CARE OF ANTENATAL WOMEN WITH ANEMIA

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Correlations of adherence to iron supplements and prevalence of anemia in antenatal women

Correlations of adherence to iron supplements and prevalence of anemia in antenatal women

METHODS Prospective observational study was conducted over a period of Nine months from August 2015 to April 2016 in the department of obstetrics and gynecology, Bharati Hospital and Research Centre. Pregnant women attending antenatal care unit who were more than 14 weeks and above and accepted to participate in this study were included in this study. Pregnant women less than 13 weeks, high risk pregnancies, pregnant women with haemolytic anemia, hemoglobinopathies, multi-fetal pregnancy, non-consented and pregnant women who planned delivery outside Bharati Hospital were excluded from study. Ethical approval was obtained for the study from the ethics committee of Bharati Medical College and Research centre, Pune. Pregnant women were recruited from August to October 2015. The data collected during recruitment phase was the demographic information, obstetric history, past medical history, medication history, knowledge about iron supplements and knowledge about iron importance in pretested, semi- structured proforma. The study subjects were followed till the date of delivery. Compliance to iron supplements was assessed from 20 weeks to 36 weeks of pregnancy.
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Prevalence of asymptomatic bacteriuria in antenatal women attending a tertiary care hospital

Prevalence of asymptomatic bacteriuria in antenatal women attending a tertiary care hospital

Escherichia coli (80-85%), followed by Staphylococci, Klebsiella, Pseudomonas etc. It is associated with adverse maternal and perinatal outcome. Adverse maternal outcomes include symptomatic infection in 25% of infected women, chronic infection resistant to drugs, acute pyelonephritis, pre-eclampsia, anemia, chorioamnionitis, endometritis and UTI in the postpartum period. 1,2,5,9-11 Fetal complications include prematurity, IUGR, low birth weight and increase in perinatal mortality. 1,2,5,11-15 These complications can be prevented by timely detection and treatment. 16 Hence it becomes necessary to screen all antenatal women for the presence of ASB. This study was conducted to highlight its importance.
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Antenatal tobacco use and iron deficiency anemia: integrating tobacco control into antenatal care in urban India

Antenatal tobacco use and iron deficiency anemia: integrating tobacco control into antenatal care in urban India

The integration of antenatal tobacco cessation services could face many challenges. First, CHWs and clinicians are not currently trained to look for and address tobacco use in their patients. There is a need to increase aware- ness about the prevalence and risks associated with ante- natal smokeless tobacco use (including the increased risk of anemia and IDA) as well as to increase the clinics capacity to provide evidence-based cessation guidance and support. Unfortunately, the literature about effective antenatal smokeless tobacco cessation strategies is sparse, particularly in India. Second, the antenatal care system appears burdened. Competing demands was an import- ant concern raised by providers. Antenatal tobacco ces- sation services should not be resource intensive, and should be well integrated with current practices. Third, the rate of current IFA supplementation in anemic women is already low at 25%, while the rate of anemia and IDA is high. This indicates that the current approaches to address anemia and IDA need improvement, and may portend a relatively small impact on antenatal tobacco use, if parallel tobacco use screening and cessation services are added.
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Burden and associated factors of anemia among pregnant women attending antenatal care in southern Ethiopia: cross sectional study

Burden and associated factors of anemia among pregnant women attending antenatal care in southern Ethiopia: cross sectional study

Methods: Facility-based cross-sectional study was conducted from March 01–April 30 2015 at Butajira General Hospi- tal, Ethiopia. A total of 217 women responded to the questionnaire and provided blood and stool samples for analysis. Data were analyzed using Statistical packages for social sciences version 20 for windows. Result and conclusions: The overall burden of anemia in this study was 27.6%. Residence, ANC follow up, history of excess menstrual bleeding and interpregnancy interval were statistically associated with anemia among the preg- nant women. Therefore, working in the identified gaps could reduce the current burden of anemia among pregnant women in the study area.
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Anemia and other hematological profiles of pregnant women attending antenatal care in Debre Berhan Referral Hospital, North Shoa, Ethiopia

Anemia and other hematological profiles of pregnant women attending antenatal care in Debre Berhan Referral Hospital, North Shoa, Ethiopia

