Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.
Identifieur interne : 000413 ( PubMed/Corpus ); précédent : 000412; suivant : 000414Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.
Auteurs : Diederike Geelhoed ; 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.
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
Links to Exploration step
pubmed:17068674Le document en format XML
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<author><name sortKey="Geelhoed, Diederike" sort="Geelhoed, Diederike" uniqKey="Geelhoed D" first="Diederike" last="Geelhoed">Diederike Geelhoed</name>
<affiliation><nlm:affiliation>Holy Family Hospital, Berekum and Mathias Hospital, Yeji, Ghana.</nlm:affiliation>
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<author><name sortKey="Agadzi, Florence" sort="Agadzi, Florence" uniqKey="Agadzi F" first="Florence" last="Agadzi">Florence Agadzi</name>
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<author><name sortKey="Visser, Lucia" sort="Visser, Lucia" uniqKey="Visser L" first="Lucia" last="Visser">Lucia Visser</name>
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<author><name sortKey="Ablordeppey, Emelia" sort="Ablordeppey, Emelia" uniqKey="Ablordeppey E" first="Emelia" last="Ablordeppey">Emelia Ablordeppey</name>
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<author><name sortKey="O Rourke, Peter" sort="O Rourke, Peter" uniqKey="O Rourke P" first="Peter" last="O'Rourke">Peter O'Rourke</name>
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<author><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>
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<author><name sortKey="Van Roosmalen, Jos" sort="Van Roosmalen, Jos" uniqKey="Van Roosmalen J" first="Jos" last="Van Roosmalen">Jos Van Roosmalen</name>
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<author><name sortKey="Agadzi, Florence" sort="Agadzi, Florence" uniqKey="Agadzi F" first="Florence" last="Agadzi">Florence Agadzi</name>
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<author><name sortKey="Ablordeppey, Emelia" sort="Ablordeppey, Emelia" uniqKey="Ablordeppey E" first="Emelia" last="Ablordeppey">Emelia Ablordeppey</name>
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<term>Adult</term>
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<term>Anemia (epidemiology)</term>
<term>Anemia (etiology)</term>
<term>Anemia (pathology)</term>
<term>Anemia (prevention & control)</term>
<term>Case-Control Studies</term>
<term>Developing Countries (economics)</term>
<term>Female</term>
<term>Ghana</term>
<term>Hemoglobins (analysis)</term>
<term>Hospitals, District</term>
<term>Hospitals, Rural</term>
<term>Humans</term>
<term>Medically Underserved Area</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Parity</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Hematologic (epidemiology)</term>
<term>Pregnancy Complications, Hematologic (etiology)</term>
<term>Pregnancy Complications, Hematologic (prevention & control)</term>
<term>Pregnancy Outcome</term>
<term>Prenatal Care</term>
<term>Prospective Studies</term>
<term>Risk Factors</term>
<term>Rural Health (statistics & numerical data)</term>
<term>Severity of Illness Index</term>
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<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Hemoglobins</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Developing Countries</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anemia</term>
<term>Pregnancy Complications, Hematologic</term>
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<term>Pregnancy Complications, Hematologic</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Anemia</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Anemia</term>
<term>Pregnancy Complications, Hematologic</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Rural Health</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Hospitals, District</term>
<term>Hospitals, Rural</term>
<term>Humans</term>
<term>Medically Underserved Area</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Parity</term>
<term>Pregnancy</term>
<term>Pregnancy Outcome</term>
<term>Prenatal Care</term>
<term>Prospective Studies</term>
<term>Risk Factors</term>
<term>Severity of Illness Index</term>
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<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>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17068674</PMID>
<DateCreated><Year>2006</Year>
<Month>10</Month>
<Day>27</Day>
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<DateCompleted><Year>2006</Year>
<Month>11</Month>
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<Issue>10</Issue>
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<Title>Acta obstetricia et gynecologica Scandinavica</Title>
<ISOAbbreviation>Acta Obstet Gynecol Scand</ISOAbbreviation>
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<ArticleTitle>Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.</ArticleTitle>
<Pagination><MedlinePgn>1165-71</MedlinePgn>
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<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>
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