Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?: Implications for Health Care Services
Objectives: We conducted this study to assess the risk factors of gestational anemia and evaluate the effectiveness of a culturally-tailored nutrition educational intervention on hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was used as a birth outcome. Methods: The study wa...
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| Veröffentlicht in: | Oman medical journal 2018-07, Vol.33 (4), p.322-330 |
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| creator | Seshan , Vidya Alkhasawneh , Esra Al Kindi , Salam Al Simadi , Fayez Abdel-Majid Arulappan , Judie |
| description | Objectives: We conducted this study to assess the risk factors of gestational anemia and
evaluate the effectiveness of a culturally-tailored nutrition educational intervention on
hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was
used as a birth outcome. Methods: The study was conducted in two phases. The first
phase investigated the risk factors associated with gestational anemia in 206 Omani
women who were ≥ 20 years old and had at least completed 12 weeks of gestation. A
suitable sample was recruited at a tertiary teaching hospital in Muscat, Oman. Hb status
was recorded, and backward linear regression was used to analyze the demographic and
obstetric variables associated with Hb levels. In the second phase, a specially designed
culturally-tailored nutrition educational intervention was delivered to women in the
study group by trained research assistants whereas women in the control group received
routine care only. The Hb levels of the pregnant women and birth weight of newborns
after the intervention were evaluated in the second phase of the study. Results: The
prevalence of gestational anemia among 206 pregnant Omani women was 41.7%. A
significant negative relationship was found between Hb and parity whereas a positive
relationship was found between Hb and gestational age. The Hb level increased as the
gestational age advanced (β = 0.31, p < 0.050) and decreased as the parity increased
(β = -0.22, p < 0.050). The pre-post mean difference of Hb levels in the study group was
11.0 g/dL and in the control group was 10.7 g/dL. The difference between the pre- and
post-test Hb levels for the study group was significant (t = 3.58, p = 0.001), indicating
that the culturally-tailored nutrition education intervention was effective in improving
the Hb level in pregnant Omani women. No significant difference was found between
the study and control group with respect to birth outcomes. Conclusion: The prevalence
of gestational anemia is high in pregnant Omani women. The use of a specially designed
culturally-tailored nutrition education intervention for pregnant women supplemented
with follow-up reminders can reduce the occurrence of gestational anemia. Such
programs are ultimately necessary in light of the high prevalence of gestational anemia
in developing countries. |
| doi_str_mv | 10.5001/omj.2018.59 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_5001_omj_2018_59</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_a17d118a05534f2cb5672bb28f1125b1</doaj_id><sourcerecordid>2075547680</sourcerecordid><originalsourceid>FETCH-LOGICAL-a4079-66bf5c5093707f489a23689e044c0c45e39b6bf448760277eb174e974835e5ef3</originalsourceid><addsrcrecordid>eNpVkc1v0zAYhy0EYtXYiTPIRySU4s_YvoBKtY1KQxwAiZv1JnmTpkqcYaeb-O_x6Kg6X2y_fvz440fIa86WmjH-YRp3S8G4XWr3jCwEM6zQgqnnZMGdc4Up7a8zcpHSjuUmnXBSvCRnMo-tkWJBujUEeo1phrmfAgx0FXDsgX5GuhoGvOthxobe9_OWbkIdEVKeru4hYsCU6NTSzZzoGvYJE4XQ0K8QoMMRw0y_zzHv7vq88ukVedHCkPDisT8nP68uf6y_FDffrjfr1U0BihlXlGXV6lozJw0zrbIOhCytQ6ZUzWqlUboqI0pZUzJhDFbcKHRGWalRYyvPyebgbSbY-dvYjxD_-Al6_68wxc5DnPt6QA_cNJxbYFpL1Yq60qURVSVsy7nQFc-ujwfX7b4asanzmyIMT6RPV0K_9d1050umDLdlFrx7FMTp9z5_sh_7VOMwQMBpn3yOS2uVM2IZfX9A6zilFLE9HsOZf0ja56T9Q9Jeu0y_Pb3Zkf2fawbeHADMdWzhSFhphTgRwDBC2J68igsheSn_Aocutrs</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2075547680</pqid></control><display><type>article</type><title>Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?: Implications for Health Care Services</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Seshan , Vidya ; Alkhasawneh , Esra ; Al Kindi , Salam ; Al Simadi , Fayez Abdel-Majid ; Arulappan , Judie</creator><creatorcontrib>Seshan , Vidya ; Alkhasawneh , Esra ; Al Kindi , Salam ; Al Simadi , Fayez Abdel-Majid ; Arulappan , Judie</creatorcontrib><description>Objectives: We conducted this study to assess the risk factors of gestational anemia and
