Prevalence of peripheral blood parasitaemia, anaemia and low birthweight among pregnant women in a suburban area in coastal Ghana

Stephens, Judith; Ofori, Michael F.; Quakyi, Isabella Akyinba; Wilson, Mark Lee; Akanmori, Bartholomew D.

doi:10.11604/pamjs.supp.2014.17.1.3541

Cited by 19 publications

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“…The importance of nutrition during the first 1000 days 145 MNS of pregnant African women (Table 1) In all, 19 studies met the inclusion criteria. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] The publication year ranged from 2002 to 2014. The number of pregnant women examined in the studies ranged from 30 to 191,834 and the gestational age at MNS assessment varied between 18 and 39 weeks.…”

Section: Resultsmentioning

confidence: 99%

Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women

Wrottesley

Lamper

Pisa

2015

J Dev Orig Health Dis

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Maternal nutritional status (MNS) is a strong predictor of growth and development in the first 1000 days of life and may influence susceptibility to non-communicable diseases in adulthood. However, the role of nutrition during this window of developmental plasticity in Africa is unclear. This paper reviews published data to address whether maternal nutrition during the first 1000 days is important for Africa, with a focus on MNS and its associations with fetal growth and birth, neonatal and infant outcomes. A systematic approach was used to search the following databases: Medline, EMBASE, Web of Science, Google Scholar, ScienceDirect, SciSearch and Cochrane Library. In all, 26 studies met the inclusion criteria for the specific objectives. MNS in Africa showed features typical of the epidemiological transition: higher prevalences of maternal overweight and obesity and lower underweight, poor diet quality 1 and high anaemia prevalence. Maternal body mass index and greater gestational weight gain (GWG) were positively associated with birth weight; however, maternal overweight and obesity were associated with increased risk of macrosomia and intrauterine growth restriction. Maternal anaemia was associated with lower birth weight. Macro- and micronutrient supplementation during pregnancy were associated with improvements in GWG, birth weight and mortality risk. Data suggest poor MNS in Africa and confirms the importance of the first 1000 days as a critical period for nutritional intervention to improve growth, birth outcomes and potential future health risk. However, there is a lack of data beyond birth and a need for longitudinal data through infancy to 2 years of age.

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Section: Resultsmentioning

confidence: 99%

Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women

Wrottesley

Lamper

Pisa

2015

J Dev Orig Health Dis

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“…This is worrying in a setting where hemorrhage is a common cause of maternal deaths [56], since anemia will affect the woman’s ability to adequately compensate physiologically in case of bleeding during delivery. We are not sure what proportion of this risk of anemia is due to physiological hemodilution in pregnancy [57], but malaria is a common cause of anemia in pregnancy in our setting [57–59], the incidence being 12.2% amongst our study participants. Both malaria in pregnancy and anemia potentially increase the risk of low birth weight and prematurity [58].…”

Section: Discussionmentioning

confidence: 99%

Provider adherence to first antenatal care guidelines and risk of pregnancy complications in public sector facilities: a Ghanaian cohort study

Amoakoh-Coleman

Klipstein‐Grobusch

Agyepong

et al. 2016

BMC Pregnancy Childbirth

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BackgroundGuideline utilization aims at improvement in quality of care and better health outcomes. The objective of the current study was to determine the effect of provider complete adherence to the first antenatal care guidelines on the risk of maternal and neonatal complications in a low resource setting.MethodsWomen delivering in 11 health facilities in the Greater Accra region of Ghana were recruited into a cohort study. Their first antenatal visit records were reviewed to assess providers’ adherence to the guidelines, using a thirteen-point checklist. Information on their socio-demographic characteristics and previous pregnancy history was collected. Participants were followed up for 6 weeks post-partum to complete data collection on outcomes. The incidence of maternal and neonatal complications was estimated. The effects of complete adherence on risk of maternal and neonatal complications were estimated and expressed as relative risks (RRs) with their 95% confidence intervals (CI) adjusted for a potential clustering effect of health facilities.ResultsOverall, 926 women were followed up to 6 weeks post-partum. Mean age (SD) of participants was 28.2 (5.4) years. Complete adherence to guidelines pertained to the care of 48.5% of women. Incidence of preterm deliveries, low birth weight, stillbirths and neonatal mortality were 5.3, 6.1, 0.4 and 1.4% respectively. Complete adherence to the guidelines decreased risk of any neonatal complication [0.72 (0.65–0.93); p = 0.01] and delivery complication [0.66 (0.44–0.99), p = 0.04].ConclusionComplete provider adherence to antenatal care guidelines at first antenatal visit influences delivery and neonatal outcomes. While there is the need to explore and understand explanatory mechanisms for these observations, programs that promote complete adherence to guidelines will improve the pregnancy outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1167-6) contains supplementary material, which is available to authorized users.

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“…In Ghana, where the use of IPTp is very high, the prevalence of placental parasitemia was reported to be 2.5%. 15 In a study by Batran et al, 18 Some potential limitations of the present study should be considered.…”

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confidence: 76%

“…This finding is similar to other studies carried out in Nigeria. 13,14 In a study by Stephen et al 15 performed in a suburban area in coastal Ghana, most women in the study who were on IPTp had infants with a birth weight of 2500 g or more.…”

mentioning

confidence: 99%

“…In their study, there was poor compliance to IPT, which accounted for the high prevalence of parasitemia. In Ghana, where there is high compliance to IPT, Stephen et al 15 reported a rate of peripheral parasitemia of 5%. Thus, the variation in the prevalence can be due to the level of compliance in use of IPTp, the efficacy of the drug used, and the method of diagnosis.…”

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confidence: 99%

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The efficacy of intermittent preventive therapy in the eradication of peripheral and placental parasitemia in a malaria‐endemic environment, as seen in a tertiary hospital in Abuja, Nigeria

Umemmuo

Agboghoroma

Iregbu

2020

Intl J Gynecology & Obste

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Objective:To determine whether intermittent preventive therapy in pregnancy (IPTp) eradicates peripheral and placental malaria and improves birth weight. Method:A cross-sectional study was conducted of 426 pregnant mothers on IPTp with sulphadoxine-pyrimethamine against malaria who presented in labor, at National Hospital Abuja, Nigeria between January and June 2017. The hospital is within the malaria-endemic zone of West Africa. Consenting pregnant women with uncomplicated singleton term pregnancy who had antenatal care in the hospital and lived in the study area for at least 6 months were consecutively recruited. Peripheral and placental blood were collected and examined for malaria parasite by microscopy. Babies were weighed at birth. Results:The prevalence of peripheral malaria parasitemia and placental parasitization were 12.9% (95% confidence interval [CI] 10.0-16.6) and 9.4% (95% CI 7.0-12.7), respectively. Parasite density in both peripheral parasitemia and placental parasitization was low among the women that took IPTp, decreasing with increasing doses, with no parasitemia or parasitization in women that took up to three doses. Birth weight was lower in babies of mothers with plasmodium infestation than in those without infestation (P<0.001, P=0.024).Conclusion: IPTp reduces both peripheral parasitemia and placental parasitization, with the capacity to eliminate or prevent them. IPTp also reduces low birth weight.

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Prevalence of peripheral blood parasitaemia, anaemia and low birthweight among pregnant women in a suburban area in coastal Ghana

Cited by 19 publications

References 0 publications

Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women

Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women

Provider adherence to first antenatal care guidelines and risk of pregnancy complications in public sector facilities: a Ghanaian cohort study

The efficacy of intermittent preventive therapy in the eradication of peripheral and placental parasitemia in a malaria‐endemic environment, as seen in a tertiary hospital in Abuja, Nigeria

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