Vitamin a and iron deficiency in pregnant women, lactating mothers and their infants in Adamawa State, Nigeria: a prospective cohort study

Tyndall, Jennifer; Okoye, Valentine

doi:10.5251/ajfn.2012.2.1.14.20

Cited by 4 publications

(4 citation statements)

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“…When the diet of pregnant women is supplemented by these two haematinics the increase in red cell mass is doubled. 3 The practice of haematinic supplementation during pregnancy is widespread despite the fact that it is recommended only when iron deficiency is documented. 4 A recent study has cast considerable doubt on the assumption that it is appropriate to treat all pregnant women with iron and folic acid supplements, it also showed that the best feotal outcomes as indicated by small proportions of low birthweight infants and of preterm infants were achieved when haemoglobin (Hb) levels fell to <10.5 g/dl at some stage during gestation.…”

Section: Introductionmentioning

confidence: 99%

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

Hambali

Kodomi

Nelson

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Background: This study was carried out on factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital. Descriptive research design in which Yaro Yamen's formular was used to calculate the sample size of 130. The objectives of the study were: to identify types of haematinics and duration of intake during ante natal care, to determine the factors contributing to non-compliance of haematinics and to determine the attitude of pregnant women toward haematinic use. Methods: Data was collected using a self-developed questionnaire and presented in frequency distribution tables and histogram. Results:The result showed that the response of the age variation of the respondents at 21-30 years old had the maximum age participation in haematinics with 62% of response, responses based on the choice of haematinics 50% went for folic acid, trimester intake of haematinics among pregnant women about 48% accepted that they made use of it during pregnancy period, the result also revealed that pregnant women take haematinics once a day with 63% respondents, pregnant women with higher educational qualification made more use of haematinics with 70% responses and that non-compliance to haematinics intake based on cultural believe contributed few to the use of haematinics with 36% while 64% of the respondents accepted cultural believe was not the factor contributing to noncompliance of haematinics usage. Conclusions:In conclusion, this study provided information on the general response to factors contributing to noncompliance to routine ante natal haematinics among pregnant women attending ante natal clinic in UMTH which was about 62%. It is therefore recommended that the government should put in place relevant agencies to pro-actively inform pregnant women cut across all age groups, level of education, occupational classes, culture inclinations and financial status on the medical importance of haematinics intake during the gestation period.

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Section: Introductionmentioning

confidence: 99%

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

Hambali

Kodomi

Nelson

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Regarding mature milk in the current contribution, the mean concentration of α-tocopherol and retinol for both groups of women (with a normal pregnancy and high-risk pregnancy) is very similar to most reports on these micronutrients. However, for women who, herein, had a high-risk pregnancy, the median concentration of α-tocopherol was higher than that detected in Polish women [ 37 , 38 , 39 , 40 , 41 , 42 , 43 ] and in a group of adolescent mothers in Brazil [ 44 ]. In another study by Tokusoglu et al [ 45 ], the concentration of α-tocopherol in the mature milk of Turkish women was similar to that commonly observed in colostrum.…”

