogrb.2010.02.030
da Costa, A. G., Vargas, S., Clode, N., & Graca, L. M. (2016). Prevalence and Risk Factors for Iron Deficiency Anemia and Iron Depletion During Pregnancy: A Prospective Study. Acta Medica Portuguesa, 29(9), 514–518. http://doi.org/10.20344/amp.6808
Daka, K. B., Jayanthigopal, & Demisie, D. B. (2018). Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care at Government Hospitals in West Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care. Journal of Health, Medicine and Nursing, 50, 31–40.
Grove, S. K., Gray, J. R., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice. Missouri: Elsevier.
Judd, S. J. (2010). Blood and circulatory disorders. Omnigraphics, Inc. (Ed. 3). United States: Omnigraphics, Inc.
Kavak, E. Ç., & Kavak, S. B. (2017). The association between anemia prevalence, maternal age and parity in term pregnancies in our city. Perinatal Journal, 25(1), 6–10. http://doi.org/10.2399/prn.17.0251002
Manik, I. N., Dewi, R., Sari, P., Wulan, A. J., Obstetrik, B., Kedokteran, F., & Lampung, U. (2017). Hubungan Status Preeklampsia dengan Kejadian Perdarahan Postpartum pada Ibu Bersalin di RSUD Dr H Abdul Moeloek Provinsi Lampung Periode 1 Juli 2014 - 30 Juni 2015 Relationship between Status of Preeclampsia with The Insidence of Maternal Postpartum Haemo, 6, 51–57.
Milman, N. (2011). Postpartum anemia I : definition , prevalence , causes , and consequences. Annals of Hematology, 90, 1247–1253. http://doi.org/10.1007/s00277-011-1279-z
Milman, N. (2015). Postpartum anemia II : prevention and treatment. Annals of Hematology, 91, 143–154. http://doi.org/10.1007/s00277-011-1381-2
Mulyawati, I., Azam, M., & Ningrum, D. (2011). Faktor Tindakan Persalinan Operasi Sectio Caesarea. KESMAS - Jurnal Kesehatan Masyarakat, 7(1), 14–21. http://doi.org/10.15294/kemas.v7i1.1788
Öztürk, M., Öztürk, Ö., Ulubay, M., Karaşahin, E., Özgürtaş, T., Yenen, M., … Bodur, S. (2017). Anemia prevalence at the time of pregnancy detection. Journal of Turkish Society of Obstetric and Gynecology, 14(3), 176–180. http://doi.org/10.4274/tjod.06337
Pawlowski, M., Latute, F., Bardou-Jacquet, E., Latournerie, M., Zerrouki, S., Bendavid, C., … Ropert, M. (2015). Portable hemoglobinometer is a reliable technology for the follow-up of venesections tolerance in hemochromatosis. Clinics and Research in Hepatology and Gastroenterology, 39(5), 570–575. http://doi.org/10.1016/j.clinre.2014.09.014
Polit, & Beck. (2006). The content validity index: Are you know whats being reported? Research in Nursing & Health, 29, 487–497.
Rakesh, P., Gopichandran, V., Jamkhandi, D., Manjunath, K., George, K., & Prasad, J. (2014). Determinants of postpartum anemia among women from a rural population in southern India. International Journal of Women’s Health, 395–400.
Rubio-álvarez, A., Molina-alarcón, M., & Hernández-martínez, A. (2017). Incidence of postpartum anaemia and risk factors associated with vaginal birth. Women and Birth, (7). http://doi.org/10.1016/j.wombi.2017.09.020
Selvaraj, R., Ramakrishann, J., Sahu, S. K., Kar, S. S., Laksham, K. B., Premarajan, K., & Roy, G. (2019). High prevalence of anemia among postnatal mothers in Urban Puducherry: A community-based study. Journal of Family Medicine and Primary Care, 8(8), 2703–2707. http://doi.org/10.4103/jfmpc.jfmpc_386_19
Silverberg, D. S. (2012). Anemia. Croatia: InTech.
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia. http://doi.org/10.1155/2018/1846280
Sumitra, M., & Kumari, C. T. (2017). Determinants of Anemia Among Pregnant Women Attending in a Tertiary Level Hospital, Kathmandu. Med Phoenix, 2(1), 24–33. http://doi.org/10.3126/medphoenix.v2i1.18382
Vir, S. C. (2011). Public health nutrition in developing countries. New Delhi: Woodhead Publishing India Pvt. Ltd.
Wessells, K., Ouédraogo, C. T., Young, R. R., Thierno Faye, M., Brito, A., & Hess, S. Y. (2017). Micronutrient status among pregnant women in zinder, niger and risk factors associated with deficiency. Nutrients, 9(5). http://doi.org/10.3390/nu9050430
DOI: https://doi.org/10.24198/jnc.v3i3.27463
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