Severe anaemia in pregnancy: a problem of primigravidae in rural Zaire

Jackson, D. J.; Klee, E. B.; Green, S.D.R.; Mokili, John L.; Elton, R. A.; Cutting, William A M

doi:10.1016/0035-9203(91)90471-a

Cited by 50 publications

(46 citation statements)

References 13 publications

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“…There was no difference in mean haemoglobin concentration among maternal age groups and this is in agreement with the findings of Jackson et al [29] in Zaire but in contrast to Hinderaker et al [30]. This study also found increasing Hb with increasing parity and this corroborates previous reports [23,29] and contrary to the reports by Hinderaker et al [30].…”

Section: Discussionsupporting

confidence: 92%

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Prevalence and Risk Factors of Anaemia Among Pregnant women in Nigeria

Buseri¹,

Uko²,

Jeremiah³

et al. 2008

TOHJ

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Abstract:To assess the prevalence and risk factors of anaemia in pregnancy and recommend a cut-off value for antenatal women in developing countries, a cross sectional study was carried in the University of Port Harcourt Teaching Hospital, Port Harcourt, a 523 bed tertiary health care institution in Nigeria. 1371 apparently healthy asymptomatic pregnant women visiting the antenatal clinic for the first time were enrolled for the study. Another 60 age-matched non-pregnant apparently healthy women served as controls. Haemoglobin concentration, malaria, human immunodeficiency virus (HIV)S, haemoglobin electrophoretic pattern and C-reactive protein as marker of infection were investigated using standard haematological and serological procedures. Anaemia in pregnancy (Hb <11.0g/dl) and (Hb<10.0g/dl) were found to be 23.2% and 6.7% respectively. The aetiology of anaemia was found to be multifactorial; 40.2% had anaemia of infection, 20.3% had Plasmodium falciparum alone, 8.5% had HIV alone, 2.5% had HIV and malaria parasite co-infection; 8.9% undetermined infections and 0.6% had sickle cell anaemia. There is moderate prevalence of anaemia in pregnancy in this part of the world. Since the mean Hb value of the pregnant women in this study was 11.62±1.21g/dl and the pregnant women with Hb values around 10g/dl are apparently healthy, a cut-off value of 10.0g/dl may be considered ideal for defining anaemia in pregnancy in developing countries.

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Section: Discussionsupporting

confidence: 92%

“…This study also found increasing Hb with increasing parity and this corroborates previous reports [23,29] and contrary to the reports by Hinderaker et al [30]. It was expected that anaemia in pregnancy would tend to increase with rising parity owing to repeated drain on the iron reserves.…”

Section: Discussionsupporting

confidence: 90%

Prevalence and Risk Factors of Anaemia Among Pregnant women in Nigeria

Buseri¹,

Uko²,

Jeremiah³

et al. 2008

TOHJ

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“…18 A study from rural Zaire reported a prevalence of 76% for overall anaemia and 3.7% for severe anaemia. 20 In rural Tanzania, it was reported that the prevalence of anaemia (Hb < 11 gm/dL) was 71.7% and that of severe anaemia was 4%. 21 Iron-deficiency anaemia is the most prevalent nutritional deficiency problem affecting pregnant women.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of anaemia in pregnancy in the Uthungulu health district of KwaZulu-Natal, South Africa

Hoque

Kader

Hoque

2007

South African Family Practice

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BackgroundAn estimated 30% of the world's population is affected with anaemia. Anaemia in pregnancy is a leading cause of maternal and perinatal deaths in developing countries. In developing countries, anaemia affects almost two thirds of the pregnant population. It is also estimated that anaemia is responsible for as much as 20% of all maternal deaths in sub-Saharan Africa. Maternal anaemia is a risk factor for infant iron deficiency anaemia and, if left uncorrected, can be associated with adverse behavioural and cognitive development in children. The prevalence of anaemia in pregnancy is estimated at between 35% and 75% in sub-Saharan Africa, however, the area-specific health problems during pregnancy are not known. In order to improve maternal health and the health of the foetus during pregnancy, knowledge of the prevalence or incidence of pregnancy-related conditions would be useful for district management teams, as well as for provincial and national maternal, child and women's health programme development. The objectives of this study were to describe haemoglobin levels and estimate the prevalence of anaemia among pregnant women at their booking visit.