Discussion Monitoring hematological profiles is essential to diag- nose or monitor illness in pregnant woman. Prevalence of anemia in this study is very low compared with the findings of various studies conducted in Ethiopia and foreign countries. For instance, the prevalence of ane- mia in India, Nigeria, Kenya, Mexico and other regions of Ethiopia [8, 9, 11–20] was higher than that of the find- ing of the present study. This discrepancy might be due to difference in socioeconomic and educational status, food selection habits, multi-factorial causes of anemia, prevalence of malaria and other intestinal parasites in some study area, access to health care services, access to iron supplementation, awareness in pregnant women to ANC follow and methods used to determine hemoglobin where some might be exposed to bias compared with automated hematology analyzers used in the present study.
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Prevalence of anemia in women with asymptomatic malaria parasitemia at first antenatal care visit at the University of Calabar Teaching Hospital, Calabar, Nigeria

Prevalence of anemia in women with asymptomatic malaria parasitemia at first antenatal care visit at the University of Calabar Teaching Hospital, Calabar, Nigeria

Dovepress Agan et al volume (PCV) of less than 33.0% is regarded as anemia during pregnancy by the World Health Organization (WHO). 1,2 This value is important and should be adopted as a standard even in our developing countries in order that we do not under-play the burden of anemia in pregnancy. 3 Anemia is said to be the commonest medical condition in pregnancy with a prevalence of 50% worldwide. 4 Recent esti- mates in the developing countries including Nigeria put the prevalence at 60% in pregnancy and about 7% of the women are said to be severely anemic. 4,5 Most of those affected are the primigravidas and grandmultiparas. 6 Excessively rapid destruction of red blood cells, bleeding during pregnancy and inadequate hematopoeisis are the three major causes. Severe malaria parasitemia appear to be a leading cause especially in our environment. 2,3,6,7 Malaria causes increased hemolysis of parasitized red blood cells. The degree of hemolysis depends on the burden of parasites. 8,9 It is important to state that aside from malaria, helminthiases as well as nutritional factors also contribute variously to anemia during pregnancy. 10 Although adults living in endemic areas acquire protective immunity against developing severe malaria, they become more sus- ceptible especially when they become pregnant. 9 In areas with stable malaria like Cross River State of Nigeria, the vast majority of infestations with Plasmodium falciparum in pregnancy remain asymptomatic, undetected and untreated.
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Prevalence of anemia and its associated factors among pregnant women receiving antenatal care at Aymiba Health Center, northwest Ethiopia

Prevalence of anemia and its associated factors among pregnant women receiving antenatal care at Aymiba Health Center, northwest Ethiopia

The incidence of anemia during pregnancy is expected to be higher as the number of pregnancies increases because of the repeated drain on the iron reserves. In fact, multiparity, especially when the pregnancies have occurred in a rapid sequence, is traditionally regarded as a cause of anemia in pregnancy. However, the present study showed no consistent relationship between increasing number of children and the incidence of anemia. Possibly, the experience gained from the first pregnancy followed by increased awareness and good dietary practices, as well as increased interaction with other pregnant women at the antenatal clinic, might counterbalance its effect. This study also did not observe any relationship between prevalence of anemia and increasing gestational age, suggesting that all pregnant women were susceptible to anemia throughout the gestational period. In order to avoid anemia during pregnancy, receiving early antenatal care would serve as an important preventive mea- sure. The same result was observed in a study conducted in India and Gondar. 9,18,27
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Prevalence and factors associated with anemia among pregnant women attending antenatal care in Shalla Woreda, W/Arsi Zone, Oromia region

Prevalence and factors associated with anemia among pregnant women attending antenatal care in Shalla Woreda, W/Arsi Zone, Oromia region

The data were cleaned, coded, and fed into SPSS version 16.0 for descriptive, bivariate, and multivariate analysis. Results: Mean Hgb concentration was 12.05g/dl ± 1.5 and the overall anemia prevalence was 36.6%. Having five or more living children (odds ratio [OR] = 5.2), intake of vegetables less than once per day, (OR = 6.7) taking tea always after meal (OR=12.8), and recurrence illness during the current pregnancy (OR = 7.3) were determined as the independently influencing occurrence of anemia in pregnancy. Conclusion: This study shows that anemia is a moderate public health problem among pregnant women in the study area. Hence, ANC should put emphasis on routine anemia screening, dietary advice, iron supplementation, and counseling for the use of family planning after delivery to delay the subsequent pregnancy more than 2 years is highly recommended.
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Anemia among Antenatal Mother in Urban Malaysia

