scholarly journals Nutritional-Related Predictors of Anemia among Pregnant Women Attending Antenatal Care in Central Ethiopia: An Unmatched Case-Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Berhanu Senbeta Deriba ◽  
Gizachew Abdissa Bulto ◽  
Elias Teferi Bala
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Case Control Study ◽  
Dietary Diversity ◽  
Case Control ◽  
Public Hospitals ◽  
Additional Food ◽  
Central Ethiopia ◽  
Control Study ◽  
Pregnant Mothers

Background. Anemia is a major public health problem in both developed and developing countries especially among pregnant women. Nearly half of pregnant women in Ethiopia have anemia which has both health and economic impacts. Therefore, this study is aimed at identifying nutritional-related predictors of anemia among pregnant women attending antenatal care in Central Ethiopia, 2019. Methods. An unmatched case-control study was conducted at public hospitals in Central Ethiopia from February to April 2019. The consecutive sampling technique was used to select study participants. Data were collected by a structured questionnaire, and the collected data were entered into Epi Info version 7 and SPSS version 23 for analysis. Binary and multiple logistic regression analyses were computed to identify predictors of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value < 0.05 was used to determine the presence of an association. Result. A total of 426 pregnant women (142 cases and 284 controls) had participated in this study. Taking tea/coffee immediately after food ( AOR = 2.35 , 95% CI: 1.39-3.99), mid-upper arm circumference (MUAC) of mothers of <23 centimeters ( AOR = 3.83 , 95% CI: 2.26-6.49), the presence of forbidden food during pregnancy ( AOR = 2.21 , 95% CI: 1.24-3.88), not taking additional food ( AOR = 1.99 , 95% CI: 1.17-3.40), unable to take fruit ( AOR = 4.05 , 95% CI: 1.3-15.47), loss of appetite ( AOR = 2.28 , 95% CI: 1.28-4.09), low dietary diversity score (DDS) ( AOR = 3.29 , 95% CI: 1.83-5.90), and medium DDS ( AOR = 2.88 , 95% CI: 1.46-5.70) were found to be determinants of anemia. Conclusions. Taking tea or coffee immediately after food, MUAC of mothers, the presence of forbidden food, not taking additional food, frequency of taking fruit, and dietary diversity were predictors of anemia among pregnant women. Therefore, interventions targeted at prevention of anemia among pregnant mothers should emphatically consider those identified determinants. This finding also highlights the need for strong nutritional counseling to prevent anemia among pregnant mothers during antenatal care follow-ups along with other interventions.

scholarly journals Determinants of Anemia among Pregnant Women at Public Hospitals in West Shewa, Central Ethiopia: A Case-Control Study

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Berhanu Senbeta Deriba ◽  
Elias Teferi Bala ◽  
Gizachew Abdissa Bulto ◽  
Tinsae Abeya Geleta ◽  
Agumas Fentahun Ayalew ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Family Size ◽  
Birth Interval ◽  
Case Control Study ◽  
Previous History ◽  
Case Control ◽  
Public Hospitals ◽  
The West ◽  
Central Ethiopia ◽  
Control Study

