Knowledge about Anemia in Pregnancy among Females Attending Primary Health Care Centers in Baghdad
DOI:
https://doi.org/10.3889/oamjms.2022.8506Keywords:
Anemia, Pregnancy, Knowledge, Hemoglobin, IraqAbstract
BACKGROUND: In pregnancy, several physiological changes occur that lead to decrease in the level of hemoglobin. Anemia during pregnancy is a major public health concern in underdeveloped nations, with a high rate of morbidity and death among pregnant women. Inadequate prenatal care, a lack of information about the nutritional requirements of pregnant women, and general low socioeconomic circumstances all contribute to these high rates of morbidity and death. As pregnant women’s and husbands’ education levels increased, the frequency and severity of anemia decreased in the investigated community of pregnant women.
AIM: This study aims to find out the level of knowledge about anemia in pregnancy among adult females attending primary health care centers (PHCCs) and to find out if there is any association between sociodemographic characteristics of adult females and knowledge about anemia in pregnancy.
METHODS: A cross-sectional study with analytic component conducted in four PHCCs in Al-Adhamiya Health District during a period of 4 months from December 1, 2020, to April 1, 2021. It included 400 females aged between 18 and 45 years attending the selected PHCCs for any complaint. The data had been collected through the distribution of well-designed questionnaire including two parts: Participants’ sociodemographic characteristics and knowledge parts.
RESULTS: In this study, overall knowledge score of the participants about anemia in pregnancy showed that 60% had fair knowledge. There were statistically significant associations between knowledge score and age of females, marital status, educational level, occupation, and parity.
CONCLUSION: The majority of Iraqi adult females have fair and acceptable levels of knowledge about anemia in pregnancy. Younger age, being single, low educational level, unemployed, and low parity were associated with worst level of knowledge.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
World Health Organization. The Global Prevalence of Anaemia in 2011. Geneva: World Health Organization; 2011. Available from: http://www.apps.who.int/iris/bitstream/10665/177094/1/9789241564960_engpdf [Last accessed 2021 Feb 03].
Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: A systematic analysis of populationrepresentative data. Lancet Glob Health. 2013;1(1):e16-25. https://doi.org/10.1016/S2214-109X(13)70001-9 PMid:25103581 DOI: https://doi.org/10.1016/S2214-109X(13)70001-9
Nik Rosmawati NH, Nazri SM, Ismail IM. The rate and risk factors for anemia among pregnant mothers in Jerteh Terengganu, Malaysia. J Community Med Health Educ. 2012;2(150):2161-711.
Naghipour B, Aghamohamadi D, Azarfarin R, Mirinazhad M, Bilehjani E, Abbasali D, et al. Dexamethasone added to bupivacaine prolongs duration of epidural analgesia. Middle East J Anesthesiol. 2013;22(1):53-7. PMid:23833851
Morsy N, Alhady S. Nutritional status and socio-economic conditions influencing prevalence of anaemia in pregnant women. Int J Sci Technol Res. 2014;3(7):54-60.
Murphy JF. Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity. Vitamin and Mineral Nutrition Information System. Geneva: World Health Organization; 2011. http://www.who.int/vmnis/indicators/haemoglobin.pdf [Last accessed on 2012 Dec 01]. International Anemia Consultative Group. Report of the 2001 International Anemia Consultative Group Symposium. Why is Iron Important and what to do about it: A New Perspective. Washington, DC, INACG Secretariat, 2002. p. 1-50. Lozoff B, Jimenez E, Smith JB. Double burden of iron deficiency in infancy and low socioeconomic status: A longitudinal analysis of cognitive test scores to age 19 years. Arch Pediatr Adolesc Med. 2006;160:1108-13. PMid:17088512
Pasricha SR, Colman K, Centeno-Tablante E, Garcia-Casal MN, Peña-Rosas JP. Revisiting WHO haemoglobin thresholds to define anaemia in clinical medicine and public health. Lancet Haematol. 2018;5(2):e60-2. https://doi.org/10.1016/S2352-3026(18)30004-8 PMid:29406148 DOI: https://doi.org/10.1016/S2352-3026(18)30004-8
Margwe JA, Lupindu AM. Knowledge and attitude of pregnant women in rural Tanzania on prevention of Anaemia. Afr J Reprod Health. 2018;22(3):71-9. https://doi.org/10.29063/ajrh2018/v22i3.8 PMid:30381934
M’Cormack FA, Drolet JC. Assessment of anemia knowledge, attitudes and behaviors among pregnant women in sierra leone. Health Educ. 2012;44(2):9.
