Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.
Identifieur interne : 000635 ( PubMed/Checkpoint ); précédent : 000634; suivant : 000636Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.
Auteurs : Diederike Geelhoed [Ghana] ; Florence Agadzi ; Lucia Visser ; Emelia Ablordeppey ; Kofi Asare ; Peter O'Rourke ; Jules Schagen Van Leeuwen ; Jos Van RoosmalenSource :
- Acta obstetricia et gynecologica Scandinavica [ 0001-6349 ] ; 2006.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Anémie (), Anémie (anatomopathologie), Anémie (épidémiologie), Anémie (étiologie), Complications de la grossesse et hémopathies (), Complications de la grossesse et hémopathies (épidémiologie), Complications de la grossesse et hémopathies (étiologie), Facteurs de l'âge, Facteurs de risque, Femelle, Ghana, Grossesse, Humains, Hémoglobines (analyse), Hôpitaux de district (USA), Hôpitaux ruraux, Indice de gravité médicale, Issue de la grossesse, Parité, Pays en voie de développement (économie), Prise en charge prénatale, Santé en zone rurale (), Zone médicalement sous-équipée, Études cas-témoins, Études prospectives, Évaluation de résultat (soins).
- MESH :
- analyse : Hémoglobines.
- anatomopathologie : Anémie.
- économie : Pays en voie de développement.
- épidémiologie : Anémie, Complications de la grossesse et hémopathies.
- étiologie : Anémie, Complications de la grossesse et hémopathies.
- Adolescent, Adulte, Adulte d'âge moyen, Anémie, Complications de la grossesse et hémopathies, Facteurs de l'âge, Facteurs de risque, Femelle, Ghana, Grossesse, Humains, Hôpitaux de district (USA), Hôpitaux ruraux, Indice de gravité médicale, Issue de la grossesse, Parité, Prise en charge prénatale, Santé en zone rurale, Zone médicalement sous-équipée, Études cas-témoins, Études prospectives, Évaluation de résultat (soins).
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Anemia (epidemiology), Anemia (etiology), Anemia (pathology), Anemia (prevention & control), Case-Control Studies, Developing Countries (economics), Female, Ghana, Hemoglobins (analysis), Hospitals, District, Hospitals, Rural, Humans, Medically Underserved Area, Middle Aged, Outcome Assessment (Health Care), Parity, Pregnancy, Pregnancy Complications, Hematologic (epidemiology), Pregnancy Complications, Hematologic (etiology), Pregnancy Complications, Hematologic (prevention & control), Pregnancy Outcome, Prenatal Care, Prospective Studies, Risk Factors, Rural Health (statistics & numerical data), Severity of Illness Index.
- MESH :
- chemical , analysis : Hemoglobins.
- geographic : Ghana.
- economics : Developing Countries.
- epidemiology : Anemia, Pregnancy Complications, Hematologic.
- etiology : Anemia, Pregnancy Complications, Hematologic.
- pathology : Anemia.
- prevention & control : Anemia, Pregnancy Complications, Hematologic.
- statistics & numerical data : Rural Health.
- Adolescent, Adult, Age Factors, Case-Control Studies, Female, Hospitals, District, Hospitals, Rural, Humans, Medically Underserved Area, Middle Aged, Outcome Assessment (Health Care), Parity, Pregnancy, Pregnancy Outcome, Prenatal Care, Prospective Studies, Risk Factors, Severity of Illness Index.
Abstract
Various factors contribute to severe anemia in pregnancy in low-income countries. This study assesses which of these are of importance in rural Ghana, and evaluates management.
DOI: 10.1080/00016340600672812
PubMed: 17068674
Affiliations:
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pubmed:17068674Le document en format XML
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risque</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Hémoglobines (analyse)</term><term>Hôpitaux de district (USA)</term><term>Hôpitaux ruraux</term><term>Indice de gravité médicale</term><term>Issue de la grossesse</term><term>Parité</term><term>Pays en voie de développement (économie)</term><term>Prise en charge prénatale</term><term>Santé en zone rurale ()</term><term>Zone médicalement sous-équipée</term><term>Études cas-témoins</term><term>Études prospectives</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Hemoglobins</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Hémoglobines</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Anémie</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Developing Countries</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anemia</term><term>Pregnancy Complications, Hematologic</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anemia</term><term>Pregnancy Complications, Hematologic</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anemia</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Anemia</term><term>Pregnancy Complications, Hematologic</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Rural Health</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Pays en voie de développement</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Anémie</term><term>Complications de la grossesse et hémopathies</term></keywords><keywords scheme="MESH" 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risque</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Hôpitaux de district (USA)</term><term>Hôpitaux ruraux</term><term>Indice de gravité médicale</term><term>Issue de la grossesse</term><term>Parité</term><term>Prise en charge prénatale</term><term>Santé en zone rurale</term><term>Zone médicalement sous-équipée</term><term>Études cas-témoins</term><term>Études prospectives</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Various factors contribute to severe anemia in pregnancy in low-income countries. This study assesses which of these are of importance in rural Ghana, and evaluates management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17068674</PMID><DateCreated><Year>2006</Year><Month>10</Month><Day>27</Day></DateCreated><DateCompleted><Year>2006</Year><Month>11</Month><Day>21</Day></DateCompleted><DateRevised><Year>2006</Year><Month>10</Month><Day>27</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0001-6349</ISSN><JournalIssue CitedMedium="Print"><Volume>85</Volume><Issue>10</Issue><PubDate><Year>2006</Year></PubDate></JournalIssue><Title>Acta obstetricia et gynecologica Scandinavica</Title><ISOAbbreviation>Acta Obstet Gynecol Scand</ISOAbbreviation></Journal><ArticleTitle>Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.