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Determinants of anemia among pregnant women attending a tertiary hospital, Mogadishu, Somalia: unmatched case-control study.
Osman, Marian Muse; Keles, Esra; Bektemur, Guven; Eker, Hasan Huseyin; Karaketir, Seyma; Ozer, Ozgur.
Afiliação
  • Osman MM; Somalia National Institute of Health, Research Department - Mogadishu, Somalia.
  • Keles E; University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Department of Public Health - Istanbul, Turkey.
  • Bektemur G; University of Health Sciences Turkey, Kartal Dr. Lütfi Kirdar City Hospital, Department of Gynaecologic Oncology - Istanbul, Turkey.
  • Eker HH; University of Health Sciences Turkey, Kartal Dr. Lütfi Kirdar City Hospital, Department of Gynaecologic Oncology - Istanbul, Turkey.
  • Karaketir S; University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Department of Public Health - Istanbul, Turkey.
  • Ozer O; University of Health Sciences Turkey, Mogadishu Somalia-Turkey Recep Tayyip Erdogan Training and Research Hospital, Department of Public Health - Mogadishu, Somalia.
Rev Assoc Med Bras (1992) ; 70(5): e20231376, 2024.
Article em En | MEDLINE | ID: mdl-38775531
ABSTRACT

OBJECTIVE:

The objective of this study was to identify the factors associated with anemia among pregnant women attending a tertiary referral hospital in Mogadishu, Somalia.

METHODS:

An unmatched case-control study was conducted on pregnant women who visited the antenatal clinics of a tertiary referral hospital between March and July 2021. The study recruited pregnant women who had a hemoglobin level of <11 g/dL into the anemic group, while those with hemoglobin levels ≥11 g/dL were included in the non-anemic group. Demographics, clinical, obstetrics, nutrition-related, hygiene- and sanitation-related, and parasitic infection-related data were collected.

RESULTS:

A total of 449 pregnant women (399 anemic and 50 non-anemic) participated in the study. A total of 224 (56.7%) in the anemic group and 31 (62.0%) in the non-anemic group did not consume any dark green, leafy vegetables such as spinach, bukurey, cagaar, and koomboow (p=0.040). Notably, 255 (63.9%) in the anemic group and 21 (42.0%) in the non-anemic group had a middle-upper arm circumference <23 cm. More than half of anemic [335 (84%)] and non-anemic [46 (92.0%)] were classified under low dietary diversity score. Majority of the study participants, 288 (72.4%) of the anemic and 39 (78%) of the non-anemic groups, used pit toilets in dwellings, and 70.2% (134/191) of the anemic and 64.4% (246/382) of the non-anemic groups disposed of solid waste in open fields.

CONCLUSION:

This study demonstrated that women who consumed green vegetables such as spinach, bukurey, cagaar, and koomboow in their diet had middle-upper arm circumference less than 23 cm, and those with low dietary diversity significantly developed anemia during pregnancy.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Hematológicas na Gravidez / Centros de Atenção Terciária / Anemia Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Somália País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Hematológicas na Gravidez / Centros de Atenção Terciária / Anemia Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Somália País de publicação: Brasil