6 research outputs found
Socio-Demographic and Maternal Factors in Anaemia in Pregnancy at Booking in Kano, Northern Nigeria
Anaemia in pregnancy still causes significant maternal morbidity and mortality in the developing countries including Nigeria. The burden and underlying factors are varied even within countries. We studied the prevalence of anaemia at booking and underlying factors in a teaching hospital in northern Nigeria. Using the capillary technique and blood film, the packed cell volume (PCV) and red cell morphology of 300 pregnant women was determined. Additional information was obtained on sociodemographic characteristics, obstetric and past medical history using an interviewer administered questionnaire. Of the 300 pregnant women studied, 51 (17%) [95% Confidence Interval (CI)=12.9%-21.7%] were anaemic. Specifically, 12.7% and 4.3% of the women had mild and moderate anaemia respectively. Blood film of 74.5%, 15.7% and 11.8% anaemic women showed normochromic normocytic, haemolytic and microcytic hypochromic pictures respectively. Low educational attainment [Adjusted Odds Ratio (AOR)=2.13], being single or divorced [AOR=2.02], high parity [AOR=2.06], late booking [AOR=2.71] and short intervals between pregnancies [AOR=2.37] were significant predictors of anaemia in pregnancy. The high prevalence of anaemia in pregnancy related to low educational and economic status especially among women with background obstetric risk factors calls for vigilance, sustained health education and chemoprophylaxis for pregnant women
Facteurs sociodémographiques et maternels de l’anémie chez les femmes enceintes lors de l’inscription à Kano, au nord du Nigéria
Anaemia in pregnancy still causes significant maternal morbidity and
mortality in the developing countries including Nigeria. The burden and
underlying factors are varied even within countries. We studied the
prevalence of anaemia at booking and underlying factors in a teaching
hospital in northern Nigeria. Using the capillary technique and blood
film, the packed cell volume (PCV) and red cell morphology of 300
pregnant women was determined. Additional information was obtained on
socio-demographic characteristics, obstetric and past medical history
using an interviewer administered questionnaire. Of the 300 pregnant
women studied, 51 (17%) [95% Confidence Interval (CI)=12.9%-21.7%] were
anaemic. Specifically, 12.7% and 4.3% of the women had mild and
moderate anaemia respectively. Blood film of 74.5%, 15.7% and 11.8%
anaemic women showed normochromic normocytic, haemolytic and microcytic
hypochromic pictures respectively. Low educational attainment [Adjusted
Odds Ratio (AOR)=2.13], being single or divorced [AOR=2.02], high
parity [AOR=2.06], late booking [AOR=2.71] and short intervals between
pregnancies [AOR=2.37] were significant predictors of anaemia in
pregnancy. The high prevalence of anaemia in pregnancy related to low
educational and economic status especially among women with background
obstetric risk factors calls for vigilance, sustained health education
and chemoprophylaxis for pregnant women (Afr J Reprod Health 2011;
15[4]: 33-41).L’anémie pendant la grossesse provoque toujours la
morbidité et la mortalité significatives dans les pays en
développement, y compris le Nigéria. Le fardeau et les
facteurs sous—jacents sont variĂ©s mĂŞme Ă
l’intérieur des pays. Nous avons étudié la
prévalence de l’anémie au moment de l’inscription
et les facteurs sous-jacents dans un Centre Hospitalier Universitaire
qui se trouve au nord du Nigéria. Nous avons déterminé
le volume des hématies concentrés (VHC) et la morphologie du
globule rouge chez 300 femmes enceintes à l’aide de la
technique capillaire et des frottis de sang. Des informations
supplémentaires ont été obtenues sur les
caractéristiques ssocio-démographiques, les
antĂ©cĂ©dents obstĂ©triques et mĂ©dicaux Ă
l’aide d’un questionnaire administré par
l’enquêteur. Sur les 300 femmes enquêtées, 51(17%)
[95% Intervalle de Confiance (IC)= 12,9%-21,7%] Ă©taient
anémiques. En particulier, 12,7% et 4,3% des femmes souffraient de
l’anémie peu grave et modérée respectivement. Le
frottis de sang de 74,5%, 15,7% et 11,8% des femmes anémiques ont
des images de normocytique normo chromique, hypo chromique microcytique
respectivement. Un niveau d’instruction bas [Indice de la cote
adapté (ICA)= 2,13] qu’il soit célibataire ou
divorcé [ICA=2,02], une parité élevée [ICA=2,06],
inscription tardive [ICA=2,7] et de courts intervalles entre des
grossesses [ICA =2,37] Ă©taient des indices significatifs de
l’anémie pendant la grossesse. La haute prévalence de
l’anémie pendant la grossesse qui est liée au niveau
inférieur d’instruction et de situation économique
surtout chez les femmes qui ont les antécédents des facteurs
de risque obstétrique exigent la vigilance, une éducation de
santé soutenue et la chémoprophylaxie pour les femmes
enceintes (Afr J Reprod Health 2011; 15[4]: 33-41)