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High Prevalence of Postpartum Anemia among Low-Income Women in the United States

Citation

Bodnar, Lisa Marie; Scanlon, Kelley S.; Freedman, David S.; Siega-Riz, Anna Maria; & Cogswell, Mary E. (2001). High Prevalence of Postpartum Anemia among Low-Income Women in the United States. American Journal of Obstetrics & Gynecology, 185(2), 438-443.

Abstract

Objective: To determine the prevalence of anemia from 4 to 26 weeks post partum and to examine prenatal predictors of postpartum anemia.
Study design: Retrospective cohort analysis of 59,428 participants in the Special Supplemental Nutrition Program for Women, Infants, and Children in 12 US states.
Results: The prevalence of postpartum anemia was 27%. Anemia rates were higher among minority women, reaching 48% among non-Hispanic black women. Of 9129 women who had normal hemoglobin in the third trimester, 21% had postpartum anemia. Prenatal anemia was the strongest predictor of postpartum anemia (adjusted odds ratio, 2.7; 95% confidence interval, 2.5-2.8). Maternal obesity, multiple birth, and not breast-feeding also predicted postpartum anemia.
Conclusion: The high prevalence of post partum anemia among low-income women highlights the importance of anemia screening at 4 to 6 weeks post partum. These data suggest that screening should not be limited, as it is at present, to women considered at high risk.

URL

http://dx.doi.org/10.1067/mob.2001.115996

Reference Type

Journal Article

Year Published

2001

Journal Title

American Journal of Obstetrics & Gynecology

Author(s)

Bodnar, Lisa Marie
Scanlon, Kelley S.
Freedman, David S.
Siega-Riz, Anna Maria
Cogswell, Mary E.