Anemia among Antenatal Mother in Urban Malaysia

The association between anaemia with adverse maternal outcome such as puerperal sepsis, ante-partum haem- orrhage, post-partum haemorrhage, and maternal mortality is well known. Anaemia contributes to an increase in the incidence of premature births, low birth weight babies, and prenatal mortality [8] [9]. Consequently, antenatal care is important to maintain women in good health during pregnancy, labour and child care. In Malaysia, ante- natal care is provided to the antenatal mother starting from the early gestational period until delivery. This study investigates the variation in Hb levels among urban antenatal mothers in Malaysia, and how socio-economic demographics influence the prevalence of anaemia.
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Prevalence and Associated Factors of Anemia among Pregnant Women Receiving Antenatal Care (ANC) at Fatima Hospital in Jashore, Bangladesh: A Cross Sectional Study

Prevalence and Associated Factors of Anemia among Pregnant Women Receiving Antenatal Care (ANC) at Fatima Hospital in Jashore, Bangladesh: A Cross Sectional Study

2.6. Data Processing and Analysis Data we reanalyzed using the Statistical Package for the Social Science (SPSS) (version 16.0) Descriptive analysis was employed to calculate frequency and percentage. Frequency tables and charts were used to present the summarized data. Binary logistic regression analysis was employed to identify factors asso- ciated with anemia. In every cases P Value < 0.05 was considered statistically significance.

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Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care at Government Hospitals in West Shoa Zone, Ethiopia

Assessment of Knowledge and Practice Towards Prevention of Anemia Among Pregnant Women Attending Antenatal Care at Government Hospitals in West Shoa Zone, Ethiopia

Back ground: Anemia affects 1.62 billion people (24.8%), among which 56 million are pregnant women. It is a major public health problem particularly among poorer segments of the population in developing countries where 95% of the world anemic pregnant women are residing. Anemia is one of the most commonly encountered medical disorders during pregnancy. According to WHO estimates, up to 56% of all women living in developing countries are anemic. Objective: The objective of the study was to assess the knowledge and practice regarding Prevention of anemia among pregnant mothers attending ANC in Governmental hospitals at west shoa zone, Ethiopia.Method: Hospital based cross sectional study was employed in three public hospitals found in West Shewa Zone to find out the level of knowledge and practice regarding prevention of anemia dung pregnancy among women attending ANC. A total of 286 pregnant mothers were interviewed by using pretested structured questionnaire from three hospitals. Simple random sampling procedure was carried out to attain the required sample size. Data was entered and processed in to the computer using SPSS version 20. Results: A total of 286 pregnant women were participated on the study. Among them only 57.3% and 50% were found to have good knowledge and poor practice respectively regarding prevention of anemia during pregnancy. Crude and adjusted odds ratio done revealed that educational status, living in urban, having nuclear family type, previous history of anemia and good practice were significantly associated with knowledge, while educational status and having good knowledge also found to be significantly associated with prevention of anemia during pregnancy.Conclusions: Based on study findings, half of the study participants attending ANC at West Shoa Zone Governmental Hospitals have Poor Knowledge and poor skills regarding prevention of anemia during pregnancy. Multiple factors such as education, residency, having nuclear type of family and previous anemia history found to affect knowledge and practice regarding prevention of anemia during pregnancy significantly.
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Utilization of antenatal care services among scheduled caste Women in India

Utilization of antenatal care services among scheduled caste Women in India

Folic acid: The U.S. Public Health Service recommends that women of childbearing age get at least 400 milligrams of folic acid each day, through food sources or supplements. For women who are thinking about getting pregnant, health care providers recommend supplementing the diet with folic acid for three months before pregnancy, and then for at least the first three months of pregnancy. Prenatal vitamins are a good way to get extra folic acid into the diet. Prenatal supplements often contain high amounts of folic acid and other compounds, such as iron and vitamin A. Iron deficiency anemia is the most common micronutrient deficiency in the world. It is a major threat to safe motherhood and to the health and survival of infants. Table 4 shows that around 66.7 scheduled caste mothers received IFA supplements during their pregnancy period. Among women who received IFA supplements during the pregnancy period, only 21.9 women consumed all the tablets that were supplied to them. As compared with TT coverage, IFA coverage was far behind.
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Undernutrition and its association with socio-demographic, anemia and intestinal parasitic infection among pregnant women attending antenatal care at the University of Gondar Hospital, Northwest Ethiopia

Undernutrition and its association with socio-demographic, anemia and intestinal parasitic infection among pregnant women attending antenatal care at the University of Gondar Hospital, Northwest Ethiopia