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“…Severe anaemia has been suggested to be associated with a high risk of maternal mortality 19,20 . It has been calculated that severe anaemia is associated with a 4.5-fold risk of maternal death in low income countries 21 .…”

Section: Discussionmentioning

confidence: 99%

Anaemia among non-pregnant women in rural Bangladesh

Hyder

Persson

Chowdhury

et al. 2001

Public Health Nutr.

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Objective: To estimate the prevalence and severity of anaemia among non-pregnant women in rural Bangladesh and describe its social distribution. Design: A cross-sectional study conducted in February±March 1996. Haemoglobin concentration was measured on a capillary blood sample by cyanmethaemoglobin method. The World Health Organization (WHO) classification was used to define anaemia. Setting: Twelve randomly selected villages in Fulbaria thana of Mymensingh district, about 110 km northwest of Dhaka city in Bangladesh. Subjects: A systematically selected sample of 179 non-pregnant apparently healthy women aged 15±45 years. Results: Anaemia was highly prevalent (73%; 95%CI 67±79%). Most of the women had mild (52%) or moderate (20%) anaemia, but a few of them suffered from severe anaemia (1%). Ascaris was common (39%) while hookworm was not (1%). The anaemia prevalence had no statistically significant association with age, parity or Ascaris infestation P . 0X05 X Women with less than 1 year of schooling, who were landless or who reported having an economic deficit in the household had significantly higher prevalence of anaemia P , 0X05 X There was a significantly increasing trend in anaemia prevalence with decreasing socioeconomic situation (SES). However anaemia was common in all social strata. Conclusions: Although the overall anaemia prevalence among non-pregnant rural women is high, only a few women suffer from severe anaemia. Women of all SES groups irrespective of their age and parity are affected by anaemia. KeywordsAnaemia Severe anaemia Non-pregnant women Socioeconomic Rural Bangladesh Anaemia is a major public health problem. It has been estimated that 2150 million people in the world are anaemic, of whom about 50% are thought to suffer from iron deficiency anaemia 1 . Iron deficiency and anaemia are most prevalent among pregnant women and young children with the highest prevalence in low income countries 2 . Iron deficiency and anaemia during pregnancy are associated with low birth weight, preterm delivery and increased perinatal mortality 3±5 . Routine supplementation of iron through the primary health care system has been widely practised to reduce maternal anaemia, although the programmes have shown limited effectiveness 6,7 .Women of reproductive age in low income countries who are currently not pregnant are also affected by anaemia 8 . The most important functional consequences are fatigue and reduced productivity 9 . However, the recent interest in iron supplementation of non-pregnant women is mostly rationalized by its potential impact on maternal anaemia. Prepregnancy haemoglobin concentration and iron status are believed to be predisposing factors for maternal anaemia.Several studies have found a negative association between socioeconomic situation (SES) and anaemia prevalence 10±12 . Women from poor households are usually found to have higher anaemia prevalence. Poor SES is known to be associated with a number of factors such as high parity, short birth interval, poor diet both in quant...

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Severe anaemia in pregnancy: a problem of primigravidae in rural Zaire

Cited by 50 publications

References 13 publications

Prevalence and Risk Factors of Anaemia Among Pregnant women in Nigeria

Prevalence and Risk Factors of Anaemia Among Pregnant women in Nigeria

Prevalence of anaemia in pregnancy in the Uthungulu health district of KwaZulu-Natal, South Africa

Anaemia among non-pregnant women in rural Bangladesh

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