Sociodemographic and Obstetric Characteristics of Anaemic Pregnant Women Attending Antenatal Clinic in Bolgatanga Regional Hospital

Ahenkorah, Benjamin; Nsiah, Kwabena; Baffoe, Peter

doi:10.1155/2016/4687342

Cited by 12 publications

(20 citation statements)

References 21 publications

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“…Samples in SST were centrifuged at 3000 rpm for 10 min and serum samples were aliquoted into cryotubes and stored at -80 o C until assay. Also, about 2 drops (6 μl) of blood were collected on a slide for the preparation of thick blood film to detect the presence of malaria parasites, according to the protocol described by Ahenkorah et al [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Biochemical and hematological changes among anemic and non-anemic pregnant women attending antenatal clinic at the Bolgatanga regional hospital, Ghana

Ahenkorah

Nsiah

Baffoe³

et al. 2018

BMC Hematol

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BackgroundAnemia in pregnancy may not only be associated with maternal morbidity and mortality but can also be detrimental to the fetus. A definitive diagnosis of anemia is a pre-requisite to unravelling possible cause(s), to allow appropriate treatment intervention. It is hypothesised that measured hemoglobin (HGB), complemented by biochemical and other hematological parameters would enhance anemia diagnosis.MethodsThis was a cross-sectional study among 400 pregnant women comprising 253 anemic and 147 non-anemic pregnant women, attending an antenatal clinic at Bolgatanga Regional Hospital, Ghana. Venous blood was collected and hemoglobin genotype, complete blood count and biochemical parameters [ferritin, iron, total iron binding capacity (TIBC), transferrin saturation (TfS), C-reactive protein (CRP) and bilirubin] were determined. Thick blood films were prepared for malaria parasitemia, while early morning stool and midstream urine samples were examined for enteric and urogenital parasites, respectively.ResultsThere were significantly reduced levels of HGB (p < 0.0001), HCT (p < 0.0001), MCV (p < 0.0001), iron (0.0273), ferritin (p = 0.018) and transferrin saturation (0.0391) and increased WBC (p = 0.006), RDW (p = 0.0480), TIBC (p = 0.0438) and positivity of CRP in anemic, compared to non-anemic pregnant women. Anemic women were associated with increased proportion of hemoglobinopathies (AS, SS and SC), Plasmodium falciparum, Schistosoma hematobium and intestinal parasite infections.ConclusionAnemic pregnant women are associated with a significant derangement in hematological and iron indices that implicate iron deficiency. This was influenced by hemoglobinopathies and parasitic infections.

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Section: Methodsmentioning

confidence: 99%

Biochemical and hematological changes among anemic and non-anemic pregnant women attending antenatal clinic at the Bolgatanga regional hospital, Ghana

Ahenkorah

Nsiah

Baffoe³

et al. 2018

BMC Hematol

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“…These interventions, introducing small-scale, homestead poultry production in concert with promotion of vegetable gardens, field crop production, and/or provision of nutrition education, have shown mixed impacts on anaemia (Galal, Harrison, Abdou, & Zein el Abedin, 1987;Olney, Pedehombga, Ruel, & Dillon, 2015;Olney, Talukder, Iannotti, Ruel, & Quinn, 2009;Osei et al, 2016). The scant observational evidence for the association of livestock rearing with anaemia has similarly shown mixed results with studies reporting higher (Ahenkorah, Nsiah, & Baffoe, 2016;Iannotti et al, 2015) and lower (Flores-Martinez, Zanello, Shankar, & Poole, 2016;Miller, 2010) odds of anaemia associated with livestock rearing. None of these studies has examined the role of coinfection when assessing associations between livestock and anaemia among children, and no epidemiological studies have addressed differential associations among women and children.…”

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confidence: 99%

Livestock ownership is associated with higher odds of anaemia among preschool‐aged children, but not women of reproductive age in Ghana

