Prevalence of anaemia in pregnancy in a regional health facility in South Africa

Tunkyi, Kay; Moodley, Jagidesa

doi:10.7196/samj.2016.v106i1.9860

Cited by 43 publications

(68 citation statements)

References 11 publications

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“…A previous study in one South African hospital found a significant difference in the prevalence of prenatal anemia in HIV‐positive (71.3%) versus HIV‐negative (28.7%) women . Similarly, we found anemia to be more common in HIV‐positive women (evaluated only at CHB), and overall we found that most women were ART‐naïve at presentation.…”

Section: Discussionsupporting

confidence: 82%

“…20 A previous study in one South African hospital found a significant difference in the prevalence of prenatal anemia in HIV-positive (71.3%) versus HIV-negative (28.7%) women. 21 Similarly, we found anemia to be more common in HIVpositive women (evaluated only at CHB), and overall we found that most women were ART-naïve at presentation. HIV status was frequently missing in our study, probably because over one-half of transfusions occurred in early pregnancy in association with high-acuity care (e.g., OH) before prenatal care and routine HIV testing could be initiated.…”

Section: Discussionsupporting

confidence: 61%

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Antenatal blood transfusion in South Africa: indications and practice in a high‐HIV‐prevalence setting

et al. 2020

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BACKGROUND Globally, data on antenatal blood transfusion practices are scarce. We sought to characterize the epidemiology of antenatal transfusion in South Africa. STUDY DESIGN AND METHODS A cross‐sectional study was conducted of women who were transfused during pregnancy (>48 hr before anticipated delivery) at two hospitals in Durban and Soweto in 2014 to 2015. Medical record data on demographics, obstetric history, anemia, HIV status, and indications for blood transfusion were abstracted. RESULTS The records on a total of 560 transfused pregnant women were evaluated; mean age was 28 years, 98% were of black African ethnicity, and 28% were HIV positive. At time of transfusion, one‐half were in the first trimester. Hemorrhage was noted in 76% of women, most of which was associated with abortion (67%) or ectopic pregnancy (27%). Most women were transfused with red blood cells (RBCs; median, 2 units); 14% of women were transfused with plasma and 2% with platelets. Median pre‐ and posttransfusion hemoglobin levels were 6.9 g/dL and 9.2 g/dL, respectively; the latter differed by hospital (8.7 g/dL vs. 9.5 g/dL; p < 0.01). Hemorrhage was associated with missing HIV status, lower gestational age, and transfusion of 3 or more RBC units (all p < 0.01). In contrast, diagnoses of anemia (Soweto only) were associated with HIV infection, later gestational age, and lower (<3 units) RBC dose (all p < 0.01). CONCLUSION Abortion and ectopic pregnancy with associated hemorrhage were the leading indications for antenatal transfusion and were concentrated in early gestation. By contrast, anemia was associated with HIV infection and transfusion in the third trimester.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 61%

Antenatal blood transfusion in South Africa: indications and practice in a high‐HIV‐prevalence setting

et al. 2020

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“…due to iron deficiency [13]. Evidences indicate that maternal anemia aggravates maternal mortality and prenatal problems [14].…”

Section: Journal Of Nutritional Disorders and Therapymentioning

confidence: 99%

Epidemiology of Malnutrition among Pregnant Women and Associated Factors in Central Refit Valley of Ethiopia, 2016

