Obstetric benefits of health insurance: A comparative analysis of obstetric indices and outcome of enrollees and non-enrollees in southeast Nigeria

Lawani, Lucky Osaheni; Iyoke, Chukwuemeka Anthony; Onoh, Robinson Chukwudi; Nkwo, Peter O; Ibrahim, Isa Ayuba; Ekwedigwe, Kenneth Chinedu; Ekine, Atombosoba Adokiye

doi:10.1080/01443615.2016.1174830

Cited by 11 publications

(11 citation statements)

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“…Other factors such as maternal anaemia, environmental factors, social and economic factors prior to or during pregnancy may lead to an LBW (52)(53)(54) . Generally, children with birth weights (<2500 g) are more susceptible to morbidity and mortality (52,55) .…”

Section: Discussionmentioning

confidence: 99%

Disparities in the prevalence and risk factors of anaemia among children aged 6–24 months and 25–59 months in Ethiopia

et al. 2020

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Despite global efforts made to address anaemia, the prevalence remains high in most Sub-Saharan African countries. In Ethiopia, anaemia poses a very strong public health concern. The purpose of the present study was to examine the key risk factors related to anaemia among children aged 6–24 months (younger age group) and 25–59 months (older age group). We used the 2016 Ethiopian Demographic and Health Survey data, collected from 11 023 mothers with under five children. Ordered logistic regression modelling was used for assessing risk factors of childhood anaemia. The results suggest that the prevalence of anaemia was 72 % in the younger and 49 % in the older age groups. The risk factors for anaemia in the younger age group were morbidity (odds ratio (OR) 1⋅77; CI 1⋅21, 2⋅60), having no piped water source (OR 1⋅76; CI 1⋅07, 3⋅01) and no toilet facility (OR 1⋅60; CI 1⋅07, 2⋅38). The key risk factors for anaemia in the older age group were no micronutrient intake (OR 1⋅69; CI 1⋅23, 2⋅31), having a young mother (15–24 years old) (OR 1⋅35; CI 0⋅84, 1⋅91) and a non-working mother (OR 1⋅50; CI 1⋅15, 1⋅96). Anaemia also varied by region, place of residence and economic factors. Multiple factors contributed to the high prevalence of anaemia. Given the structural problem that the country has intervention strategies should consider the unique characteristics of regions and rural residences where the prevalence of anaemia is above the national average.

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Section: Discussionmentioning

confidence: 99%

Disparities in the prevalence and risk factors of anaemia among children aged 6–24 months and 25–59 months in Ethiopia

et al. 2020

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Section: Introductionmentioning

confidence: 99%

“…Children born weighing less than 2500 g are more prone to infant morbidity and mortality [ 2 , 3 ]. Inadequate biological, social, economic, environmental, and lifestyle factors, either prior to or during pregnancy, may favor low birth weight [ 2 , 4 , 5 ]. Some nutritional aspects, such as a low nutritional diet and inadequate weight gain during pregnancy, contribute to a lower intake of the nutrients considered important for fetal growth, such as B vitamins and iron [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal Anemia and Low Birth Weight: A Systematic Review and Meta-Analysis

et al. 2018

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Objective: To systematically analyze the relationship between maternal anemia and low birth weight. Methods: A search of studies was conducted in the main databases (Medline, Embase, Scopus, Web of Science, SciELO, and Lilacs), the gray literature, and the reference lists of selected articles. Cohort and case-control studies that met the eligibility criteria were included in the review. There was no limitation on the language or date of publication. Article selection and data extraction were performed by two independent reviewers. Meta-analyses with random effects, subgroup analyses and meta-regressions were performed. Publication bias was measured using Egger regression and visual funnel plot inspection. Results: A total of 7243 articles were found, of which 71 comprised the systematic review and 68 were included in the meta-analyses. Maternal anemia was associated with low birth weight with an adjusted OR: 1.23 (95% CI: 1.06–1.43) and I2: 58%. The meta-regressions confirmed that the sample size and the methodological quality may partially explain the statistical heterogeneity. Conclusions: Maternal anemia was considered a risk factor for low birth weight.