Introduction. Anemia is highly dominant among pregnant women due to the need for iron for women themselves and their fetuses. Nearly half a billion globally and around one-third in Ethiopia of pregnant women were affected by anemia which has both health and economic impact. Therefore, this study aimed to identify the determinants of anemia among pregnant women attending antenatal care at public hospitals in the West Shewa zone, Oromia regional state, Central Ethiopia, 2019. Methods. An unmatched case-control study was conducted at public hospitals in the West Shewa zone, Ethiopia, from February to April 2019. A consecutive sampling was used to select study participants. Data were collected by a structured questionnaire, and the collected data were entered into Epi Info version 7 and SPSS version 23 for analyses. Descriptive statistics such as tables, graphs, and proportions were used to present the data. Binary and multiple logistic regression analyses were computed to identify the determinants of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value <0.05 were used to determine the presence of an association. Result. A total of 426 women (142 cases and 284 controls) participated in this study with a 95.3% response rate. Family size >5 (AOR = 2.95, 95% CI: 1.34–6.50), peptic ulcer diseases (PUD) (AOR = 2.85, 95% CI: 1.14–7.13), having the previous history of abortion (AOR = 2.84, 95% CI: 1.08–7.47), birth interval <2 years (AOR = 2.61, 95% CI: 1.20–5.70), antepartum hemorrhage (APH) (AOR = 6.05, 95% CI: 1.95–18.81), and not using latrine (AOR = 3.45, 95% CI: 1.30–9.24) were the identified determinants of anemia. Conclusions. Family size, PUD, abortion, birth interval, APH, and unable to use latrine were the determinants of anemia among pregnant women. Therefore, the intervention on anemia prevention should consider the promotion of family planning methods and counseling on latrine utilization.

scholarly journals Determinants of anemia among pregnant mothers attending antenatal care in Dessie town health facilities, northern central Ethiopia, unmatched case -control study

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0173173 ◽  
Author(s):  
Sisay Eshete Tadesse ◽  
Omer Seid ◽  
Yemane G/Mariam ◽  
Abel Fekadu ◽  
Yitbarek Wasihun ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Central Ethiopia ◽  
Control Study ◽  
Pregnant Mothers

scholarly journals Determinants of preterm birth in public hospitals in central Ethiopia: an unmatched case-control study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 773
Author(s):  
Berhanu Senbeta Deriba ◽  
Agumas Fentahun Ayalew ◽  
Addis Adera Gebru
Keyword(s):  
Preterm Birth ◽  
Cigarette Smoking ◽  
Birth Outcomes ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Medical Illness ◽  
Adverse Birth Outcomes ◽  
Central Ethiopia ◽  
Control Study

Background: Around 15 million babies are born prematurely in the world every year. The most common cause of neonatal death in Ethiopia is premature birth. To reduce the rate of preterm delivery by correcting modifiable or preventable causes, the availability of local data is important. Hence, this study aimed to identify the determinants of preterm birth among women who gave birth in public hospitals in central Ethiopia. Methods: An Institutional-based unmatched case-control study was conducted at public hospitals in central Ethiopia to select 170 cases and 340 controls. The collected data were entered into EPI INFO and transferred to SPSS for analysis. Tables, graphs, and proportions were used to present the results. Binary and multiple logistic regressions analysis were computed to identify determinants of preterm birth. Adjusted Odds Ratio (AOR), 95% Confidence Interval (CI), and a p-value < 0.05 were computed to determine the presence of an association between preterm birth and independent variables. Results: A total of 166 cases and 332 controls participated in the study, giving a response rate of 97.6%. Cigarette smoking (AOR=3.77, 95% CI=1.35,10.56), alcohol consumption (AOR=1.85, 95% CI=1.11,3.10), wanted but unplanned pregnancy (AOR=3,95% CI=1.68,5.34), neither wanted nor planned pregnancy(AOR=3.61% CI=1.62,8.06), lack of antenatal care (ANC) visits (AOR=4.13, 95% CI=1.95, 8.74), adverse birth outcomes (AOR=5.66, 95% CI=2.88,11.12), presence of a diagnosed illness (AOR=2.81, 95% CI=1.37, 5.76), presence of one or more of obstetrics complications(AOR=6.44, 95% CI=5.49, 3.35, 9), and hemoglobin level < 11g/dl  (AOR=2.78, 95% CI=1.48, 5.22) were determinants of preterm birth. Conclusion:-In this study, cigarette smoking status, alcohol drinking status, pregnancy status, adverse birth outcomes, ANC visits, obstetric complications,  presence of medical illness, and anemia were identified as determinants of preterm birth. It is important to encourage such women to attend ANC visits, stop smoking, and abstain from alcohol.

