Assessment of Iron Deficiency and Anemia in Pregnant Women: An Observational French Study

Harvey, Thierry; Zkik, A; Augès, M.; Clavel, Thierry

doi:10.2217/whe.15.91

Cited by 22 publications

(21 citation statements)

References 22 publications

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“…The burden of anaemia in our study was similar to other studies in Ethiopia [40, 41], and it was most likely caused by iron deficiency [42]. However, our findings show that that the uptake of Iron-folic-acid tablet supplementation and health service utilisation for anaemia was low.…”

Section: Discussionsupporting

confidence: 85%

Health service utilisation lags behind maternal diseases or illnesses during pregnancy in rural south Ethiopia: A prospective cohort study

Tadesse

Loha

Johansson

et al. 2019

Preprint

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AbstractMaternal survival has improved substantially in the last decades, but evidence on maternal morbidity and health service utilisation for various maternal diseases are scarce in low resource settings. We aimed to measure health service utilisation for maternal illnesses during pregnancy. A cohort study of 794 pregnant women in rural southern Ethiopia was carried-out from May 2017 to July 2018. Disease or illness identification criteria were: symptoms, signs, physical examination, and screening of anaemia. Follow-up was done every two weeks. Data on health service utilisation was obtained from women and confirmed by visiting the health facility. Multilevel, multiple responses, repeated measures, and generalized linear mixed model analysis were used. The cumulative incidence of women experiencing illness episodes was 91%, and there were 1.7 episodes of diseases or illnesses per woman. About 22% of pregnant women were anaemic and 8% hypertensive. Fourteen pregnant women experienced abortions, 6 had vaginal bleeding, 48% pain in the pelvic area, 4% oedema, and 72% tiredness. However, health service utilisation was only 7%. About 94% of anaemic women did not get iron-folic-acid tablet supplementation. Only two mothers with blurred vision and severe headache were referred for further treatment. The main reasons for not using the health services were: the perception that symptoms would heal by themselves (47%), illness to be minor (42%), financial constraints (10%), and lack of trust in health institutions (1%). Risk factors were being older women, poor, having a history of abortion, living far away from the health institution, travelled longer time to reach a health institution, and monthly household expenditure >=30 USD. In Conclusion, there was a high incidence of diseases or illnesses; however health service utilisation was low. Poor understanding of severe and non-severe symptoms was an important reason for low health service utilisation. Therefore, community-based maternal diseases or illness survey could help for early detection. Ministry of Health should promote health education that encourages women to seek appropriate and timely care.

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Section: Discussionsupporting

confidence: 85%

Health service utilisation lags behind maternal diseases or illnesses during pregnancy in rural south Ethiopia: A prospective cohort study

Tadesse

Loha

Johansson

et al. 2019

Preprint

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“…It should be emphasized that other types of anemia were found in 11.8% of pregnant women in this longitudinal investigation [7]. Data from a cohort study of 1,478 pregnant women showed that 15.8% of French women had maternal anemia in 2013 and 2014 [10]. Of these women, approximately 31% had iron deficiency [10].…”

Section: Prevalence Of Maternal and Iron Deficiency Anemiamentioning

confidence: 55%

“…Data from a cohort study of 1,478 pregnant women showed that 15.8% of French women had maternal anemia in 2013 and 2014 [10]. Of these women, approximately 31% had iron deficiency [10]. Asia has the second-highest rate of maternal anemia in the world [1].…”

Section: Prevalence Of Maternal and Iron Deficiency Anemiamentioning

confidence: 99%

“…As a result of this discussion, anemia has become a priority for many countries, with the main goal being its reduction across different population groups [3]. There are many studies with different methodological strategies focusing on anemia [4][5][6][7][8][9][10][11][12]. Such studies include distinct population subgroups and different sample sizes, producing conflicting results [12].…”

Section: Introductionmentioning

confidence: 99%

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Maternal Anemia and Iron Deficiency Anemia: Similarities and Singularities

Acmg¹,

Filho²,

Rb³

et al. 2018

Health Care Current Reviews

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Maternal anemia is a major global public health problem, and although widely discussed, there are few studies investigating the condition in pregnant women. In this article, issues related to the diagnosis, biological mechanism and prevalence of maternal anemia. In addition, iron deficiency anemia will be considered a proxy for maternal anemia. In previous studies, the concepts of maternal anemia have been controversial. It is also noted that isolated actions are not sufficient to combat this disease, and policies to address the primary causes of the associated nutritional deficiencies are necessary. Maternal Search strategiesMesh and similar terms were combined using Boolean operators (AND, OR), and the search strategy below was primarily used for Studies selectionAfter duplicate removal, titles and abstracts were screened for eligible articles independently by two reviewers (ACMGF and SSC). Two reviewers selected articles by reading titles and abstracts. During the process of selecting the articles the researchers were not aware of the decisions made by their colleague. After that, full text articles were assessed for eligibility. Discordant events were resolved by consensus. Data extractionData extraction was performed independently by two researchars (ACMGF and RBS) and discordant events resolved by consensus. We used a standardized electronic spreadsheet to extract the following information: author's name, year of publication, year of data collection and geographic region, study design, sample size, anemia diagnosis criteria, frequency of maternal anemia and iron deficiency anemia. Authors were contacted for additional information considered important for this review.

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“…The prevalence of ID and IDA is higher in pregnancy, and IDA affects 18-38% of pregnant women worldwide (Lopez et al 2016; World Health Organization 2015). The worldwide prevalence of ID is twice that of IDA (Camaschella 2015), and studies in Western nations report ID in as many as 60% of pregnant women (Arija et al 2013; da Costa et al 2016; Harvey et al 2016; Ribot et al 2012). …”

Section: Perinatal Iron Deficiencymentioning

confidence: 99%

Maternal iron nutriture as a critical modulator of fetal alcohol spectrum disorder risk in alcohol-exposed pregnancies

Helfrich

Saini

Kling

et al. 2018

Biochem. Cell Biol.

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Alcohol consumption during pregnancy places the fetus at risk for permanent physical, cognitive, and behavioral impairments, collectively termed fetal alcohol spectrum disorders (FASD). However, prenatal alcohol exposure (PAE) outcomes vary widely, and growing evidence suggests that maternal nutrition is a modifying factor. Certain nutrients, such as iron, may modulate FASD outcomes. Untreated gestational iron deficiency (ID) causes persistent neurodevelopmental deficits in the offspring that affect many of the same domains damaged by PAE. Although chronic alcohol consumption enhances iron uptake and elevates liver iron stores in adult alcoholics, alcohol-abusing premenopausal women often have low iron reserves due to menstruation, childbirth, and poor diet. Recent investigations show that low iron reserves in during pregnancy are strongly associated with a worsening of several hallmark features in FASD including reduced growth and impaired associative learning. This review discusses recent clinical and animal model findings that maternal ID worsens fetal outcomes in response to PAE. It also discusses underlying mechanisms by which PAE disrupts maternal and fetal iron homeostasis. We suggest that alcohol-exposed, ID pregnancies contribute to the severe end of the FASD spectrum.

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Assessment of Iron Deficiency and Anemia in Pregnant Women: An Observational French Study

Cited by 22 publications

References 22 publications

Health service utilisation lags behind maternal diseases or illnesses during pregnancy in rural south Ethiopia: A prospective cohort study

Health service utilisation lags behind maternal diseases or illnesses during pregnancy in rural south Ethiopia: A prospective cohort study

Maternal Anemia and Iron Deficiency Anemia: Similarities and Singularities

Maternal iron nutriture as a critical modulator of fetal alcohol spectrum disorder risk in alcohol-exposed pregnancies

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