evaluate the effectiveness of a culturally-tailored nutrition educational intervention on
hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was
used as a birth outcome. Methods: The study was conducted in two phases. The first
phase investigated the risk factors associated with gestational anemia in 206 Omani
women who were ≥ 20 years old and had at least completed 12 weeks of gestation. A
suitable sample was recruited at a tertiary teaching hospital in Muscat, Oman. Hb status
was recorded, and backward linear regression was used to analyze the demographic and
obstetric variables associated with Hb levels. In the second phase, a specially designed
culturally-tailored nutrition educational intervention was delivered to women in the
study group by trained research assistants whereas women in the control group received
routine care only. The Hb levels of the pregnant women and birth weight of newborns
after the intervention were evaluated in the second phase of the study. Results: The
prevalence of gestational anemia among 206 pregnant Omani women was 41.7%. A
significant negative relationship was found between Hb and parity whereas a positive
relationship was found between Hb and gestational age. The Hb level increased as the
gestational age advanced (β = 0.31, p < 0.050) and decreased as the parity increased
(β = -0.22, p < 0.050). The pre-post mean difference of Hb levels in the study group was
11.0 g/dL and in the control group was 10.7 g/dL. The difference between the pre- and
post-test Hb levels for the study group was significant (t = 3.58, p = 0.001), indicating
that the culturally-tailored nutrition education intervention was effective in improving
the Hb level in pregnant Omani women. No significant difference was found between
the study and control group with respect to birth outcomes. Conclusion: The prevalence
of gestational anemia is high in pregnant Omani women. The use of a specially designed
culturally-tailored nutrition education intervention for pregnant women supplemented
with follow-up reminders can reduce the occurrence of gestational anemia. Such
programs are ultimately necessary in light of the high prevalence of gestational anemia
in developing countries.</description><identifier>ISSN: 1999-768X</identifier><identifier>EISSN: 2070-5204</identifier><identifier>DOI: 10.5001/omj.2018.59</identifier><identifier>PMID: 30038732</identifier><language>eng</language><publisher>Muscat - Oman: Oman Medical Specialty Board</publisher><subject>AETIOLOGY ; ANAEMIA ; Awareness ; Case Management ; Etiology ; Gestational Anemia ; HEALTH CARE DELIVERY ; NUTRITION EDUCATION ; OMAN ; Original ; PREGNANCY ; PREGNANT WOMEN ; الحمل ; السببيات ; الشحاب ; المرأة الحامل ; تعليم التغذية ; توفير الرعاية الصحية ; عمان</subject><ispartof>Oman medical journal, 2018-07, Vol.33 (4), p.322-330</ispartof><rights>The OMJ is Published Bimonthly and Copyrighted 2018 by the OMSB. 2018 Oman Medical Specialty Board</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a4079-66bf5c5093707f489a23689e044c0c45e39b6bf448760277eb174e974835e5ef3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttps://static.almanhal.com/covers/titl/122316/cover-lg.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047186/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047186/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30038732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seshan , Vidya</creatorcontrib><creatorcontrib>Alkhasawneh , Esra</creatorcontrib><creatorcontrib>Al Kindi , Salam</creatorcontrib><creatorcontrib>Al Simadi , Fayez Abdel-Majid</creatorcontrib><creatorcontrib>Arulappan , Judie</creatorcontrib><title>Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?: Implications for Health Care Services</title><title>Oman medical journal</title><addtitle>Oman Med J</addtitle><description>Objectives: We conducted this study to assess the risk factors of gestational anemia and
evaluate the effectiveness of a culturally-tailored nutrition educational intervention on
hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was
used as a birth outcome. Methods: The study was conducted in two phases. The first
phase investigated the risk factors associated with gestational anemia in 206 Omani
women who were ≥ 20 years old and had at least completed 12 weeks of gestation. A
suitable sample was recruited at a tertiary teaching hospital in Muscat, Oman. Hb status
was recorded, and backward linear regression was used to analyze the demographic and
obstetric variables associated with Hb levels. In the second phase, a specially designed
culturally-tailored nutrition educational intervention was delivered to women in the
study group by trained research assistants whereas women in the control group received
routine care only. The Hb levels of the pregnant women and birth weight of newborns
after the intervention were evaluated in the second phase of the study. Results: The
prevalence of gestational anemia among 206 pregnant Omani women was 41.7%. A
significant negative relationship was found between Hb and parity whereas a positive
relationship was found between Hb and gestational age. The Hb level increased as the
gestational age advanced (β = 0.31, p < 0.050) and decreased as the parity increased
(β = -0.22, p < 0.050). The pre-post mean difference of Hb levels in the study group was
11.0 g/dL and in the control group was 10.7 g/dL. The difference between the pre- and
post-test Hb levels for the study group was significant (t = 3.58, p = 0.001), indicating
that the culturally-tailored nutrition education intervention was effective in improving
the Hb level in pregnant Omani women. No significant difference was found between
the study and control group with respect to birth outcomes. Conclusion: The prevalence
of gestational anemia is high in pregnant Omani women. The use of a specially designed
culturally-tailored nutrition education intervention for pregnant women supplemented
with follow-up reminders can reduce the occurrence of gestational anemia. Such
programs are ultimately necessary in light of the high prevalence of gestational anemia
in developing countries.</description><subject>AETIOLOGY</subject><subject>ANAEMIA</subject><subject>Awareness</subject><subject>Case Management</subject><subject>Etiology</subject><subject>Gestational Anemia</subject><subject>HEALTH CARE DELIVERY</subject><subject>NUTRITION EDUCATION</subject><subject>OMAN</subject><subject>Original</subject><subject>PREGNANCY</subject><subject>PREGNANT WOMEN</subject><subject>الحمل</subject><subject>السببيات</subject><subject>الشحاب</subject><subject>المرأة الحامل</subject><subject>تعليم التغذية</subject><subject>توفير الرعاية الصحية</subject><subject>عمان</subject><issn>1999-768X</issn><issn>2070-5204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkc1v0zAYhy0EYtXYiTPIRySU4s_YvoBKtY1KQxwAiZv1JnmTpkqcYaeb-O_x6Kg6X2y_fvz440fIa86WmjH-YRp3S8G4XWr3jCwEM6zQgqnnZMGdc4Up7a8zcpHSjuUmnXBSvCRnMo-tkWJBujUEeo1phrmfAgx0FXDsgX5GuhoGvOthxobe9_OWbkIdEVKeru4hYsCU6NTSzZzoGvYJE4XQ0K8QoMMRw0y_zzHv7vq88ukVedHCkPDisT8nP68uf6y_FDffrjfr1U0BihlXlGXV6lozJw0zrbIOhCytQ6ZUzWqlUboqI0pZUzJhDFbcKHRGWalRYyvPyebgbSbY-dvYjxD_-Al6_68wxc5DnPt6QA_cNJxbYFpL1Yq60qURVSVsy7nQFc-ujwfX7b4asanzmyIMT6RPV0K_9d1050umDLdlFrx7FMTp9z5_sh_7VOMwQMBpn3yOS2uVM2IZfX9A6zilFLE9HsOZf0ja56T9Q9Jeu0y_Pb3Zkf2fawbeHADMdWzhSFhphTgRwDBC2J68igsheSn_Aocutrs</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Seshan , Vidya</creator><creator>Alkhasawneh , Esra</creator><creator>Al Kindi , Salam</creator><creator>Al Simadi , Fayez Abdel-Majid</creator><creator>Arulappan , Judie</creator><general>Oman Medical Specialty Board</general><general>OMJ</general><scope>~6Z</scope><scope>ADJCN</scope><scope>AHFXO</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180701</creationdate><title>Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?