scholarly journals Determinants of Anemia Among Pregnant Women Attending Antenatal Care in Bale-Robe Town Health Facilities, Bale zone, Southeast Ethiopia: A Case-Control Study

2021 ◽  
Author(s):  
Mohammed Hasen Badeso ◽  
Falaho Sani Kalili ◽  
Mohammed Seid Abdulle
Keyword(s):  
Antenatal Care ◽  
Dietary Intake ◽  
Pregnant Women ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Menstrual Bleeding ◽  
Second Trimester ◽  
Southeast Ethiopia ◽  
Control Study

Abstract IntroductionIn Ethiopia, the prevalence of anemia in pregnant women differs geographically and ranged from 15.8–56.8%. The objective of this study is to identify the determinants of anemia among pregnant women attending antenatal care in health facilities of Bale-Robe Town, Southeast Ethiopia.MethodsA facility-based case-control study was conducted in Bale-Robe hospital and Baha-biftu health center in Bale-Robe, Southeast Ethiopia. A total of 282 pregnant women participated in the study (141 cases and 141 controls). Cases were pregnant women with altitude-adjusted hemoglobin value < 11.0 g/dl at the first and third trimesters, and < 10.5 g/dl at the second trimester. Controls were pregnant women with hemoglobin value ≥ 11.0 g/dl at first and third trimesters and ≥ 10.5 g/dl at the second trimester. A structured and pretested questionnaire was used to collect data. A multivariable logistic regression analysis was applied to assess the determinants of anemia. Determinants were categorized as sociodemographic and economic, obstetric and medical, and dietary intake and behavioral.ResultsHousewife occupation (AOR=2.1, 95% CI=1.12-3.92), prolonged menstrual bleeding (AOR=2.33, 95% CI=1.38-3.92) and undernutrition (AOR=4.03, 95% CI=1.38-11.83) were factors significantly associated with anemia in pregnant women.ConclusionHousewife occupation, prolonged menstrual bleeding, and malnutrition were the determinants of anemia in pregnant women. Hence, anemia prevention and control strategy in pregnant women should include adequate dietary intake, and strengthening nutritional counseling for pregnant women during antenatal care is also required by the health care provider.

scholarly journals Determinants of Low Birth Weight among Newborns Delivered at Public Hospitals in Sidama Zone, South Ethiopia: Unmatched Case-Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Muse Bututa Bekela ◽  
Mulugeta Shegaze Shimbre ◽  
Teshale Fikadu Gebabo ◽  
Mengesha Boko Geta ◽  
Abayneh Tunje Tonga ◽  
...  
Keyword(s):  
Folic Acid ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Case Control Study ◽  
Dietary Diversity ◽  
Public Hospitals ◽  
Timely Initiation ◽  
Iron And Folic Acid ◽  
Control Study

