Karfo Raoul, Mpawenimana Servilien, Kabré Elie, Sakandé Jean, Tellal Saida
Unité de Formation et de Recherche en Sciences de la Santé, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso.
Clinique du Laboratoire de Biologie du Centre Médical du Camp General Aboubacar Sangoulé Lamizana, Ouagadougou, Burkina Faso.
Pan Afr Med J. 2023 Jul 24;45:139. doi: 10.11604/pamj.2023.45.139.37687. eCollection 2023.
Iron deficiency is the most widespread nutritional disorder. Anaemia during pregnancy is common in developing countries. The purpose of this study was to check iron levels during pregnancy by evaluating laboratory indicators of iron deficiency. Our study was conducted in the Department of Obstetrics and Gynaecology of the Mohamed V Military Training Hospital (MVMTH) and included 66 patients monitored during three trimesters of pregnancy. Biochemical tests including ferritin, serum iron, CRP and blood counts were performed. The average age of patients was 28.3 years, with a standard deviation of 5.2. The prevalence of iron deficiency was 15.2% (n = 10), 25.8% (n = 17) and 42.2% (n = 28) in the first, second and third trimester, respectively. Anemia progressed from 10% (n = 7), 24% (n = 16) to 42% (n = 28). ANOVA test was used to compare the means for the parameters serum ferritin and iron, hemoglobin and hematocrit within the three trimesters. This showed a significant difference with p = 0.001. This study highlights a high prevalence of iron deficiency during pregnancy, especially in the third trimester, that would justify a systematic iron supplementation.
缺铁是最普遍的营养失调问题。孕期贫血在发展中国家很常见。本研究的目的是通过评估缺铁的实验室指标来检测孕期的铁水平。我们的研究在穆罕默德五世军事训练医院(MVMTH)妇产科进行,纳入了66名在孕期三个阶段接受监测的患者。进行了包括铁蛋白、血清铁、CRP和血细胞计数在内的生化检测。患者的平均年龄为28.3岁,标准差为5.2。缺铁的患病率在孕早期、孕中期和孕晚期分别为15.2%(n = 10)、25.8%(n = 17)和42.2%(n = 28)。贫血率从10%(n = 7)、24%(n = 16)升至42%(n = 28)。采用方差分析(ANOVA)检验比较三个孕期血清铁蛋白、铁、血红蛋白和血细胞比容参数的均值。结果显示差异显著,p = 0.001。本研究突出了孕期缺铁的高患病率,尤其是在孕晚期,这表明有必要进行系统性的铁补充。