Okafor I M, Okpokam D C, Antai A B, Usanga E A
Haematology Unit, Department of Medical Laboratory Science, College of Medical Sciences University of Calabar, Calabar.
Niger J Physiol Sci. 2017 Mar 6;31(2):121-125.
Anaemia in pregnancy is a major public health problem in Nigeria. Iron deficiency is one of the major causes of anaemia in pregnancy. Inadequate iron intake during pregnancy can be dangerous to both baby and mother. Iron status of pregnant women was assessed in two rural and one urban communities in Cross River State Nigeria. Packed cell volume, haemoglobin, mean cell haemoglobin, mean cell haemoglobin concentration, red cell count, serum iron, total iron binding capacity, transferrin saturation, serum ferritin, soluble transferrin receptor and soluble transferrin receptor/ferritin ratio were measured in plasma/serum of 170 pregnant women within the age range of 15-45 years. Seventy participants were from antenatal clinic of University of Calabar Teaching Hospital Calabar (urban community), 50 from St Joseph Hospital Ikot Ene (rural community) in Akpabuyo Local Government Area and the remaining 50 from University of Calabar Teaching Hospital extension clinic in Okoyong (rural community), Odukpani Local Government Area of Cross River state. The prevalence of anaemia, iron deficiency, iron depletion and iron deficiency anaemia were found to be significantly higher among pregnant women from the two rural communities when compared to the urban community. it was also observed that the prevalence of anaemia, iron deficiency, iron depletion and iron deficiency anaemia were significantly higher (p<0.05) among pregnant women from Akpabuyo 38(76.00%), 20(40.00%), 23(46.0%) , 16(32.00%) respectively followed by Okoyong 24(48.0%), 20(40.0%), 16(32.0%), 6(12.0) and then those from Calabar 14(20%), 12(17.90%) , 14(20.0%). The mean haemoglobin and haematocrit were significantly reduced in pregnant women from the two rural communities. Serum iron, serum ferritin and transferrin saturation showed no significant difference while total iron binding capacity and soluble transferrin receptor significantly increased among pregnant women from Okoyong when compared to those from Calabar. It was also shown that pregnant women in their third trimesters and multigravidae had the highest prevalence of iron depletion and iron deficiency anaemia while prevalence of iron deficiency and anaemia were higher in primigravidae and the pregnant women in their second trimester. In conclusion, this study has shown that the prevalence of anaemia and iron deficiency anaemia are higher among pregnant women in the rural communities when compared to those in the urban areas.
妊娠贫血是尼日利亚一个主要的公共卫生问题。缺铁是妊娠贫血的主要原因之一。孕期铁摄入不足对母婴均有危险。在尼日利亚克罗斯河州的两个农村社区和一个城市社区对孕妇的铁状况进行了评估。对170名年龄在15至45岁之间的孕妇的血浆/血清测量了血细胞压积、血红蛋白、平均红细胞血红蛋白、平均红细胞血红蛋白浓度、红细胞计数、血清铁、总铁结合力、转铁蛋白饱和度、血清铁蛋白、可溶性转铁蛋白受体以及可溶性转铁蛋白受体/铁蛋白比值。70名参与者来自卡拉巴尔大学教学医院卡拉巴尔的产前诊所(城市社区),50名来自阿克帕布约地方政府辖区伊科特埃内的圣约瑟夫医院(农村社区),其余50名来自克罗斯河州奥杜卡帕尼地方政府辖区奥科永的卡拉巴尔大学教学医院分院诊所(农村社区)。结果发现,与城市社区相比,来自两个农村社区的孕妇中贫血、缺铁、铁耗竭和缺铁性贫血的患病率显著更高。还观察到,阿克帕布约的孕妇中贫血、缺铁、铁耗竭和缺铁性贫血的患病率分别显著更高(p<0.05),为38(76.00%)、20(40.00%)、23(46.0%)、16(32.00%),其次是奥科永,分别为24(48.0%)、20(40.0%)、16(32.0%)、6(12.0),然后是卡拉巴尔的孕妇,分别为14(20%)、12(17.90%)、14(20.0%)。来自两个农村社区的孕妇的平均血红蛋白和血细胞比容显著降低。与来自卡拉巴尔的孕妇相比,奥科永的孕妇血清铁、血清铁蛋白和转铁蛋白饱和度无显著差异,而总铁结合力和可溶性转铁蛋白受体显著升高。还表明,孕晚期孕妇和多产妇中铁耗竭和缺铁性贫血的患病率最高,而初产妇和孕中期孕妇中铁缺乏和贫血的患病率更高。总之,本研究表明,与城市地区相比,农村社区孕妇中贫血和缺铁性贫血的患病率更高。
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