Prevalence study of gestational anemia and associated factors in the referral maternity hospital of Joinville – SC
DOI:
https://doi.org/10.11606/issn.1679-9836.v98i6p389-395Keywords:
Anemia, Pregnancy, Infants, Birth weight, Prevalence, Anemia, iron-deficiency, Brazil, EpidemiologyAbstract
Objective: Assess the prevalence of gestacional anemia in pregnants in the referral maternity hospital of Santa Catarina. Methods: An observational, cross-sectional study was conducted from March to May 2017, in a public maternity hospital in the south of Brazil. Data were obtained by reviewing medical records, prenatal cards, and applying a standardized questionnaire to the parturients in the immediate postpartum period. The outcome analyzed was the presence of gestational anemia. Multinomial logistic regression models were constructed to calculate the ratio of chance and adjusted for confounding variables. The level of statistical significance adopted was 5% (p <0.05). Results: 740 parturients were evaluated, which from 263 (35.6%) had hemoglobin value indicated gestational anemia in one of the three trimesters. The anemic population was characterized by lower maternal age, education and percentage of married women, higher prevalence of underweight BMI and earlier prenatal care. Conclusion: The prevalence of gestational anemia in this study was 36.5%
Downloads
Download data is not yet available.
References
1. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ação Básica. Programa nacional de suplementação de ferro: manual de condutas gerais. Brasília, DF; 2013 [citado 27 mar 2017]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/manual_suplementacao_ferro_condutas_gerais.
2. Chowdhury HA, Ahmed KR, Jebunessa F, Akter J, Hossain S, Shahjahan MD. Factors associated with maternal anaemia among prenant women in Dhaka City. BMC Women’s Health. 2015;15:77. doi: https://doi.org/10.1186/s12905-015-0234-x.
3. Picon PD, Gadelha MIP, Alexandre RF. Anemia por deficiência de ferro. Protocolo clínico e diretrizes: portaria SAS/MS nº 1.247. Brasília, DF; 2014 [acesso 16 abr. 2017]. Disponível em: http://portalms.saude.gov.br.
4. Elert VW, Machado AKF, Pastore, CA. Anemia gestacional: prevalência e aspectos nutricionais relacionados em parturientes de um hospital público do sul do Brasil. Braz J Food Nutrit. 2013;24(3):353-9. doi: https://doi.org/10.1590/SO100-720320150005400.
5. Cantor AG, Bougatsos C, Dana T, Blanzina I, McDonagh. Routine iron supplementation and screening for iron deficiency anemia in pregnancy: a systematic review for the U. S. preventive services task force. Ann Inter Med. 2015;162(8):566-76. doi: https://doi.org/10.7326/M14-2932.
6. Oliveira AC, Barros AMR, Ferreira RC. Fatores de risco associados a anemia em gestantes da rede pública de saúde de uma capital do Nordeste do Brasil. Rev Bras Ginecol Obstet. 2015;37(11):505-11. doi: https://doi.org/10.1590/SO100-720320150005400.
7. Xu X, Liu S, Rao Y, Shi Z, Wang L, Sharma M et al. Prevalence and sociodemographic and lifestyle determinants of anemia during pregnancy: a cross-sectonal study of pregnant women in China. Int J Environ Res Public Health. 2016;13(9):908. doi: https://doi.org/10.3390/ijerph13090908.
8. Adam I, Ibrahim Y, Elhardello O. Prevalence, types and determinants of anemia among pregnant in Sudan: a sistematic review and meta-amalysis. BMC Hematol. 2018;18:31. doi:https://doi.org/10.1186/s12878-018-0124-1.
9. Obai G, Odongo P, Wanyama R. Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima Regional Hospitals in Uganda: a cross sectional study. BMC Pregnancy Childbirth. 2016;16:76. doi: https://doi.org/10.1186/s12884-016-0865-4.
10. Adanikin AI, Awoleke JO. Sociodemographic factors associated with anaemia in pregnancy at booking for antenatal care. J Obstet Gynaecol. 2015;36(1):44-7. doi: https://doi.org/10.1155/2014/849080.
11. Baraka, MA, Steurbaut S, Laubach M, Coomans D, Dupont AG.Iron status, iron supplementation and anemia in pregnancy: ethnic differences. J Maternal-Fetal Neonatal Med. 2012;25(8):1305-10. doi: https://doi.org/10.3109/14767058.2011.632036.
12. Gaillard R, Eilers PH, Yassine S, Hofman A, Steegers EA, Jaddoe VW. Risk factors and consequences of maternal anaemia and elevated haemoglobin levels during pregnancy: a population-based prospective cohort study. Paediatric Perinatal Epidemiol. 2014;28(3):213-26. doi: https://doi.org/10.1111/ppe.12112.