Women living in rural areas are more undernourished than their urban counterparts. Similar results have been reported from earlier studies [3, 6, 32, 33]. The disparity may be due to less developed infrastructures, low nutri- tional awareness, low access to health care, safe water, and sanitation facilities, traditional ways of farming as only means of surviving and cultural and religious influ- ences in rural areas. In addition, lower nutritional status among rural pregnant women could be explained partly by the fact that in rural areas women are more vulner- able to early marriage and childbearing than women in urban areas [6]. Hence, in addition to their own health needs, they need an adequate dietary intake for preg- nancy and child growth. Further, the higher levels of labor or workload among rural pregnant women may contribute to poor nutritional status among pregnant women in rural areas, as overexertion is a predisposing factor to maternal nutritional depletion [34].
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Performance of Antenatal Diagnostic Criteria of Twin-Anemia-Polycythemia Sequence.

Performance of Antenatal Diagnostic Criteria of Twin-Anemia-Polycythemia Sequence.

J. Clin. Med. 2020, 9, 2754 2 of 12 impairment [ 7 , 8 ]. The optimal management of TAPS remains uncertain, but strategies varying from fetoscopic laser therapy, intrauterine transfusion with or without partial exchange transfusion, selective reduction, early delivery, to expectant management have been described [ 7 , 8 ]. The available literature is limited by heterogeneity in monitoring protocols, the diagnostic criteria used, and small cohort sizes. The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) recommended routine ultrasound monitoring in all MCDA twin pregnancies from 20 weeks gestation, using a diagnostic threshold of a middle cerebral artery peak systolic velocity (MCA PSV) value of >1.5 MoM in the donor, and <1.0 MoM in the recipient [ 9 ]. Variations of clinical practice are reflected in other national guidelines, where the National Institute for Health and Care Excellence (NICE) [ 10 ] and the Royal College of Obstetricians and Gynaecologists (RCOG) have recommended only performing MCA PSV in complicated MCDA twin pregnancies [ 11 ], and the Society for Maternal-Fetal Medicine (SMFM) have not recommended monitoring for TAPS due to lack of robust evidence for improved perinatal outcomes [ 12 ]. The correlation between antenatal and postnatal diagnostic criteria is poorly understood. The prognostic implications of antenatal TAPS are unclear but need to be established in order to select those women and babies that would benefit from antenatal intervention.
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Anemia in antenatal patients and its outcome: an experience in tertiary care centre

Anemia in antenatal patients and its outcome: an experience in tertiary care centre

METHODS The present prospective observational study was conducted in the Department of Obstetrics and Gynecology of our institute and Sub-District Hospital Kangan between May 2016 and April 2017. All pregnant females with clinical evidence of anemia attending the antenatal clinic were included in the study. Only the cases without any co-morbidity were included in the study. The patients having any other associated morbidity like hypertension, diabetes, hypothyroidism, hepatic disorders, and bone marrow disorders were excluded from the study. The total of 500 patients were included in the final statistical analysis. After registration, data was collected in a pre-structured questionnaire.
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Antenatal care taking behavior of Bangladeshi women

Antenatal care taking behavior of Bangladeshi women

Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. Maternal health comprises the health of women during pregnancy, childbirth, and the postpartum period. Health problems during pregnancy may have serious consequences, not only for the woman but also for her child, her family, and her community. This paper is about the health care taking behavior during pregnancy (Antenatal Care) which is an important indicator of the utilization of Maternal Health Care Services (MHC) in Bangladesh. In our study we have focused on the factors that affect the antenatal care. In our study to define the antenatal care we paid our interest of a woman's antenatal visit, getting care from doctor, nurse, family welfare visitor (FWV), medical assistant/sub-assistant community medical officer (MA/SACMO). For this study, we used secondary data extracted from BDHS-2011, which is a national representative survey of the 15-49 years age groups women. The analysis has been carried out over 7,315 women who have fulfilled the study eligibility criteria. To see the effect of socio-economic and demographic factors on antenatal care (ANC), One way ANOVA was carried out for bivariate analysis and Generalized linear models (GLM) with log link function was carried out for multivariate analysis. In bivariate analysis it has been found that Type of place of residence, Media Exposure Educational level of Respondent, Husband/partner's education level, Region, Religion, Wealth index, Belong to NGO and Age of mother at birth has significant effect on antenatal care (ANC).
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The Antenatal Care Experiences of Overweight Pregnant Women in the UK