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“…Maternal anemia can develop due to both the unavailability of this element in the extracellular environment for erythropoiesis and the presence of infectious processes, which may influence the metabolism of hemoglobin. In general, the diagnosis of maternal anemia is defined by hemoglobin levels below 11 g/dl 19 .…”

Section: Introductionmentioning

confidence: 99%

Correlation of Maternal Anemia with Sonographic Placental Thickness

2020

JHMN

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Background: Anemia is a condition in which hemoglobin (Hb) concentration and/or red blood cell (RBC) numbers are lower than normal and insufficient to meet an individual's physiological needs, it affects roughly one-third of the world's population.Objective: To correlate the maternal anemia with placental thickness ultrasonographically.Methodology: Toshiba Nemio17 with Convex array transducer 3-5 MHz frequency was used. Patient were in spine position. Measurements of placental thickness were performed in the mid portion of the placenta, perpendicular to its long axis. The study was conducted at Gillani Ultrasound Centre and Mansoorah Teaching Hospital Lahore. Data of 110 patients was collected through cross-sectional, analytical study. Convenient Sampling Technique was used to analyze data. Statistical software for social sciences (SPSS version 22.0) is used for the analysis of data.Results: Out of 110 patients 44.5% patients were in 2 nd trimester and 55.5% patients were in their 3 rd trimester. In our study 26.4% patients had normal hemoglobin, 43.6% patients were diagnosed with moderate anemia and 30% patients were diagnosed with mild anemia. Hemoglobin rates varied between 7 g/dL to 15.40 g/dL. Placental thickness varied between 10.50mm and to 56.50mm. 9 patients had normal placental thickness, 89 had thick placenta and 12 had thin placenta. In 2 nd trimester minimum placental thickness was noted 15.7 mm and maximum placental thickness was 47.2 mm. In 3 rd trimester minimum placental thickness was noted as 10.5 mm and maximum thickness 56.5 mm. In normal placental thickness minimum hemoglobin was noted as 7 g/dL and maximum was 15.5 g/dL. In thick placenta minimum hemoglobin noted was; 7.8 g/dL and maximum hemoglobin was 15.4 g/dL. In thin placental thickness minimum hemoglobin was 8.9 g/dL and maximum was 11.2 g/dl. Majority patients came with hemoglobin rates between 8 to 11 (g/dL) and less than 5 patients came with hemoglobin 7 g/dL. In patients with mild anemia mean placental thickness was 30.57 mm. In patients with moderate anemia had mean placental thickness of 33.72 mm and in patients with normal anemia had mean placental thickness of 30.39 mm. Out of 110 patients, 29 had no anemia and from these 3 patients were found with normal placental thickness 4 with thick placenta and 2 were with thin. 81 patients who were diagnosed with anemia had normal placental thickness in 6 patients, 65 had thick placenta and 10 patients were found with thick placenta.Conclusion:We concluded that, maternal anemia has adverse effects on placental thickness and gestational age. In the present study we found that morphological and histological changes in placenta of anemic mother is undertaken, to study the effects of anemia on morphology of placenta and fetal outcomes.

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Obstetric benefits of health insurance: A comparative analysis of obstetric indices and outcome of enrollees and non-enrollees in southeast Nigeria

Cited by 11 publications

References 7 publications

Disparities in the prevalence and risk factors of anaemia among children aged 6–24 months and 25–59 months in Ethiopia

Disparities in the prevalence and risk factors of anaemia among children aged 6–24 months and 25–59 months in Ethiopia

Maternal Anemia and Low Birth Weight: A Systematic Review and Meta-Analysis

Correlation of Maternal Anemia with Sonographic Placental Thickness

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