13. Alizadeh L, Salehi L. Is routine iron supplementation necessary in pregnant women with high hemoglobin? Iranian Red Crescent Med J. 2016;18(1):227-61. doi: https://doi.org/10.5812/ircmj.22761.
14. World Health Organization. Global Database on Anaemia. Worldwide prevalence of anaemia 1993-2005 [cited 2017 March 16]. Available from: https://apps.who.int/iris.
15. Ferreira HS, Moura FA, Cabral CRJ. Prevalência e fatores associados à anemia em gestantes da região semi-árida do Estado de Alagoas. Rev Bras Ginecol Obstet. 2008;30(9):445-51. doi: https://doi.org/10.1590/S0100-72032008000900004.
16. Oliveira AC, Barros AMR, Ferreira RC. Fatores de risco associados a anemia em gestantes da rede pública de saúde de uma capital do Nordeste do Brasil. Rev Bras Ginecol Obstet. 2015;37(11):505-11. doi: https://doi.org/10.1590/SO100-720320150005400.
17. Gebre A, Mulugeta A. Prevalence of anaemia and associated factors among pregnant women in North Western zone of Tigray, Northern Ethiopia: a cross- sectional study. J Nutrit Metabol. 2015;2015:165430. doi: https://doi.org/10.1155/2015/165430.
18. Campigotto AC, Farias MC, Pinto DC, Alburquerque FG. Factors relating to iron deficiency anemia in pregnancy: an integrative review. Int Arch Med. 2015;8(159):1-11. doi: https://dx.doi.org/10.3823/1758.
19. Santos EM, Amorim LP, Costa OL, Oliveira N, Guimarães AC. Profile of gestational and metabolic risk in the prenatal care service of a public maternity in the Brazilian Northeast. Rev Bras Ginecol Obstet. 2012;34(3):102-6. doi: https://doi.org/10.1590/S0100-72032012000300002.
20. Bouzari Z, Basirat Z, Zadeh MZ, Cherati SY, Ardebil MD, Mohammadnetaj M et al. Daily versus intermittent iron supplementation in pregnant women. BMC Res Notes. 2011;4:444. doi: https://doi.org/10.1186/1756-0500-4-444.
21. Kang Y, Dang S, Zeng L, Wang D, Li Q, Wang J etal. Multi-micronutrient supplementation during pregnancy for prevention of maternal anaemia and adverse birth outcomes in a high-altitude area: a prospective cohort study in rural Tibet of China. Brit J Nutr. 2017;118(6):431-40. doi: https://doi.org/10.1017/S000711451700229X.
22. Menon KC, Ferguson EL, Thomson CD, Gray AR, Zodpey S, Saraf A.Effects of anemia at different stages of gestation on infant outcomes. Nutrition. 2016;32(1):61-5. doi: https://doi.org/10.1016/j.nut.2015.07.009
23. Rodriguez-Bernal CL, Rebagliato M, Ballester F. Maternal nutrition and fetal growth: the role of iron status and intake during pregnancy. Nutr Dietary Suppl. 2002;4:25-37. doi: https://doi.org/10.2147/NDS.S13093
24. Banjari I, Kenjerić D, Mandić M. What is the real public health significance of iron deficiency and iron deficiency anaemia in Croatia? A population-based observational study on pregnant women at early pregnancy from Eastern Croatia. Central Eur J Public Health. 2015;23(2):122-7. doi: https://doi.org/10.21101/cejph.a3962.
25. Haider BA, Olofin I, Wang M, Spiegelman D, Ezzati M, Fawzi WW. Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. BMJ. 2013;346:34-43. doi: https://doi.org/10.1136/bmj.f3443.
26. Rahman MM, Abe SK, Rahman MS, Kanda M, Narita S, Bilano V, et al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis. Am J Clin Nutrit. 2016;103:495-504. doi: https://doi.org/10.3945/ajcn.115.107896.
27. Drukker L, Hants Y, Farkash R, Ruchlemer R, Samueloff A, Grisaru-Granovsky S. Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes. Transfusion. 2015;55:2799-806. doi: https://doi.org/10.1111/trf.13252.
28. Baradwan S, Alyousef A, Turkistani A. Associations between iron deficiency anemia and clinical features among pregnant women: a prospective cohort study. J Blood Med. 2018;9:163. doi: https://doi.org/10.2147/JBM.S175267.