Low birth weight is a global public health problem having various severe and life-threatening health effects. The World Health Organization is working to reduce the prevalence of low birth weight to 30% by the year 2025. Pinpointing the determinants of low birth weight at different scenarios is crucial to reduce the rate of low birth weight in low-income countries which consist of 96.5% of global low birth weight newborns. Thus, the aim of this study was to assess determinants of low birth weight in Sidama Zone public hospitals of South Ethiopia. An institution-based case-control study was conducted from March 1 to May 5, 2019, in Sidama Zone public hospitals. Data were collected from 354 mother-neonate samples with 118 of them having newborns with birth weight<2500 g (cases) and 236 of them having birth weight≥2500 g (controls) using a pretested, interviewer-administered structured questionnaire and medical record review. The odds of being rural dweller women was 3.51 times higher among cases (low birth weight babies) than among controls (normal birth weight babies) as compared to being urban dweller women (AOR=3.51, 95% CI (1.91-6.45)). The likelihood of initiating antenatal care late was 3.22 times more among cases than among controls when compared with timely initiation of antenatal care (AOR=3.22, 95% CI (1.47-7.14)). The probability of having pregnancy-induced hypertension was 4.49 times higher among mothers of the cases than among mothers of the controls as compared to not having pregnancy-induced hypertension (AOR=4.49, 95% CI (1.94-10.38)). The odds of not taking iron and folic acid during pregnancy was 3.92 times higher among mothers of the cases than mothers of the controls when compared with taking iron and folic acid (AOR=3.92, 95% CI (1.80-8.50)). The likelihood of having Mid-Upper Arm Circumference MUAC<23 cm was 4.27 times higher among mothers of the cases than among mothers of the controls as compared to having MUAC≥23 cm (AOR=4.27, 95% CI (2.24-8.12)). The probability of having inadequate dietary diversity was 3.75 times higher among cases than among controls as compared to having adequate dietary diversity (AOR=3.75, 95% CI (1.64-8.57)). Interventions targeting the aversion of low birth weight should focus on promotion of iron-folic acid supplementation and dietary diversification through timely initiation of antenatal care.

scholarly journals Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Meresa Berwo Mengesha ◽  
Desta Abraha Weldegeorges ◽  
Yared Hailesilassie ◽  
Weldu Mammo Werid ◽  
Mulu Gebretsadik Weldemariam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Uterine Rupture ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Obstructed Labor ◽  
Health Institutions ◽  
Control Study ◽  
Remote Health

Introduction. Uterine rupture is a leading cause of maternal death in Ethiopia. Despite strengthening the health care system and providing basic and comprehensive emergency obstetric care closer to the communities, uterine rupture continues to produce devastating maternal and fetal outcomes. Although risk factors of uterine rupture are context specific, there is lack of clarity in our context towards the contributing factors and untoward outcomes of uterine rupture. This study was conducted to identify the risk factors of uterine rupture and its impacts in public hospitals of Tigrai. Objective. This study would identify determinant factors of uterine rupture and its management outcomes among mothers who gave birth in public hospitals in Tigrai region, North Ethiopia. Method. A retrospective hospital-based unmatched case control study design was implemented with 135 cases of women with uterine rupture and 270 controls of women without uterine rupture. Cases were enrolled consecutively from case notes of women who gave birth from 1/9/2015 to 30/6/2019, while charts (case note) of women without uterine rupture found following the cases were selected randomly and enrolled. Bivariate and multivariate logistic regression with 95% confidence interval was used to identify the determinants of uterine rupture. Result. Mothers referred from remote health institutions (AOR 7.29 (95% CI: 2.7, 19.68)), mothers who visited once for antenatal care (AOR 2.85 (95% CI: 1.02, 7.94)), those experiencing obstructed labor (AOR 13.33 (95% CI: 4.23, 42.05)), and birth weight of a newborn greater than four kilograms (AOR 5.68 (95% CI: 1.39, 23.2)) were significantly associated with uterine rupture. From 135 mothers who develop uterine rupture, 13 (9.6%) mothers died and 101 (74.8%) fetuses were stillborn. Obstetrical complications like abdominal hysterectomy in 75 (55.6%) of mothers and excessive blood loss in 84 (57.8%) were additional untoward outcomes of uterine rupture. Conclusion. Referrals from remote health institutions, once-visited antenatal care, obstructed labor, and birth weight of newborns greater than four kilograms were significant determinants of uterine rupture. Maternal death, stillbirth, hysterectomy, and hemorrhage were adverse outcomes. The findings of this study suggest early identification of factors that expose to uterine rupture during antenatal care, labor, and delivery must be attended to and further prospective studies are needed to explore predictors of untoward outcomes. Knowing the determinants of uterine rupture helps prevent the occurrence of a problem in pregnant women, which reduces maternal morbidity and mortality, and would have a tremendous help in identifying the best optional strategies in our current practices. This assertion was added to the abstract concluding session.

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