</title><author>Seshan , Vidya ; Alkhasawneh , Esra ; Al Kindi , Salam ; Al Simadi , Fayez Abdel-Majid ; Arulappan , Judie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a4079-66bf5c5093707f489a23689e044c0c45e39b6bf448760277eb174e974835e5ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>AETIOLOGY</topic><topic>ANAEMIA</topic><topic>Awareness</topic><topic>Case Management</topic><topic>Etiology</topic><topic>Gestational Anemia</topic><topic>HEALTH CARE DELIVERY</topic><topic>NUTRITION EDUCATION</topic><topic>OMAN</topic><topic>Original</topic><topic>PREGNANCY</topic><topic>PREGNANT WOMEN</topic><topic>الحمل</topic><topic>السببيات</topic><topic>الشحاب</topic><topic>المرأة الحامل</topic><topic>تعليم التغذية</topic><topic>توفير الرعاية الصحية</topic><topic>عمان</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seshan , Vidya</creatorcontrib><creatorcontrib>Alkhasawneh , Esra</creatorcontrib><creatorcontrib>Al Kindi , Salam</creatorcontrib><creatorcontrib>Al Simadi , Fayez Abdel-Majid</creatorcontrib><creatorcontrib>Arulappan , Judie</creatorcontrib><collection>Al Manhal All Journals Collection</collection><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Oman medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seshan , Vidya</au><au>Alkhasawneh , Esra</au><au>Al Kindi , Salam</au><au>Al Simadi , Fayez Abdel-Majid</au><au>Arulappan , Judie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?: Implications for Health Care Services</atitle><jtitle>Oman medical journal</jtitle><addtitle>Oman Med J</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>33</volume><issue>4</issue><spage>322</spage><epage>330</epage><pages>322-330</pages><issn>1999-768X</issn><eissn>2070-5204</eissn><abstract>Objectives: We conducted this study to assess the risk factors of gestational anemia and
evaluate the effectiveness of a culturally-tailored nutrition educational intervention on
hemoglobin (Hb) status among pregnant Omani women. Newborn birthweight was
used as a birth outcome. Methods: The study was conducted in two phases. The first
phase investigated the risk factors associated with gestational anemia in 206 Omani
women who were ≥ 20 years old and had at least completed 12 weeks of gestation. A
suitable sample was recruited at a tertiary teaching hospital in Muscat, Oman. Hb status
was recorded, and backward linear regression was used to analyze the demographic and
obstetric variables associated with Hb levels. In the second phase, a specially designed
culturally-tailored nutrition educational intervention was delivered to women in the
study group by trained research assistants whereas women in the control group received
routine care only. The Hb levels of the pregnant women and birth weight of newborns
after the intervention were evaluated in the second phase of the study. Results: The
prevalence of gestational anemia among 206 pregnant Omani women was 41.7%. A
significant negative relationship was found between Hb and parity whereas a positive
relationship was found between Hb and gestational age. The Hb level increased as the
gestational age advanced (β = 0.31, p < 0.050) and decreased as the parity increased
(β = -0.22, p < 0.050). The pre-post mean difference of Hb levels in the study group was
11.0 g/dL and in the control group was 10.7 g/dL. The difference between the pre- and
post-test Hb levels for the study group was significant (t = 3.58, p = 0.001), indicating
that the culturally-tailored nutrition education intervention was effective in improving
the Hb level in pregnant Omani women. No significant difference was found between
the study and control group with respect to birth outcomes. Conclusion: The prevalence
of gestational anemia is high in pregnant Omani women. The use of a specially designed
culturally-tailored nutrition education intervention for pregnant women supplemented
with follow-up reminders can reduce the occurrence of gestational anemia. Such
programs are ultimately necessary in light of the high prevalence of gestational anemia
in developing countries.</abstract><cop>Muscat - Oman</cop><pub>Oman Medical Specialty Board</pub><pmid>30038732</pmid><doi>10.5001/omj.2018.59</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | AETIOLOGY ANAEMIA Awareness Case Management Etiology Gestational Anemia HEALTH CARE DELIVERY NUTRITION EDUCATION OMAN Original PREGNANCY PREGNANT WOMEN الحمل السببيات الشحاب المرأة الحامل تعليم التغذية توفير الرعاية الصحية عمان |
| title | Can Gestational Anemia Be Alleviated with Increased Awareness of Its Causes and Management Strategies ?: Implications for Health Care Services |
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