The Antenatal Care Experiences of Overweight Pregnant Women in the UK

the potential for my own bias and shared experience to influence the understanding emanating from the study as advised by Dwyer and Buckle (2009). They stated that it is a recognised perspective that has a potential to be problematic to some qualitative researchers if a researcher occupies a position of insider and outsider rather than an insider or an outsider, and they suggested a regular self-reflective exercise to limit any bias. Watson (1999) asserted that it was not clear whether the analysis of text arising from her interviews was her interpretation of the actual phenomenon or if she was projecting her own needs on her research participants. Recognising this potential bias, I became cautious, and consciously represented the experiences and views of my research participants through critical reflection (Dwyer and Buckle, 2009). For example, during interviews, women assumed that I had utilised the antenatal care system and made statements that demanded a response from me. So I used positive body language such as nodding to encourage them to continue discussing their experiences. At other times, women asked questions hoping for a response which indicates my agreement with their opinion. Being perceived as an insider at this time in question, allowed me to adopt a researcher’s (outsider) position which was important, as participants were not aware of the impediment to the research process of me adopting an insider position by providing them with expected responses.
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Quality of Antenatal Care Services by Midwives After Training of Integrated Antenatal Care to Pregnant Women in Province of Central Sulawesi

Quality of Antenatal Care Services by Midwives After Training of Integrated Antenatal Care to Pregnant Women in Province of Central Sulawesi

Hasil penelitian menunjukkan aspek masukan: asuhan Antenatal care dilakukan oleh bidan,dengan latar belakang pendidikan D III kebidanan, Pelayanan antenatal care tidak dipunggut biaya, dan alat pemeriksaan laboratorium seperti pemeriksaan HB, test protein dan glukose belum lengkap sehingga tidak dapat mendeteksi adanya komplikasi atau penyakit yang menyertai kehamilan, yang menyebabkan mutu pelayanan bidan kepada ibu hamil belum baik. Proses pembuatan perencanaan asuhan, pemeriksaan Kehamilan dilaksanakan Setiap ada kunjungan pemeriksaan Kehamilan., sesuai tahapan standar pelayanan dan pengawasan pelaksanaan Asuhan dilakukan Sebulan sekali dan yang diawasi adalah Pencapaian PWS, Kinerja bidan, Kasus kematian, Kasus rujukan.Mutu pelayanan asuhan Antenatal care oleh bidan pasca pelatihan ANC Terpadu kepada ibu hamil di Propinsi Sulawesi Tengah sudah berjalan baik. Bidan dalam memberikan pelayanan antenatal care kepada ibu hamil menghargai, menghormati, memberikan perhatian dan mendengarkan keluhan dan juga menjaga rahasia ibu hamil.
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A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital, Gujarat, India

A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital, Gujarat, India

A study done by Sanjel et al, shows a significant association between numbers of pregnancy and ANC visits during most recent pregnancy at 95% level of confidence (P < 0.05) whereas no such association was found in our study. Agarwal et al, in their study found that ANC received was significantly lower among illiterate women. This finding is similar with our finding in which women who were more educated were better aware about almost all the factors of ANC. However, women with lower education (< 10 th ) were performing better in term of visits and women with higher education (> 10 th ) were doing better practice with regards to nutrition and other factors. Overall educated women were practicing in a better way than non-educated women. 9 Our study findings were comparable with a study done by Al-Shammari et al, which found that educated mothers and mothers aged < 20 years had more prenatal visits which was similar to our study findings. 10 Similarly, working women were better aware about almost all the factors of ANC. But it was not uniform with regard to practice. Nonworking women were doing better practice with regards to antenatal visits, rest, etc., whereas working women were practicing in a better way than nonworking women with regards to nutritional aspects.
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Study to assess knowledge attitude and practices of antenatal care among antenatal women attending outdoor clinic in tertiary care hospital

Study to assess knowledge attitude and practices of antenatal care among antenatal women attending outdoor clinic in tertiary care hospital

registration and compliance with proper and regular ante natal checkups. 2 Although numerous health programs are in vogue as run by the Government of India, State governments and also initiated by numerous Non Government Organizations (NGOs), the scenario of coverage of ante natal care in India is far from satisfactory. Poverty, lack of education and awareness are mainly responsible for this. In context of the present situation, it is obvious that proper antenatal care services can definitely alleviate the major burden of maternal and child mortality and morbidity in this country. As reflected from outcome from the private sector, good maternal and fetal outcome is directly related to good antenatal care. So, with following objectives, we are conducting this study in government set up to find out the lacunae in the antenatal care, which will help the government agencies to frame and implement policies there by reducing maternal and perinatal mortality and morbidity.
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