KNOWLEDGE OF ANAEMIA IN PREGNANCY AND PATTERN OF CHRONIC DISEASES AMONG ANTENATAL CLINIC ATTENDEES IN SOUTHWEST NIGERIA
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Abstract
Anaemia affects about one-third of the global population. There has been a steady global rise in the prevalence of chronic conditions among people of all ages, and at least one in every ten pregnant women has a pre-existing medical condition. This study aimed to assess knowledge of anaemia and the pattern of chronic diseases among pregnant women attending the antenatal clinic at a Federal Teaching Hospital, Ido-Ekiti. The study was a descriptive cross-sectional study conducted at the Federal Teaching Hospital, Ido-Ekiti, over a period of three months. A sample size of 277 was determined, and a response rate of 97% was observed during data collection. Study participants were recruited using systematic sampling on each antenatal clinic (ANC) day from August to October, 2023. A semi-structured, interviewer-administered questionnaire on knowledge of anaemia in pregnancy and the pattern of chronic diseases was used to obtain relevant information from the recruited subjects. All collected data were entered into IBM Statistical Package for Social Sciences (SPSS) version 21.0 for analysis. Exact 77.8% of respondents demonstrated a good level of knowledge regarding anaemia in pregnancy, whereas only 22.2% had poor knowledge. The distribution of chronic illnesses among pregnant women showed that hypertension (6.7%), diabetes mellitus (2.6%), and asthma (2.2%) were the predominant chronic conditions. There was good knowledge of anaemia among respondents; there is still a need for continuous health education to ANC attendees in Nigeria. Pattern of chronic illnesses among pregnant women in this study revealed hypertension in pregnancy as dominant, followed by diabetes mellitus. Improved knowledge of anaemia among pregnant women regarding preventive practices, early detection, and effective management of anaemia and chronic diseases in pregnancy is a crucial step toward reducing multiple pathologies in pregnancy among Nigerian women.
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Adekunle, A. J., & Domero, U. A. (2023). Knowledge and practice of prevention of anaemia in pregnancy among women attending antenatal clinic at Olabisi Onabanjo University Teaching Hospital, Ogun State. Midwifery (journal), 6(3), 132–148.
Adokiya, M. N., Abodoon, G. N., & Boah, M. (2022). Prevalence and determinants of anaemia during third trimester of pregnancy: A retrospective cohort study of women in the northern region of Ghana. Women & Health, 62(2), 168–179.
Agan, T., Ekabua, J. E., Udoh, J. A., Ekanem, E. I., Efiok, E. E., & Mgbekem, M. A. (2010). Prevalence of anemia in women with asymptomatic malaria parasitaemia at first antenatal care visit at the University of Calabar Teaching Hospital, Calabar, Nigeria. International Journal of Women's Health, 2(1), 229–233.
Ajayi, I. O., Osakinle, D. C., & Osakinle, E. O. (2013). Quality assessment of the practice of focused antenatal care (FANC) in rural and urban primary health centres in Ekiti State. Open Journal of Obstetrics and Gynecology, 3(3), 319–326.
Anorlu, R. I., Oluwole, A. A., & Abudu, O. O. (2006). Socio-demographic factors in anaemia in pregnancy at booking in Lagos, Nigeria. Journal of Obstetrics and Gynaecology, 26(8), 773–776.
Babah, O. A., Owie, E., Ohazurike, E. O., & Akinajo, O. R. (2018). Prevalence and pattern of medical disorders in pregnancy at the time of delivery at Lagos University Teaching Hospital, Lagos, Nigeria. Sub-Saharan African Journal of Medicine, 5(3), 93.
Bolarinwa, O. A. (2020). Sample size estimation for health and social science researchers: The principles and considerations for different study designs. Nigerian Postgraduate Medical Journal, 27(2), 67–75. https://journals.lww.com/npmj/fulltext/2020/27020/sample_size_estimation_for_health_and_social.1.aspx
Brown, H. K., McKnight, A., & Aker, A. (2022). Association between pre-pregnancy multimorbidity and adverse maternal outcomes: A systematic review. Journal of Comorbidity and Multimorbidity, 12, 26335565221096584.
Buseri, F. I., Uko, E. K., Jeremiah, Z. A., & Usanga, E. A. (2008). Prevalence and risk factors of anaemia among pregnant women in Nigeria. The Open Hematology Journal, 2(1), 14–19.
El Ashiry, A., El Ghazali, S., & Habil, I. (2014). Prevalence and determinants of anaemia in third trimester pregnancy in Fayoum governorate, Egypt. Acta Medica Mediterranea, 30(10), 1045–1051.
Ido Ekiti, Ekiti, Nigeria – Population and demographics. (2015). City facts.com. https://www.city-facts.com/ido-ekiti
Keneni, B., Jayanthigopal, D. B., & Dereje, B. (2018). Assessment of knowledge and practice towards prevention of anaemia among pregnant women attending antenatal care at Government Hospitals in West Shoa Zone, Ethiopia. Journal of Health, Medicine and Nursing, 50, 2422–8419.