Jones

Colecraft

Awuah

et al. 2018

Maternal & Child Nutrition

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Livestock ownership may influence anaemia through complex and possibly contradictory mechanisms. In this study, we aimed to determine the association of household livestock ownership with anaemia among women aged 15–49 years and children aged 6–59 months in Ghana and to examine the contribution of animal source foods (ASFs) to consumption patterns as a potential mechanism mediating this association. We analysed data on 4,441 women and 2,735 children from the 2014 Ghana Demographic and Health Survey and 16,772 households from the Ghana Living Standards Survey Round 6. Haemoglobin measurements were used to define anaemia (non‐pregnant women: <120 g/L; children: <110 g/L). Child‐ and household‐level ASF consumption data were collected from 24‐hour food group intake and food consumption and expenditure surveys, respectively. In multiple logistic regression models, household livestock ownership was associated with anaemia among children (OR, 95% CI: 1.5 [1.1, 2.0]), but not women (1.0 [0.83, 1.2]). Household ownership of chickens was associated with higher odds of anaemia among children (1.6 [1.2, 2.2]), but ownership of other animal species was not associated with anaemia among women or children. In path analyses, we observed no evidence of mediation of the association of household livestock ownership with child anaemia by ASF consumption. Ownership of livestock likely has limited importance for consumption of ASFs among young children in Ghana and may in fact place children at an increased risk of anaemia. Further research is needed to elucidate if and how pathogen exposure associated with livestock rearing may underlie this increased risk of anaemia.

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“…Although statistically older, several authors [5][6][7][8][9][10] found an age around thirty with a peak between 25 and 34 years, making anemia in pregnancy a pathology of the young adult. However, Alemu [11] in Ethiopia, reports a prevalence of the age group of 40 to 44 years (30%) with a risk three times higher of anemia (OR = 3.43 [1.04-11.28]).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, low educational and socioeconomic levels have been associated with anemia in the literature [8][9][10]15]. Thus, the origin of a rural area increases the risk of anemia by a factor of three [9,10], the absence of employment increases this risk by a factor of five according to Ahenkorah in Ghana [10] and by a factor of 2 according to Taner in Turkey [15]. The latter reports an increase in the risk of anemia twice more in non-school-going pregnant women (ORa = 2.23 [1.35-3.45]).…”

Section: Discussionmentioning

confidence: 99%

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Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)

Clautaire¹,

Firmine²,

Jostin³

et al. 2019

JGO

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Objective: Anemia during childbirth remains a concern for reproductive health personnel, both in terms of frequency and the risks involved in all periods of pregnancy and childbirth. This work aims to analyze the epidemiological profile of anemic parturient and the outcome of their pregnancy. Methods: A multicenter case-control study conducted from February 1st to July 31st, 2017, in three Brazzaville maternity clinics, comparing the ratio of one case for two controls, the anemic parturient (n = 67) to those without anemia (n = 134). Any parturient with a hemoglobin level < 11 g / dl was considered anemic. The variables studied were sociodemographic and reproductive, related to anemia, per and postpartum. Results: Sixty-seven anemic parturient were recorded among 10,106 deliveries, a frequency of 0.7%. Anemic female parturient were older (30.1 ± 1.6 years vs 27.5 ± 1.9 years, p < 0.05), out of school (OR = 13.1 [1.5-111], p < 0.05) and unemployed (OR = 3.8 [2.1-7.2], p < 0.05). The mean hemoglobin level was 8.1 ± 0.1g / dl vs 12.1 ± 0.8g / dl. Anemia was microcytic hypochromic (28.4%) and normochromic normocytic (71.6%). Anemia was mild (40.3%), moderate (44.7%) and severe (15%). Delivery was more by caesarean section in cases (97% vs 1.5%, p < 0.05) with a higher recourse to blood transfusion (55.4% vs 3.8%, OR = 29.9 [10.8-82.6], p < 0.05). Maternal lethality was 13-fold higher in case of anemia (OR = 13 [1.5-111], p < 0.05). Neonatal morbidity was represented by poor adaptation to extrauterine life (OR = 40.7 [9.1-180.7), p < 0.05), hypotrophy (OR = 21.9 [7.2-67.1], p < 0.05), prematurity (OR = 6.6 [2.6-16.9], p < 0.05), neonatal resuscitation (OR = 35.4 [10.2-122.5), p < 0.05) and neonatal transfer (OR = 2.8 [2-4], p < 0.05). Neonatal lethality was three times higher in case of anemia (OR = 3.3 [2.6-4.8], p < 0.05). Conclusion: Maternal and neonatal prognosis is poor in anemic female parturient. Reducing the maternal and fetal impact of anemia during childbirth requires early detection and case management during prenatal contact.

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Sociodemographic and Obstetric Characteristics of Anaemic Pregnant Women Attending Antenatal Clinic in Bolgatanga Regional Hospital

Cited by 12 publications

References 21 publications

Biochemical and hematological changes among anemic and non-anemic pregnant women attending antenatal clinic at the Bolgatanga regional hospital, Ghana

Biochemical and hematological changes among anemic and non-anemic pregnant women attending antenatal clinic at the Bolgatanga regional hospital, Ghana

Livestock ownership is associated with higher odds of anaemia among preschool‐aged children, but not women of reproductive age in Ghana

Parturient Anemic: Epidemiology and Outcome of Pregnancy in Three Maternities of Brazzaville (Republic of Congo)

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