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High prevalence of gestational night blindness and maternal anemia in a population-based survey of Brazilian Amazonian postpartum women
- Source :
- PLoS ONE, Vol 14, Iss 7, p e0219203 (2019), PLoS ONE
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- Nutrition during pregnancy is one of the key elements to good maternal and child health, as well as to lifetime landmarks. However, many pregnant women go undernourished in less developed settings. The purpose of this study was to estimate the prevalence and factors associated with gestational night blindness (GXN) and maternal anemia in a cross-sectional population-based study in Cruzeiro do Sul, Acre State, Western Brazilian Amazon. All women living in the municipality admitted at the only maternity-hospital in the city to delivery of a singleton infant were eligible to this study (n = 1,525). Recruitment of participants took place between July 2015 to June 2016. GXN was assessed in the postpartum period by WHO standardized interview. Maternal anemia was defined as hemoglobin at delivery < 110.0 g/L. We estimated prevalence rates and adjusted prevalence ratios (aPR), alongside 95% confidence intervals (95% CI), of the factors associated with the outcomes through multiple Poisson regression models with robust variance. Alarming prevalence of GXN (11.5%; 95% CI, 9.97–13.25) and maternal anemia (39.4%; 95% CI, 36.84–41.95) were found. Factors associated with GXN were (aPR; 95% CI): ≥ 5 residents in the household (2.06; 1.24–3.41), smoking during pregnancy (1.78; 1.15–2.78), and attending < 6 antenatal care visits (1.61; 1.08–2.40). Factors associated with maternal anemia were (aPR; 95% CI): maternal age < 19 years (1.18; 1.01–1.38), gestational malaria (1.22; 1.01–1.49), not taking micronutrient supplements during pregnancy (1.27; 1.01–1.62), and attending < 6 antenatal care visits (1.40; 1.15–1.70). High prevalence rates of GXN and maternal anemia in these postpartum women may reflect poor assistance during antenatal care, underlying the importance of rethinking current protocols related to nutrition in pregnancy.
- Subjects :
- Maternal Health
Prevalence
Organic chemistry
Geographical locations
0302 clinical medicine
Pregnancy
Night Blindness
Surveys and Questionnaires
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Vitamin A
education.field_of_study
Multidisciplinary
Obstetrics
Postpartum Period
Pregnancy Outcome
Obstetrics and Gynecology
Anemia
Hematology
Vitamins
Physical sciences
Chemistry
symbols
Gestation
Medicine
Female
Brazil
Research Article
Adult
medicine.medical_specialty
Science
030231 tropical medicine
Population
Chemical compounds
03 medical and health sciences
symbols.namesake
Antenatal Care
Organic compounds
Parasitic Diseases
medicine
Humans
Poisson regression
Iron Deficiency Anemia
education
business.industry
South America
Tropical Diseases
medicine.disease
Malaria
Pregnancy Complications
Iron-deficiency anemia
Women's Health
People and places
business
Biomarkers
Postpartum period
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....0fd55d3eee9b1065a3ac6c690d377061