Prevalence of Iron Deficiency Anaemia (IDA) among Pregnant Women Attending a Tertiary Health Care Facility in North-eastern Nigeria

Idi Hadiza, S. Awwalu, A. Mamman, Babadoko Aliyu, A. Hassan, I. Halifa
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Abstract

Background: Iron Deficiency Anaemia (IDA) is the most frequent nutritional deficiency in the world and it is most prevalent in African countries including Nigeria. In pregnant women, IDA is associated with high morbidity and mortality. Aim: This study was to determine the prevalence and some associated risk factors for IDA in the third trimester. Materials and methods: This was a cross-sectional descriptive study involving 88 women in the third trimester of pregnancy attending Antenatal Clinic (ANC) of Federal Medical Centre in Nguru, Yobe State, North-East, Nigeria. Complete Blood Count (CBC) and serum ferritin were analysed and relation of serum ferritin with some variables were determined. Results: The mean age, parity, last child birth, haematocrit and ferritin of the study participants were 26.72±6.12years, 3.58±3.43, 1.89`±1.85 years, 32.51±7.41% and 68.87±151.88ng/ml respectively. Overall prevalence of anaemia was 22/88(25%) with the prevalence of iron deficiency (ID) being 53/88(60.2%); 10/88(11.4%) had IDA while ID without anaemia was present in 43/88(48.9%). There were no statistically significant correlations between maternal ferritin levels and age, surprisingly to note that ferritin levels were not significantly associated with parity, LCB and GA. Conclusion: We concluded that there was a high burden of third trimester ID among the study population. Maternal age and other assessed risk factors do not have any relationships with third trimester ferritin levels.
在尼日利亚东北部三级保健机构就诊的孕妇中缺铁性贫血(IDA)的患病率
背景:缺铁性贫血是世界上最常见的营养缺乏症,在包括尼日利亚在内的非洲国家最为普遍。在孕妇中,IDA与高发病率和高死亡率有关。目的:本研究旨在确定妊娠晚期IDA的患病率及相关危险因素。材料和方法:这是一项横断面描述性研究,涉及88名在尼日利亚东北部约贝州恩古鲁联邦医疗中心产前诊所(ANC)就诊的妊娠晚期妇女。分析全血细胞计数(CBC)和血清铁蛋白,并测定血清铁蛋白与一些变量的关系。结果:研究对象的平均年龄、胎次、末胎、红细胞压积、铁蛋白分别为26.72±6.12岁、3.58±3.43岁、1.89±1.85岁、32.51±7.41%、68.87±151.88ng/ml。总体贫血患病率为22/88(25%),缺铁(ID)患病率为53/88(60.2%);10/88例(11.4%)存在IDA, 43/88例(48.9%)存在ID而不存在贫血。产妇铁蛋白水平与年龄之间没有统计学上的显著相关性,令人惊讶的是,铁蛋白水平与胎次、LCB和GA没有显著相关性。结论:我们的结论是,在研究人群中存在较高的妊娠晚期ID负担。产妇年龄和其他评估的危险因素与妊娠晚期铁蛋白水平没有任何关系。
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