29. Cesar JA, Dumith SC, ChrestaniII MAD, Mendoza-SassiI RA. Suplementação com sulfato ferroso entre gestantes: resultados de estudo transversal de base populacional. Rev Bras Epidemiol. 2013;16(3):729-36. doi: https://doi.org/10.1590/S1415-790X2013000300016.
30. Milman N, Paszkowski T, Cetin I, Castelo-Branco C. Supplementation during pregnancy: beliefs and science. Gynecol Endocrinol. 2016;32(7):1-8. doi: https://doi.org/10.3109/09513590.2016.1149161.
2. Chowdhury HA, Ahmed KR, Jebunessa F, Akter J, Hossain S, Shahjahan MD. Factors associated with maternal anaemia among prenant women in Dhaka City. BMC Women’s Health. 2015;15:77. doi: https://doi.org/10.1186/s12905-015-0234-x.
3. Picon PD, Gadelha MIP, Alexandre RF. Anemia por deficiência de ferro. Protocolo clínico e diretrizes: portaria SAS/MS nº 1.247. Brasília, DF; 2014 [acesso 16 abr. 2017]. Disponível em: http://portalms.saude.gov.br.
4. Elert VW, Machado AKF, Pastore, CA. Anemia gestacional: prevalência e aspectos nutricionais relacionados em parturientes de um hospital público do sul do Brasil. Braz J Food Nutrit. 2013;24(3):353-9. doi: https://doi.org/10.1590/SO100-720320150005400.
5. Cantor AG, Bougatsos C, Dana T, Blanzina I, McDonagh. Routine iron supplementation and screening for iron deficiency anemia in pregnancy: a systematic review for the U. S. preventive services task force. Ann Inter Med. 2015;162(8):566-76. doi: https://doi.org/10.7326/M14-2932.
6. Oliveira AC, Barros AMR, Ferreira RC. Fatores de risco associados a anemia em gestantes da rede pública de saúde de uma capital do Nordeste do Brasil. Rev Bras Ginecol Obstet. 2015;37(11):505-11. doi: https://doi.org/10.1590/SO100-720320150005400.
7. Xu X, Liu S, Rao Y, Shi Z, Wang L, Sharma M et al. Prevalence and sociodemographic and lifestyle determinants of anemia during pregnancy: a cross-sectonal study of pregnant women in China. Int J Environ Res Public Health. 2016;13(9):908. doi: https://doi.org/10.3390/ijerph13090908.
8. Adam I, Ibrahim Y, Elhardello O. Prevalence, types and determinants of anemia among pregnant in Sudan: a sistematic review and meta-amalysis. BMC Hematol. 2018;18:31. doi:https://doi.org/10.1186/s12878-018-0124-1.
9. Obai G, Odongo P, Wanyama R. Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima Regional Hospitals in Uganda: a cross sectional study. BMC Pregnancy Childbirth. 2016;16:76. doi: https://doi.org/10.1186/s12884-016-0865-4.
10. Adanikin AI, Awoleke JO. Sociodemographic factors associated with anaemia in pregnancy at booking for antenatal care. J Obstet Gynaecol. 2015;36(1):44-7. doi: https://doi.org/10.1155/2014/849080.
11. Baraka, MA, Steurbaut S, Laubach M, Coomans D, Dupont AG.Iron status, iron supplementation and anemia in pregnancy: ethnic differences. J Maternal-Fetal Neonatal Med. 2012;25(8):1305-10. doi: https://doi.org/10.3109/14767058.2011.632036.
12. Gaillard R, Eilers PH, Yassine S, Hofman A, Steegers EA, Jaddoe VW. Risk factors and consequences of maternal anaemia and elevated haemoglobin levels during pregnancy: a population-based prospective cohort study. Paediatric Perinatal Epidemiol. 2014;28(3):213-26. doi: https://doi.org/10.1111/ppe.12112.
13. Alizadeh L, Salehi L. Is routine iron supplementation necessary in pregnant women with high hemoglobin? Iranian Red Crescent Med J. 2016;18(1):227-61. doi: https://doi.org/10.5812/ircmj.22761.
14. World Health Organization. Global Database on Anaemia. Worldwide prevalence of anaemia 1993-2005 [cited 2017 March 16]. Available from: https://apps.who.int/iris.
15. Ferreira HS, Moura FA, Cabral CRJ. Prevalência e fatores associados à anemia em gestantes da região semi-árida do Estado de Alagoas. Rev Bras Ginecol Obstet. 2008;30(9):445-51. doi: https://doi.org/10.1590/S0100-72032008000900004.
