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Anaemia in pregnant women in eastern Caprivi, Namibia.
S Afr Med J. 1997 Nov; 87(11):1544-7.SA

Abstract

OBJECTIVE

To describe the prevalence, character and possible aetiology of anaemia in the study region.

DESIGN

A cross-sectional study involving a lifestyle and dietary questionnaire, a clinical examination and an analysis of blood and stool samples.

SETTING

Katima Mulilo antenatal clinic, East Caprivi, Namibia.

SUBJECTS

171 pregnant women attending the clinic in September 1995.

MAIN OUTCOME MEASURES

Effects on haemoglobin concentration of age, trimester, parity, residential area, sociodemographic factors, malaria, parasites, geophagy, diet, cooking pot used, vitamin and mineral supplementation and malaria prophylaxis.

RESULTS

41.5% of the women were found to be anaemic (haemoglobin < 11 g/dl) and there was a significant risk of their being iron-deficient (P = 0.01). Three maternal characteristics were found to have a significant effect on a woman's risk of anaemia: urban residence (P < 0.05), geophagy (P < 0.01) and the taking of prophylactic chloroquine (P < 0.05).

CONCLUSION

Mild anaemia affects a large proportion of the pregnant women in East Caprivi; severe anaemia (< 7 g/dl) is not common. The picture is predominantly one of iron deficiency, possibly complicated by concomitant folate deficiency. There is no single easily identifiable cause of this anaemia; it appears to have a multifactorial aetiology. Further studies on the effect of the current malaria prophylaxis programme are warranted.

Authors+Show Affiliations

Faculty of Medicine, Southampton General Hospital, UK.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9472280

Citation

Thomson, J. "Anaemia in Pregnant Women in Eastern Caprivi, Namibia." South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 87, no. 11, 1997, pp. 1544-7.
Thomson J. Anaemia in pregnant women in eastern Caprivi, Namibia. S Afr Med J. 1997;87(11):1544-7.
Thomson, J. (1997). Anaemia in pregnant women in eastern Caprivi, Namibia. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 87(11), 1544-7.
Thomson J. Anaemia in Pregnant Women in Eastern Caprivi, Namibia. S Afr Med J. 1997;87(11):1544-7. PubMed PMID: 9472280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anaemia in pregnant women in eastern Caprivi, Namibia. A1 - Thomson,J, PY - 1998/2/24/pubmed PY - 1998/2/24/medline PY - 1998/2/24/entrez SP - 1544 EP - 7 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S Afr Med J VL - 87 IS - 11 N2 - OBJECTIVE: To describe the prevalence, character and possible aetiology of anaemia in the study region. DESIGN: A cross-sectional study involving a lifestyle and dietary questionnaire, a clinical examination and an analysis of blood and stool samples. SETTING: Katima Mulilo antenatal clinic, East Caprivi, Namibia. SUBJECTS: 171 pregnant women attending the clinic in September 1995. MAIN OUTCOME MEASURES: Effects on haemoglobin concentration of age, trimester, parity, residential area, sociodemographic factors, malaria, parasites, geophagy, diet, cooking pot used, vitamin and mineral supplementation and malaria prophylaxis. RESULTS: 41.5% of the women were found to be anaemic (haemoglobin < 11 g/dl) and there was a significant risk of their being iron-deficient (P = 0.01). Three maternal characteristics were found to have a significant effect on a woman's risk of anaemia: urban residence (P < 0.05), geophagy (P < 0.01) and the taking of prophylactic chloroquine (P < 0.05). CONCLUSION: Mild anaemia affects a large proportion of the pregnant women in East Caprivi; severe anaemia (< 7 g/dl) is not common. The picture is predominantly one of iron deficiency, possibly complicated by concomitant folate deficiency. There is no single easily identifiable cause of this anaemia; it appears to have a multifactorial aetiology. Further studies on the effect of the current malaria prophylaxis programme are warranted. SN - 0256-9574 UR - https://www.unboundmedicine.com/medline/citation/9472280/Anaemia_in_pregnant_women_in_eastern_Caprivi_Namibia_ L2 - https://medlineplus.gov/malaria.html DB - PRIME DP - Unbound Medicine ER -