Abstrakt: |
Anemia is a significant public health problem in developing countries, particularly in pregnant women. In developing countries, the cause of anemia during pregnancy is multifactorial and includes nutritional deficiencies. It is associated with an increased risk of maternal and perinatal morbidity and mortality. To assess the risk factors for anemia among pregnant women attending primary health care centers in Hilla city, predict the variables that contribute to the risk factors for anemia among pregnant women and find out the relationship between risk factors for anemia and these variables. A case-control study design conducted on a convenient sample of (700) pregnant women include (350) pregnant women with anemia (case group) and (350) pregnant women who do not suffer from anemia (control group) selected from 22 primary health care centers in AL-Hilla city (First Al-Hilla Sector (11) &Second Al-Hilla Sector (11) ) during a period from 1st December 2020 ending on 30th May 2021. The data were collected through the utilization of the developed questionnaire and through structured interview techniques with the subjects who were individually interviewed in the primary health care center. Content validity and reliability of the questionnaire determined through a pilot study, descriptive and inferential statistic is used to analyze the data. The result of the study showed that the highest percentage in case-control studies was (29.4% &32%) respectively their age range between (20-24) years, with regard to educational qualifications, the highest percentage (37.4%, 46%) were primary school graduates. And (77.4%, 84.3%) of housewives. Most pregnant women (80.6%, 81.1%) live in urban areas. (63.7% & 60.9%) were economically have enough income monthly from the point of view for both groups, the socio-economic status as the highest percentage (60.6% & 66.3%) were of middle socio-economic level for both case study and control groups respectively. Also, the highest percentage of the study group was (54%) had mild anemia. housewives had 1.5 times risk of anemia during pregnancy (OR=1.564). Nutritional status review for every food item showed a significant risk for anemia during pregnancy varied between about 1.5-2.5 times when pregnant women fail to attain or eat or taken the required variant nutritional items of healthy food (read meat, white meat, vegetables, fruits, grain, fresh juices, vitamin C containing fruits & eggs). 1.5 times of pregnant take folic acid pills daily but still have anemia during pregnancy (OR=1.454) and also 1.8 times risk of having anemia during pregnancy when taking pain relievers, especially aspirin (OR=1.755). During pregnancy showed that the risk of being anemic during pregnancy is higher 2 times (OR=2.007) if pregnant do not take milk or dairy products during meals and she will be protected (OR = 0.186) from developing anemia during pregnancy if she did not take tea or coffee immediately after meal during pregnancy. [ABSTRACT FROM AUTHOR] |