16. Oliveira AC, Barros AMR, Ferreira RC. Fatores de risco associados a anemia em gestantes da rede pública de saúde de uma capital do Nordeste do Brasil. Rev Bras Ginecol Obstet. 2015;37(11):505-11. doi: https://doi.org/10.1590/SO100-720320150005400.
17. Gebre A, Mulugeta A. Prevalence of anaemia and associated factors among pregnant women in North Western zone of Tigray, Northern Ethiopia: a cross- sectional study. J Nutrit Metabol. 2015;2015:165430. doi: https://doi.org/10.1155/2015/165430.
18. Campigotto AC, Farias MC, Pinto DC, Alburquerque FG. Factors relating to iron deficiency anemia in pregnancy: an integrative review. Int Arch Med. 2015;8(159):1-11. doi: https://dx.doi.org/10.3823/1758.
19. Santos EM, Amorim LP, Costa OL, Oliveira N, Guimarães AC. Profile of gestational and metabolic risk in the prenatal care service of a public maternity in the Brazilian Northeast. Rev Bras Ginecol Obstet. 2012;34(3):102-6. doi: https://doi.org/10.1590/S0100-72032012000300002.
20. Bouzari Z, Basirat Z, Zadeh MZ, Cherati SY, Ardebil MD, Mohammadnetaj M et al. Daily versus intermittent iron supplementation in pregnant women. BMC Res Notes. 2011;4:444. doi: https://doi.org/10.1186/1756-0500-4-444.
21. Kang Y, Dang S, Zeng L, Wang D, Li Q, Wang J etal. Multi-micronutrient supplementation during pregnancy for prevention of maternal anaemia and adverse birth outcomes in a high-altitude area: a prospective cohort study in rural Tibet of China. Brit J Nutr. 2017;118(6):431-40. doi: https://doi.org/10.1017/S000711451700229X.
22. Menon KC, Ferguson EL, Thomson CD, Gray AR, Zodpey S, Saraf A.Effects of anemia at different stages of gestation on infant outcomes. Nutrition. 2016;32(1):61-5. doi: https://doi.org/10.1016/j.nut.2015.07.009
23. Rodriguez-Bernal CL, Rebagliato M, Ballester F. Maternal nutrition and fetal growth: the role of iron status and intake during pregnancy. Nutr Dietary Suppl. 2002;4:25-37. doi: https://doi.org/10.2147/NDS.S13093
24. Banjari I, Kenjerić D, Mandić M. What is the real public health significance of iron deficiency and iron deficiency anaemia in Croatia? A population-based observational study on pregnant women at early pregnancy from Eastern Croatia. Central Eur J Public Health. 2015;23(2):122-7. doi: https://doi.org/10.21101/cejph.a3962.
25. Haider BA, Olofin I, Wang M, Spiegelman D, Ezzati M, Fawzi WW. Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. BMJ. 2013;346:34-43. doi: https://doi.org/10.1136/bmj.f3443.
26. Rahman MM, Abe SK, Rahman MS, Kanda M, Narita S, Bilano V, et al. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis. Am J Clin Nutrit. 2016;103:495-504. doi: https://doi.org/10.3945/ajcn.115.107896.
27. Drukker L, Hants Y, Farkash R, Ruchlemer R, Samueloff A, Grisaru-Granovsky S. Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes. Transfusion. 2015;55:2799-806. doi: https://doi.org/10.1111/trf.13252.
28. Baradwan S, Alyousef A, Turkistani A. Associations between iron deficiency anemia and clinical features among pregnant women: a prospective cohort study. J Blood Med. 2018;9:163. doi: https://doi.org/10.2147/JBM.S175267.
29. Cesar JA, Dumith SC, ChrestaniII MAD, Mendoza-SassiI RA. Suplementação com sulfato ferroso entre gestantes: resultados de estudo transversal de base populacional. Rev Bras Epidemiol. 2013;16(3):729-36. doi: https://doi.org/10.1590/S1415-790X2013000300016.
30. Milman N, Paszkowski T, Cetin I, Castelo-Branco C. Supplementation during pregnancy: beliefs and science. Gynecol Endocrinol. 2016;32(7):1-8. doi: https://doi.org/10.3109/09513590.2016.1149161.
Downloads
Published
2019-11-27
Issue
Section
Artigos/Articles
How to Cite
Schafaschek, H. da S., Silva, C. F. da, Silva, G. F. da, Guimbala, M. A. B., Almeida, S. de, & Silva, J. C. (2019). Prevalence study of gestational anemia and associated factors in the referral maternity hospital of Joinville – SC. Revista De Medicina, 98(6), 389-395. https://doi.org/10.11606/issn.1679-9836.v98i6p389-395
