Background:Alloantibodies of clinical importance can cause transfusion reactions or hemolytic disease of the fetus and newborn (HDFN). The frequencies of these antibodies have not been reported in our locality.Aims:To determine the frequency of occurrence of alloantibodies among pregnant women in Port Harcourt, Nigeria.Settings and Design:This is a prospective study, which was carried out in the Braithwaite Memorial Specialist Hospital, Port Harcourt, Nigeria.Materials and Methods:Screening and identification of red blood cell alloantibodies was done on the sera of 500 pregnant women using the DiaMed, DiaCell, and DiaPanel reagents (Cressier, Switzerland). ABO and Rh blood groups were done using antisera bought from Biotec (Ipswich, UK).Results:Alloantibodies were identified in the serum of 17 of the 500 (3.4%) pregnant women. The specificity of the antibodies was as follows: anti-C 6 (1.2%), anti-E 3 (0.6%), anti-Jsb 3 (0.6%), and anti-K 5 (1.0%). No anti-D was identified despite 8.6% of the study population being Rhesus D (Rh D) negative. The distribution of the antibodies was found to be independent of the blood groups of the participants (χ2 = 4.050, P = 0.670). Blood group O constituted the highest percentage (48.0%).Conclusion:This study has identified the presence of non-Rh D antibodies to the proportion of 3.4%. Rh D antibody was absent in this population irrespective of the relatively high percentage of Rh D negative women. There is a need to determine the actual risk these antibodies may pose to the antenatal women and to include antibody screening and identification in routine antenatal care.
Gasoline is largely a mixture of hydrocarbon and hydrocarbon consists of mixture of n-paraffins, naphthalene, olefins and aromatics. Aromatics is mostly a mixture of benzene, toluene and xylene. Fuel attendants and auto mechanics are exposed to gasoline either by direct contact or inhalation. The effect of this exposure in fuel attendants and auto mechanics is determined using haematological parameters. 35 fuel attendants and 35 auto mechanics were used as test group and compared with 30 apparently healthy individuals of same age range. Some haematological parameters were determined using standard manual methods. RBC, Hb, MCH and MCHC were reduced (p < 0.05) in fuel attendants and auto mechanics when compared with control. Fuel attendants exposed to gasoline fumes beyond 2 years have lower (p < 0.05) PCV, Hb, MCH and MCHC than those exposed for 2 years or less while auto mechanics of over two years had their RBC, Hb, MCH and MCHC significantly lower (p < 0.05) than auto mechanics of two years and below. Auto mechanics and fuel attendants are exposed to gasoline vapour leading to decreased haematological indices. Fuel attendants are more at risk than auto mechanics and could be at risk of developing anaemia over time.
BackgroundD-dimer levels have been reported to increase progressively during pregnancy, but how this affects Nigerian women is not well known.ObjectiveThis study aims to determine the D-dimer concentration and its relationship to other coagulation parameters among pregnant women in Port Harcourt, Nigeria.MethodIn a cross-sectional observational study conducted in Port Harcourt, Nigeria, 120 pregnant women and 60 nonpregnant controls, drawn from a tertiary health institution in the Niger Delta, Nigeria, were assessed, using the standard procedures, for the following parameters: D-dimer concentration, prothrombin time, activated partial thromboplastin time, platelet count, hemoglobin, and packed cell volume.ResultsThe median D-dimer concentration of 153.1 ng/mL in the pregnant group was found to be significantly elevated when compared with the control value of 118.5 ng/mL (t = 2.348, P = 0.021). Conversely, there was a marked depression in the platelet count among pregnant women (193.5 × 109/L) when compared with 229.0 × 109/L in the control group (t = 3.424; P = 0.001). There was no statistically significant difference in the values for the prothrombin time and the activated partial thromboplastin time between pregnant and nonpregnant women. D-dimer values correlated positively and significantly with gestation (r = 0.36; P < 0.01) and negatively with international normalized ratio values (r = −0.281; P < 0.05). About 63.3% of the pregnant women had normal D-dimer values (0–200 ng/mL), 26.7% of the pregnant women had elevated D-dimer levels (201–499 ng/mL), while 10.0% of the pregnant women were found to be at risk of thrombosis (D-dimer > 500 ng/mL). A linear relationship was found to exist between D-dimer and gestation (y = 8.355x + 36.55; R2 = 0.130; P < 0.005).Conclusion10% of the pregnant women in this population had elevated D-dimer levels over 500 ng/mL, and through comparison with what has been reported in the literature, there is the possibility that this group may be at risk of thrombosis. Further studies, incorporating other diagnostic parameters, may be needed before a more logical conclusion can be drawn, since the D-dimer is not a specific test.
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