The magnitude and associated factors of immediate postpartum anemia among women who gave birth in Ethiopia: systematic review and meta-analysis, 2023.
Study Goal
The researchers aimed to estimate the pooled magnitude of immediate postpartum anemia and identify associated factors, including iron/folate supplementation, among Ethiopian women.
Results Summary
The study found that lack of iron/folate supplementation was associated with higher odds of developing anemia (OR = 2.72, 95%CI: 1.85, 3.60) in the immediate postpartum period. The pooled magnitude of anemia was 27% (95%CI: 22, 32), indicating a moderate public health problem.
Population
Ethiopian women in the immediate postpartum period.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Instrumental mode of delivery | increase | anemia | immediate postpartum women in Ethiopia | OR = 3.14, 95%CI: 2.03, 4.24 | associated with higher odds of developing anemia | #1 |
mid-upper arm circumference (MUAC) measurement < 23 cm | increase | anemia | immediate postpartum women in Ethiopia | OR = 3.19, 95%CI: 1.35, 5.03 | associated with higher odds of developing anemia | #2 |
Antepartum Hemorrhage | increase | anemia | immediate postpartum women in Ethiopia | OR = 4.75, 95%CI: 2.46, 7.03 | associated with higher odds of developing anemia | #3 |
postpartum hemorrhage | increase | anemia | immediate postpartum women in Ethiopia | OR = 4.67, 95%CI: 2.80, 6.55 | associated with higher odds of developing anemia | #4 |
no iron/foliate supplementation | increase | anemia | immediate postpartum women in Ethiopia | OR = 2.72, 95%CI: 1.85, 3.60 | associated with higher odds of developing anemia | #5 |
iron /foliate supplementation | decrease | anemia related maternal mortality and morbidity | immediate postpartum women in Ethiopia | - | shall focus on prevention | #6 |
BACKGROUND: The immediate postpartum period is a very crucial phase for both the life of the mother and her newborn baby. Anemia is the most indirect leading cause of maternal mortality. However, anemia in the immediate postpartum period is a neglected public health problem in Ethiopia. Therefore, this systematic review and meta-analysis aimed to estimate the pooled magnitude of immediate postpartum anemia and the pooled effect size of associated factors in Ethiopia. METHODS: Searching of published studies done through PubMed, Medline, Cochrane, African index Medicus, List of Reference Index, Hinari, and Google Scholar. This systematic review and meta-analysis follow the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) godliness. The quality of studies was assessed by using a Newcastle- Ottawa Scale (NOS) assessment tool. Analysis was performed using a random effect model by using STATA 17 version software. Egger's weighted regression and I RESULTS: In this systematic review and meta-analysis, a total of 6 studies were included. The pooled magnitude of immediate postpartum anemia in Ethiopia was 27% (95%CI: 22, 32). Instrumental mode of delivery (OR = 3.14, 95%CI: 2.03, 4.24), mid-upper arm circumference (MUAC) measurement < 23 cm (OR = 3.19, 95%CI: 1.35, 5.03), Antepartum Hemorrhage (OR = 4.75, 95%CI: 2.46, 7.03), postpartum hemorrhage (OR = 4.67, 95%CI: 2.80, 6.55), and no iron/foliate supplementation (OR = 2.72, 95%CI: 1.85, 3.60) were the identified factors associated with developing anemia in the immediate postpartum period. CONCLUSION: The overall pooled magnitude of anemia in the immediate postpartum period among Ethiopian women was still a moderate public health problem. Instrumental mode of delivery, mid upper arm circumference (MUAC) measurement < 23 cm, antepartum hemorrhage, postpartum hemorrhage, and no iron/foliate supplementation were the identified factors associated with higher odds of developing anemia among immediate postpartum women in Ethiopia. Therefore, midwives, and doctors, shall focus on prevention of maternal hemorrhage, nutritional advice and counseling including iron /foliate supplementation, and avoid unnecessary instrumental delivery to prevent and reduce anemia related maternal mortality and morbidity in Ethiopia. PROSPERO REGISTRATION: CRD42023437414 with registration date on 02/08/2023.