Kersten, I., Lange, A. E., Haas, J. P., Fusch, C., Lode, H., Hoffmann, W., et al. (2014). Chronic diseases in pregnant women: Prevalence and birth outcomes based on the SNiP-study. BMC Pregnancy and Childbirth, 14(1).
Koyuncu, K., Turgay, B., Şükür, Y. E., Yıldırım, B., Ateş, C., & Söylemez, F. (2017). Third trimester anemia extends the length of hospital stay after delivery. Turkish Journal of Obstetrics and Gynecology, 14(3), 166.
Liyew, A. M., Tesema, G. A., Alamneh, T. S., Worku, M. G., Teshale, A. B., Alem, A. Z., Tessema, Z. T., & Yeshaw, Y. (2021). Prevalence and determinants of anemia among pregnant women in East Africa: A multi-level analysis of recent Demographic and Health Surveys. PLOS ONE, 16(4), e0250560
Nnebue, C. C., Ebenebe, U. E., Adinma, E. D., Iyoke, C. A., Obionu, C. N., & Ilika, A. L. (2014). Clients’ knowledge, perception and satisfaction with quality of maternal health care services at the primary health care level in Nnewi, Nigeria. Nigerian Journal of Clinical Practice, 17(5). https://doi.org/10.4103/1119-3077.141425
Ojewale, L. Y., & Olabode, I. O. (2024). Illness pattern and pregnancy outcomes among women with chronic medical conditions in a hospital in Ibadan. The Nigerian Health Journal, 24(3), 1505–1513. https://doi.org/10.60787/tnhj.v24i3.863
Omote, V., Ukwamedua, H. A., Bini, N., Kashibu, E., Ubandoma, J. R., & Ranyang, A. (2020). Prevalence, severity, and correlates of anaemia in pregnancy among antenatal attendees in Warri, South-Southern Nigeria: A cross-sectional and hospital-based study. Anemia (journal), 2020, 1–. https://doi.org/10.1155/2020/1915231
Omigbodun, A. O. (2005). Commentary: Recent trends in the management of anaemia in pregnancy. Tropical Journal of Obstetrics and Gynaecology, 21(1), 1–3.
Onyeneho, N. G., & Subramanian, S. V. (2016). Anemia in pregnancy: Factors influencing knowledge and attitudes among mothers in southeastern Nigeria. Journal of Public Health, 24, 335–349
Ogbeide, O., Wagbatsoma, V., & Orhue, A. (1994). Anaemia in pregnancy. East African Medical Journal, 71(10), 671–673.
Osman, M. O., Nour, T. Y., Bashir, H. M., Roble, A. K., Nur, A. M., & Abdilahi, A. O. (2020). Risk factors for anemia among pregnant women attending the antenatal care unit in selected Jigjig public health facilities, Somali region, East Ethiopia 2019: Unmatched case-control study. Journal of Multidisciplinary Healthcare, 13, 769–777. https://doi.org/10.2147/JMDH.S260398
Oyelese, A. T., Ogbaro, D. D., Wakama, T. T., Adediran, A., Gbadegesin, A., Awodele, I. O., Ocheni, S., Adetola, A., & Adenuga, J. O. (2021). Socio-economic determinants of prenatal anaemia in rural communities of South-West Nigeria: A preliminary report. American Journal of Blood Research, 11(4), 410.
Oyewole Oyerinde, O., Nkanga, E. A., Oyerinde, I. E., Akintoye, O., Asekun-Olarinmoye, I., & Alabi, Q. K. (2023). Factors affecting anemia in pregnancy women in Ibeju-Lekki, Lagos State, Nigeria. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 60, 00469580231159961.
Sholeye, O. O., Animasahun, V. J., & Shorunmu, T. O. (2017). Anemia in pregnancy and its associated factors among primary care clients in Sagamu, Southwest, Nigeria: A facility-based study. Journal of Family Medicine and Primary Care, 6(2), 323–329. https://doi.org/10.4103/jfmpc.jfmpc_74_16
The Lancet. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100), 1211–1259.
Ugwu, N. I., & Uneke, C. J. (2020). Iron deficiency anemia in pregnancy in Nigeria—A systematic review. Nigerian Journal of Clinical Practice, 23(7), 889–896.
Van den Broek, N. R., Rogerson, S. J., Mhango, C. G., Kambala, B., White, S. A., & Molyneux, M. E. (2000). Anaemia in pregnancy in southern Malawi: Prevalence and risk factors. BJOG: An International Journal of Obstetrics & Gynaecology, 107(4), 445–451
World Health Organization. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity: Vitamin and Mineral Nutrition Information System (WHO/NMH/NHD/MNM/11.1). https://www.who.int/publications/i/item/WHO-NMH-NHD-MNM-11.1
World Health Organization. (2014). Global nutrition targets 2025: Anaemia policy brief (WHO/NMH/NHD/14.4). World Health Organization.