Tags

Type your tag names separated by a space and hit enter

Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria.
Niger J Physiol Sci. 2017 Mar 06; 31(2):121-125.NJ

Abstract

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.

Authors+Show Affiliations

Haematology Unit, Department of Medical Laboratory Science, College of Medical Sciences University of Calabar, Calabar. okaforifymaryann@yahoo.com.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

28262847

Citation

Okafor, I M., et al. "Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria." Nigerian Journal of Physiological Sciences : Official Publication of the Physiological Society of Nigeria, vol. 31, no. 2, 2017, pp. 121-125.
Okafor IM, Okpokam DC, Antai AB, et al. Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria. Niger J Physiol Sci. 2017;31(2):121-125.
Okafor, I. M., Okpokam, D. C., Antai, A. B., & Usanga, E. A. (2017). Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria. Nigerian Journal of Physiological Sciences : Official Publication of the Physiological Society of Nigeria, 31(2), 121-125.
Okafor IM, et al. Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria. Niger J Physiol Sci. 2017 Mar 6;31(2):121-125. PubMed PMID: 28262847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria. AU - Okafor,I M, AU - Okpokam,D C, AU - Antai,A B, AU - Usanga,E A, Y1 - 2017/03/06/ PY - 2017/03/06/received PY - 2017/03/06/accepted PY - 2017/3/7/entrez PY - 2017/3/7/pubmed PY - 2017/3/16/medline SP - 121 EP - 125 JF - Nigerian journal of physiological sciences : official publication of the Physiological Society of Nigeria JO - Niger J Physiol Sci VL - 31 IS - 2 N2 - 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. SN - 0794-859X UR - https://www.unboundmedicine.com/medline/citation/28262847/Iron_Status_of_Pregnant_Women_in_Rural_and_Urban_Communities_of_Cross_River_State_South_South_Nigeria_ L2 - https://medlineplus.gov/healthproblemsinpregnancy.html DB - PRIME DP - Unbound Medicine ER -