Section: Discussionmentioning

confidence: 72%

Retinol and α-Tocopherol in the Breast Milk of Women after a High-Risk Pregnancy

et al. 2017

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Background: There is scant information about whether, after a high-risk pregnancy, breast milk provides enough vitamins for assuring satisfactory bodily reserves in newborns. Objective: To comparatively evaluate, in women with high-risk and normal pregnancy, the concentration of retinol and α-tocopherol in breast milk. Methods: This cross-sectional, analytical study was evaluated with reverse-phase high-performance liquid chromatography (HPLC). Informed consent was signed by 95 mothers with a high-risk pregnancy and 32 mothers with a normal pregnancy. From the mothers with a high-risk pregnancy were obtained: 23 samples of colostrum, 24 of transitional milk, and 48 of mature milk. From the normal pregnancy group, 32 mature milk samples were collected. Pregestational Body Mass Index (BMI) and the gestational weight gain were noted. Models of logistic regression were constructed to identify the variables related to a low concentration of either retinol or α-tocopherol in breast milk. Results: The concentration of retinol and α-tocopherol in mature milk was 60 (interquartile range (IQR), 41–90) and 276 (103–450) μg/dL, respectively, for the high-risk pregnancy group, and 76 (65–91) and 673 (454–866) µg/dL, respectively, for the normal pregnancy group (p = 0.001). The concentration of retinol and α-tocopherol was similar in the subgroups of mothers with different disorders during gestation. A clear correlation was found between a greater pregestational weight and a lower concentration of retinol (Rho = –0.280, p = 0.006), and between α-tocopherol and retinol in all cases (Rho = 0.463, p = 0.001). Among women having a high-risk pregnancy, those delivering prematurely rather than carrying their pregnancy to term had a reduced concentration of retinol (54 (37–78) vs. 70 (49–106) µg/dL; p = 0.002) and a tendency to a lower concentration of α-tocopherol in breast milk (185 (75–410) vs. 339 (160–500) µg/dL; p = 0.053). Compared to mothers with a normal pregnancy, those with a high-risk pregnancy (whether carried to term or ending in preterm delivery) exhibited a reduced concentration of retinol in mature milk (p = 0.003), as well as a tendency to a lower concentration of α-tocopherol (p = 0.054). Conclusion: Even though the women in the high-risk pregnancy group showed a deficiency of vitamins A and E in their breast milk, the unique biological benefits of this milk justify the promotion of breast feeding as the optimal method of nourishing neonates and infants. In these cases, it should be recommended that the woman increase her consumption of certain nutrients during pregnancy. Additionally, after childbirth mothers should consider the use of supplements to produce milk of adequate quality and thus meet the needs of the baby and prevent any deficiency in micronutrients.

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“…Iron is an important metal for all living things. In the human body iron is a major component of haemoglobin, which is the protein molecule in red blood cells that carries oxygen from the lungs to the tissues [7]. Iron is also an important component of various enzyme systems, such as the cytochromes, which are involved in oxidative metabolism [3].…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study on the Effectiveness of Coating and Dusting Technologies on Fortification of Acha (Digitaria exilis) Grains

Chika

Sunday

Charles³

et al. 2019

EJNFS

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Background: Reports have shown that consumption of acha (Digitaria exilis) is beneficial to both diabetic and hypertensive patients considering its low glycaemic index, if fortified could assist to improve health and in combating hidden hunger. Aims: This work was aimed at establishing the technology of fortifying acha (Digitaria exilis) grains with vitamin A, Iron, copper and zinc by comparing the effectiveness of coating and dusting technologies and analysing the vitamin A, iron, zinc and copper levels of acha grains fortified by both methods. Methodology: Vitamin A was quantified by High Performance Liquid Chromatography (HPLC) method, while iron, zinc and copper were quantified using Atomic Absorption Spectroscopy (AAS) method. Results: Vitamin A was undetected in unfortified grain, but present at 29,904.18 IU/kg and 29,657.66 IU/kg in coated and dusted grains respectively. The iron content(58 mg/kg) in unfortified grain increased by 22% and 15% for coated and dusted respectively, Copper increased by 25% and 14% and Zinc by 32% and 45% with coating and dusting respectively. Conclusion: This study suggests that coating is a more promising technology for fortifying acha grains with Vitamin A, iron and copper, which will assist in delivering these critical micronutrients in the vulnerable population and also be used as a strategy for dietary improvement.

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Vitamin a and iron deficiency in pregnant women, lactating mothers and their infants in Adamawa State, Nigeria: a prospective cohort study

Cited by 4 publications

References 4 publications

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

Retinol and α-Tocopherol in the Breast Milk of Women after a High-Risk Pregnancy

A Comparative Study on the Effectiveness of Coating and Dusting Technologies on Fortification of Acha (Digitaria exilis) Grains

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