Determinants of Anemia in Postpartum HIV-Negative Women in Dar es Salaam, Tanzania

DSpace/Manakin Repository

Determinants of Anemia in Postpartum HIV-Negative Women in Dar es Salaam, Tanzania

Citable link to this page

 

 
Title: Determinants of Anemia in Postpartum HIV-Negative Women in Dar es Salaam, Tanzania
Author: Petraro, Paul; Duggan, Christopher Paul; Urassa, Willy; Msamanga, Gernard; Makubi, Abel; Spiegelman, Donna Lynn; Fawzi, Wafaie W.

Note: Order does not necessarily reflect citation order of authors.

Citation: Petraro, P, C Duggan, W Urassa, G Msamanga, A Makubi, D Spiegelman, and W W Fawzi. 2013. “Determinants of Anemia in Postpartum HIV-Negative Women in Dar Es Salaam, Tanzania.” Eur J Clin Nutr 67 (7) (April 24): 708–717. doi:10.1038/ejcn.2013.71.
Full Text & Related Files:
Abstract: Objective: The determinants of anemia during both pregnancy and postpartum recovery remain incompletely understood in sub-Saharan African women.
Subjects/methods: In a prospective cohort study among pregnant women, we assessed dietary, biochemical, anthropometric, infectious and sociodemographic factors at baseline. In multivariate Cox proportional hazards models, we examined predictors of incident anemia (hemoglobin <11 g/dl) and iron deficiency anemia (anemia plus mean corpuscular volume <80fL), and recovery from anemia and iron deficiency anemia through 18 months postpartum at antenatal clinics in Dar es Salaam, Tanzania between 2001 and 2005. A total of 2364 non-anemic pregnant women and 4884 anemic women were enrolled between 12 and 27 weeks of gestation.
Results: In total, 292 women developed anemia during the postpartum period and 165 developed iron deficiency anemia, whereas 2982 recovered from baseline anemia and 2044 from iron deficiency anemia. Risk factors for postpartum anemia were delivery complications (RR 1.6, 95% confidence interval (CI) 1.13, 2.22) and low postpartum CD4 cell count (RR 1.73, 95% CI 0.96, 3.17). Iron/folate supplementation during pregnancy had a protective relationship with the incidence of iron deficiency anemia. Absence of delivery complications, education status and iron/folate supplementation were positively associated with time to recovery from iron deficiency.
Conclusion: Maternal nutritional status during pregnancy, prenatal iron/folate supplementation, perinatal care, and prevention and management of infections, such as malaria, are modifiable risk factors for the occurrence of, and recovery from, anemia.
Published Version: doi:10.1038/ejcn.2013.71
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775569/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:25499836
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters