Health profile of pregnant adolescents among selected tribal populations in Rajasthan, India

Sharma, Vinit; Sharma, Anuragini

doi:10.1016/1054-139x(92)90066-k

Cited by 15 publications

(13 citation statements)

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“…In our study, maternal age of <20 years was a strong predictor of anaemia and preterm birth, which was also supported by previous studies (8,22,23,26,27). Delay in the first prenatal visit after the first trimester, especially at the third trimester, resulted in a higher risk of detection of anaemia, which was similar to a report in north Thailand, although the CDC diagnostic criteria of anaemia was applied (20).…”

Section: Discussionsupporting

confidence: 92%

“…This is in accordance with a study in Nepal, results of which showed that the lowest prevalence of anaemia was found in women with the highest BMI, and Hct increased with an increase in BMI (22). A high prevalence of moderate and severe anaemia was found among pregnant tribal adolescents in one study in India, and most (83%) of these were malnourished (23). …”

Section: Discussionmentioning

confidence: 98%

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Is International or Asian Criteria-based Body Mass Index Associated with Maternal Anaemia, Low Birthweight, and Preterm Births among Thai Population? - An Observational Study

Liabsuetrakul

2011

J Health Popul Nutr

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An observational study was conducted in the four southernmost provinces of Thailand aiming at determining the effect of international or Asian criteria-based body mass index (BMI) in predicting maternal anaemia, low birthweight (LBW), and preterm births among pregnant Thai women and the change in haemoglobin (Hb) level during pregnancy. Maternal anaemia was defined as a haemoglobin (Hb) level of <11 g/dL. Anaemia was detected in 27.4% and 26.9% of 1,192 pregnant women at their first prenatal visit and the third trimester respectively. The proportions of overweight and obese women according to the Asian criteria-based pre-pregnancy BMI were higher than the international criteria-based BMI (22.4% and 10.1% vs 15.5% and 3.4% respectively). No significant difference between pre-pregnancy BMI and pregnancy BMI at the first prenatal visit was demonstrated (mean±standard deviation=21.8±4.0 vs 22.8±4.1). Underweight women had a significantly higher prevalence of maternal anaemia, LBW, and preterm birth compared to women with normal weight. Overweight and obese women at pre-pregnancy by the Asian criteria-based BMI had a lower prevalence of anaemia. The Hb levels did not change significantly over time. In addition to BMI, maternal age, parity, and late prenatal visit were independently associated with maternal anaemia, low birthweight, and preterm birth. Underweight pregnant women classified by international or Asian criteria-based BMI increased the risk of maternal anaemia, low birthweight, and preterm birth.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Is International or Asian Criteria-based Body Mass Index Associated with Maternal Anaemia, Low Birthweight, and Preterm Births among Thai Population? - An Observational Study

Liabsuetrakul

2011

J Health Popul Nutr

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“…Low BMI is a characteristic of low-income countries and is associated with increased risk of maternal anemia, low birthweight, and preterm births [7]. The present results are in accordance with other studies where low prevalence of anemia was observed in women with highest BMI, and high prevalence of moderate/severe anemia were associated with malnutrition [14, 15]. …”

Section: Discussionsupporting

confidence: 92%

Maternal and Perinatal Outcomes in Second Hemoglobin Measurement in Nonanemic Women at First Booking: Effect of Altitude of Residence in Peru

Gonzáles

Tapia

Fort

2012

ISRN Obstetrics and Gynecology

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Objective. To determine changes in hemoglobin concentration at second measurements after a normal hemoglobin concentration was detected at first booking during pregnancy at low and at high altitudes. Methods. This is a secondary analysis of a large database obtained from the Perinatal Information System in Peru which includes 379,816 pregnant women and their babies from 43 maternity units in Peru. Results. Most women remained with normal hemoglobin values at second measurement (75.1%). However, 21.4% of women became anemic at the second measurement. In all, 2.8% resulted with moderate/severe anemia and 3.5% with erythrocytosis (Hb>14.5 g/dL). In all cases Hb was higher as altitude increased. Risk for moderate/severe anemia increased associated with higher gestational age at second measurement of hemoglobin, BMI <19.9 kg/m2, living without partner, <5 antenatal care visits, first parity, multiparity, and preeclampsia. Lower risk for moderate/severe anemia was observed with normal high Hb level at first booking living at moderate and high altitude, and high BMI. Conclusion. Prevalence of anemia increases as pregnancy progress, and that a normal value at first booking may not be considered sufficient as Hb values should be observed throughout pregnancy. BMI was a risk for anemia in a second measurement.

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“…Similar observation is also made by other investigators. 8,24 It is suggested that in this subcontinent peoples consume similar kind of diet. The staple diet is a mixture of cereals, pulses and vegetables.…”

Section: Discussionmentioning

confidence: 99%

“…29 Again, it is suggested that the intake of dietary protein and iron are significant determinants of serum ferritin level. 24 The prevalence of iron deficiency anaemia is high worldwide, especially in developing countries. 30 It occurs may be due to chronic blood loss, dietary insufficiency, poor socio-economic condition and worm infestation.…”

Section: Hb (G/dl)mentioning

confidence: 99%

Serum Ferritin Status in Microcytic Hypochromic Anaemic Medical Students

Akhter¹,

Jahan

Sultana³

et al. 2014

Bangladesh J Physiol Pharmacol

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Background: Microcytic hypochromic anaemia is common in young adults , specially in females. It is important to know the serum ferritin status of the medical students who will be involved, in future, with the health care delivery system and to prevent anaemia among them. Objective: To observe the serum ferritin status in microcytic hypochromic anaemic medical students. Methods: This cross sectional study was carried out in the Department of Physiology, Sir Salimullah Medical College, Dhaka from July 2009 to June 2010. A total number of 516 apparently healthy young adults of both sexes, age ranged from 18 to 22 years , were selected for the study from two medical college in Dhaka city. Of them, 276 were nonanaemic (control group A) and 240 were anaemic (study group B). Again , anaemic (B) subjects are divided into anaemic female (B 1 ) and anaemic male (B 2 ) . Among the anaemic (B) subjects, 170 had normocytic normochromic , 68 had microcytic hypochromic and 2 had macrocytic hypochromic anaemia. Serum ferritin was estimated by Micro-particle Enzyme Immunoassay in subjects (68 in number) who were suffering from microcytic hypochromic anaemia. The statistical analysis was done by using unpaired 't' test , Pearson's correlation coefficient test as applicable. Result: The mean serum ferritin level was almost similar and showed no statistically significant difference between group B 1 and B 2 . Again, a significant positive correlation of serum ferritin level with haemoglobin was observed in both female and male in microcytic hypochromic anaemic group. Conclusion: This study reveals that serum ferritin level is one of the most sensitive and accurate indicator indicating iron status and thus microcytic hypochrmic anaemia.

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Health profile of pregnant adolescents among selected tribal populations in Rajasthan, India

Cited by 15 publications

References 1 publication

Is International or Asian Criteria-based Body Mass Index Associated with Maternal Anaemia, Low Birthweight, and Preterm Births among Thai Population? - An Observational Study

Is International or Asian Criteria-based Body Mass Index Associated with Maternal Anaemia, Low Birthweight, and Preterm Births among Thai Population? - An Observational Study

Maternal and Perinatal Outcomes in Second Hemoglobin Measurement in Nonanemic Women at First Booking: Effect of Altitude of Residence in Peru

Serum Ferritin Status in Microcytic Hypochromic Anaemic Medical Students

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