Nimbalkar PB, Patel JN, Thakor N, Patni M. Impact of educational intervention regarding anaemia and its preventive measures among pregnant women: an interventional study. Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5317. DOI: https://doi.org/10.18203/2320-1770.ijrcog20175137
Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK, Pradhan PM. Effect of nutrition education on hemoglobin level in pregnant women: A quasi-experimental study. PLoS One. 2019;14(3):e0213982. PMid:30897129 DOI: https://doi.org/10.1371/journal.pone.0213982
Seniar M, Najeeb B. Awareness of pregnant women about anemia during pregnancy. Indian J Forensic Med Toxicol. 2019;13(4):357-362. DOI: https://doi.org/10.5958/0973-9130.2019.00314.1
Thabit MF. Maternal knowledge related to anemia during pregnancy among a sample of mothers attending Primary Health Care centers. Baghdad. Al-Kindy Coll Med J. 2017;13(2):72-7. https://doi.org/10.47723/kcmj.v13i2.99 DOI: https://doi.org/10.47723/kcmj.v13i2.99
Rizvi F. Impact of maternal education, and socioeconomic status on maternal nutritional knowledge and practices regarding iron rich foods and iron supplements. Ann Pak Inst Med Sci. 2012;8(2):101-5.
Aboud SA, El Sayed HA, Ibrahim HA. Knowledge, attitude and practice regarding prevention of iron deficiency anemia among pregnant women in Tabuk Region. Int J Pharm Res Allied Sci. 2019;8(2):87-97.
Ghimire N, Pandey N. Knowledge and practice of mothers regarding the prevention of anemia during pregnancy, in teaching hospital, Kathmandu. J Chitwan Med Coll. 2013;3(3):14-7. DOI: https://doi.org/10.3126/jcmc.v3i3.8631
Dim CC, Onah HE. The prevalence of anemia among pregnant women at booking in Enugu, South Eastern Nigeria. Med Gen Med. 2007;9(3):11. PMid:18092018
Zimmermann MB, Hurrell RF. Nutritional iron deficiency. Lancet. 2007;370(9586):511-20. https://doi.org/10.1016/S0140-6736(07)61235-5 PMid:17693180 DOI: https://doi.org/10.1016/S0140-6736(07)61235-5
Balen J, Raso G, Li YS, Zhao ZY, Yuan LP, Williams GM, et al. Risk factors for helminth infections in a rural and a peri-urban setting of the Dongting Lake area, People’s Republic of China. Int J Parasitol. 2011;41(11):1165-73. https://doi.org/10.1016/j.ijpara.2011.07.006 PMid:21854780 DOI: https://doi.org/10.1016/j.ijpara.2011.07.006
Appiah PK, Nkuah D, Bonchel DA. Knowledge of and adherence to Anaemia prevention strategies among pregnant women attending antenatal care facilities in Juaboso district in Westernnorth region, Ghana. J Pregnancy. 2020;2020:2139892. https://doi.org/10.1155/2020/2139892 PMid:32802508 DOI: https://doi.org/10.1155/2020/2139892
Ratanasiri T, Koju R. Effect of knowledge and perception on adherence to iron and folate supplementation during pregnancy in Kathmandu, Nepal. J Med Assoc Thail. 2014;97(10):S67-74. PMid:25816540
Jiji DB, Rajagopal K. A study to assess the knowledge and risk factors of anaemia among the pregnant women attending selected health care facilities in Sebha, Libya. J Sci. 2014;4(1):19-22. DOI: https://doi.org/10.21276/apjhs.2014.1.4.21
AlAbedi GA, Arar AA, Alridh MS. Assessment of pregnant women knowledge and practices concerning iron deficiency anemia at Al-Amara City/Iraq. Medico Legal Update. 2020;20(3):1368-73.
Getahun W, Belachew T, Wolide AD. Burden and associated factors of anemia among pregnant women attending antenatal care in southern Ethiopia: Cross sectional study. BMC Res Notes. 2017;10(1):276. https://doi.org/10.1186/s13104-017-2605-x PMid:28705235 DOI: https://doi.org/10.1186/s13104-017-2605-x
Abdelgader EA, Diab TA, Kordofani AA, Abdalla SE. Hemoglobin level, RBCs Indices, and iron status in pregnant females in Sudan. Basic Res J Med Clin Sci. 2014;3(2):8-13.
Karaoglu L, Pehlivan E, Egri M, Deprem C, Gunes G, Genc MF, et al. The prevalence of nutritional anemia in pregnancy in an East Anatolian Province, Turkey. BMC Public Health. 2010;10(1):329. https://doi.org/10.1186/1471-2458-10-329 PMid:20537176 DOI: https://doi.org/10.1186/1471-2458-10-329
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Zahraa Al-Sattam, Samia Hassan, Bushra Majeed, Zaid Al-Attar (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0