Mariyam¹,

Dibaba²

2018

J Nutr Disorders Ther

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Background: Pregnancy strongly depends on the health and nutritional status of women. High proportion of pregnant women affected with poor nutrition which leads them to unhealthy and distress condition. Nutritional problem alongside difficulty of ecological exacerbates public health problem. Determining the extent of problems and predicting marked health indicator require extensive studies to improve pregnant women health to reduce maternal in lowland distracts.Objective: This study aimed to determine the magnitude of malnutrition among pregnant women and associated factors in the central rift valley of Ethiopia, 2016. Methods:Community based cross-sectional study design was conducted using quantitative data collection method. Study area was selected using Handy ® GPS system. Systematic sampling was used to select 616 pregnant women. Nutritional status of study participants were identified using MUAC tape, Height and Weight measured using stand standard height and weight digital scale. Blood sample was taken using Hb 301 Microcuvettes and determined hemoglobin level with HemoCue Hb 301® Analyzer. Hb level was adjusted for Altitude and trimesters. The collected data was entered and analyzed by SPPS version 20. Result:The prevalence of malnutrition among pregnant women was 31.8%. MUAC <21 cm had significant association with Hemoglobin <11 g/dl accounted for 42%. MUAC (AOR, 2.39; 95%CI (1.7, 3.5), Height (AOR, 3.55; 95%CI (2.14, 5.87), ANC services dissatisfaction (AOR, 1.66; 95%CI (1.18, 2.34) and utilized family planning method (AOR, 0.55, 95%CI (0.38, 0.81) were factors associated with maternal malnutrition. Moreover, hypertension 3.9%, severe anemia 0.8%, observed edema 1.9%, and reported infections 4.4 were prevalence in the study population. Conclusion:Maternal malnutrition is highly prevalent in the study area. Anemia, short stature, MUAC<21 cm, ANC service dissatisfaction, not utilizing family planning, teen age pregnancy were the most occurring maternal malnutrition. Integrated programs works are needed to feel the gap for women focused intervention specifically for ecological affected districts.

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“…Iron stores/red blood cells can also be diminished during menstruation, during bouts of infections, and as a result of chronic non‐communicable diseases (NCDs) . Hence, the research done in Africa has shown that this condition is more prevalent/common among women of reproductive age, people who have limited access to basic needs (such as sanitation and treated water), and people exposed to infectious diseases and those at risk of NCDs …”

Section: Introductionmentioning

confidence: 99%

“…4 Hence, the research done in Africa has shown that this condition is more prevalent/common among women of reproductive age, people who have limited access to basic needs (such as sanitation and treated water), and people exposed to infectious diseases and those at risk of NCDs. [5][6][7][8][9][10][11] Until recently, there has been a dearth of up-to-date data regarding the existence and manifestation of iron deficiency in a nationally representative sample of South African women of reproductive age. The only available data were collected in 2000 (the South African Comparative Risk Assessment (SA CRA)) 12 (NFCS-FB-I)).…”

Section: Introductionmentioning

confidence: 99%

Understanding the determinants of hemoglobin and iron status: adolescent–adult women comparisons in SANHANES‐1

Mchiza

Parker

Sewpaul

et al. 2018

Annals of the New York Academy of Sciences

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The study compared hemoglobin (Hb) and serum ferritin levels between adolescent and adult women with different body mass indices, dietary intake, and sociodemography. A secondary analysis of data for 3177 South African women ⩾15 years of age who participated in the SANHANES-1 study was undertaken. Abnormal Hb (≤12 g/dL) and serum ferritin (<15 μg/mL) were based on the World Health Organization's criteria for nonpregnant women aged ⩾15 years. Data were analyzed using STATA version 11. Overall, anemia was detected in 740 (23.3%) participants. Of the individuals in the subsample (n = 1123, 15-35 years) who had serum ferritin measured, 6.0% presented with iron depletion (ID) and 10.8% presented with iron-deficiency anemia (IDA). The highest prevalences of anemia, ID, and IDA were in 15- to 18-year-olds (11.2%, 8.8%, and 20.2%, respectively). Black young adults (19-24 years) were up to 40 times more likely to present with ID compared with their non-black counterparts. While overweight adolescents were three times more likely to be anemic, overweight and obese young adults, as well as obese older adults (25-35 years), were less likely to be anemic compared with normal-weight women of all age groups. Overconsumption of dietary fat increased ID by up to 54- and 11-fold (adolescents and 25- to 35-year-olds, respectively). In South Africa, anemia is most prevalent in adolescents and black women. Anemia is also an indicator of overconsumption of dietary fat and a marker of socioeconomic disadvantage.

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Prevalence of anaemia in pregnancy in a regional health facility in South Africa

Abstract: The prevalence of anaemia was 42.7%. In the majority (81.4%) the anaemia was mild and normocytic and normochromic (68.9%). Anaemia is a common problem among antenatal attendees in an SA urban population.

Cited by 43 publications

References 11 publications

Antenatal blood transfusion in South Africa: indications and practice in a high‐HIV‐prevalence setting

Antenatal blood transfusion in South Africa: indications and practice in a high‐HIV‐prevalence setting

Epidemiology of Malnutrition among Pregnant Women and Associated Factors in Central Refit Valley of Ethiopia, 2016

Understanding the determinants of hemoglobin and iron status: adolescent–adult women comparisons in SANHANES‐1

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