</ArticleTitle><Pagination><MedlinePgn>1165-71</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Various factors contribute to severe anemia in pregnancy in low-income countries. This study assesses which of these are of importance in rural Ghana, and evaluates management.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Prospective case-control study in two (sub)district hospitals in rural Ghana among 175 severely anemic pregnant women (Hb < 8.0 g/dl), receiving a comprehensive treatment package; and 152 non-anemic pregnant women (Hb > or = 10.9 g/dl), giving birth at the study hospitals, matched for age and parity. Evaluated characteristics were need for treatment for urinary tract infection and schistosomiasis; sickle cell and HIV status; antenatal care characteristics; and Hb increase after treatment. Statistical analysis included Chi square test and general linear modeling.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Associated with severe anemia were multiple pregnancy (OR 8.9; 95%CI 1.1-71.0), urinary tract infection (OR 6.2; 95%CI 3.5-11.0), residence outside study (sub)district (OR 2.7; 95%CI 1.7-4.3), body mass index < 20.0 (OR 2.0; 95%CI 1.2-3.4), and less than 4 antenatal clinic visits (OR 1.9; 95%CI 1.2-3.0). No association was found with sickle cell or HIV status, schistosomiasis treatment, blood loss in pregnancy, or gestational age at antenatal care registration. After treatment, mean Hb in the severe anemia group increased by 3.2 g/dl, significantly more than in the control group (0.2 g/dl; p<0.001). Modeling showed that the number of antenatal visits and the lowest Hb together explained approximately 25% of the variability in Hb prior to childbirth among women with severe anemia.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Treatable causes contribute considerably to severe anemia in pregnancy in low-income countries. Even with limited resources, a substantial increase of Hb can be achieved.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Geelhoed</LastName><ForeName>Diederike</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Holy Family Hospital, Berekum and Mathias Hospital, Yeji, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Agadzi</LastName><ForeName>Florence</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Visser</LastName><ForeName>Lucia</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Ablordeppey</LastName><ForeName>Emelia</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Asare</LastName><ForeName>Kofi</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>O'Rourke</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>van Leeuwen</LastName><ForeName>Jules Schagen</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>van Roosmalen</LastName><ForeName>Jos</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Acta Obstet Gynecol Scand</MedlineTA><NlmUniqueID>0370343</NlmUniqueID><ISSNLinking>0001-6349</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D006454">Hemoglobins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000740" MajorTopicYN="N">Anemia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003906" MajorTopicYN="N">Developing Countries</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006454" MajorTopicYN="N">Hemoglobins</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006767" MajorTopicYN="N">Hospitals, District</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006780" MajorTopicYN="N">Hospitals, Rural</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008507" MajorTopicYN="N">Medically Underserved Area</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment (Health Care)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010298" MajorTopicYN="N">Parity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011250" MajorTopicYN="N">Pregnancy Complications, Hematologic</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011256" MajorTopicYN="N">Pregnancy Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011295" MajorTopicYN="Y">Prenatal Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012423" MajorTopicYN="N">Rural Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>10</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>12</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>10</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17068674</ArticleId><ArticleId IdType="pii">757967010</ArticleId><ArticleId IdType="doi">10.1080/00016340600672812</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li></country></list><tree><noCountry><name sortKey="Ablordeppey, Emelia" sort="Ablordeppey, Emelia" uniqKey="Ablordeppey E" first="Emelia" last="Ablordeppey">Emelia Ablordeppey</name><name sortKey="Agadzi, Florence" sort="Agadzi, Florence" uniqKey="Agadzi F" first="Florence" last="Agadzi">Florence Agadzi</name><name sortKey="Asare, Kofi" sort="Asare, Kofi" uniqKey="Asare K" first="Kofi" last="Asare">Kofi Asare</name><name sortKey="O Rourke, Peter" sort="O Rourke, Peter" uniqKey="O Rourke P" first="Peter" last="O'Rourke">Peter O'Rourke</name><name sortKey="Van Leeuwen, Jules Schagen" sort="Van Leeuwen, Jules Schagen" uniqKey="Van Leeuwen J" first="Jules Schagen" last="Van Leeuwen">Jules Schagen Van Leeuwen</name><name sortKey="Van Roosmalen, Jos" sort="Van Roosmalen, Jos" uniqKey="Van Roosmalen J" first="Jos" last="Van Roosmalen">Jos Van Roosmalen</name><name sortKey="Visser, Lucia" sort="Visser, Lucia" uniqKey="Visser L" first="Lucia" last="Visser">Lucia Visser</name></noCountry><country name="Ghana"><noRegion><name sortKey="Geelhoed, Diederike" sort="Geelhoed, Diederike" uniqKey="Geelhoed D" first="Diederike" last="Geelhoed">Diederike Geelhoed</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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