– Evaluation Of Iron Status In Pregnant Women With Iron Deficiency Anemia At Owerri, Imo State, Nigeria –
Download Evaluation Of Iron Status In Pregnant Women With Iron Deficiency Anemia At Owerri, Imo State, Nigeria project materials: This project material is ready for students who are in need of it to aid their research.
ABSTRACT
A cross sectional study was conducted at Federal Medical Center Owerri to determine the haemoglobin, packed cell volume and iron status of pregnant women with anaemia and those without anaemia who served as control group.
Seventy subject were recruited and were grouped into fifty anaemic women and twenty non anaemic women. Haemoglobin and PCV were estimated by common laboratory method while iron status was analysed using appropriate laboratory kit.
The result indicated that haemoglobin concentration of the test subjects (10.00 ±1.77g/dl) was statistically significantly lower when compared with that of Control subject (11.84 ±1.03g/dl).
Packed cell volume of Test subject (29.76± 5.27%) was significantly lower than that of Control (35.35± 3.05%).
Serum iron and Ferritin of the test subject (6.88± 2.59umol/l and 10.02± 2.15umol/l respectively) were significantly lower when compared with that control (21.30 ±3.05umol/l and 64.95± 44.18umol/l); while TIBC was significantly higher in test subject (181.84± 99.85umol/l) than the control subjects (72.50± 11.48umol/l).
In conclusion anaemia in pregnancy produces various ill effects, both for mother and foetus, hence for prevention of anaemia, early diagnosis is essential.
This study found that there were significant differences in all the haematological parameters (PCV and Hb) between the anaemic and the non-anaemic pregnant women. All the changes were suggestive of anaemia, hence the above parameters can be used to determine the status of anaemia in pregnancy.
INTRODUCTION
1.1 Background of Study
According to Okafor et al., (2013), Anemia is a global public health problem affecting both developing and developed countries with major consequences for human health as well as social and economic development. It occurs at all stages of the life cycle, but it is prevalent in pregnant women and young children.
As noted by World Health Organization (WHO, 2010), the importance of good hemoglobin concentration and good iron store during pregnancy for both the woman and the growing foetus cannot be overemphasized.
Being a driving force for oxygen for the mother and foetus, a reduction below acceptable levels can be detrimental to both (Agan et al.,2010).
Traditionally as defined by Bull, (2006), anemia can be define as a decrease in the ability of blood to carry oxygen due to a decrease in the total number of erythrocytes, a diminished concentration of haemoglobin per erythrocyte, or a combination of both.
A haemoglobin concentration below 11.0g/dl or a packed cell volume (PCV) of less than 33.0% is regarded as anaemia during pregnancy by the World Health Organization (WHO, 2010).
Iron-deficiency has been noted to accounts for the major cause of of anaemia especially in pregnancy (WHO, 2010) and is defined as an anaemia accompanied by a depleted iron stores and a compromised iron delivery to tissues.
In their study, Bursary et al., (2008), stated that iron deficiency is usually caused by nutritional deficiency or low iron stores resulting from previous pregnancy or previous heavy menstrual blood loss.
Many researches have demonstrated that the physiological requirements for iron in pregnancy are three times higher, than in non-pregnant menstruating women and that this requirement for iron increases as pregnancy advances.
REFERENCES
Adinma, J. I,. Ikechebelu, U. N., Onyejimbe, G., Amilo, E., and Adinma E.U, (2002). “Influence of antenatal care on the haematocrit Value of pregnant Nigerian Igbo Women,” Tropical Journal of Obstetrics and Gynaecology, vol. 19, no. 2, pp. 68–70.
Agan T, Ekabua A. E., Udoh E. I., Ekanem, E. E., Efiok M. A., and Mgbekem J.K, (2010). “Prevalence of anemia in women with asymptomatic malaria parasitemia at first antenatal care visit at the University of Calabar Teaching Hospital, Calabar, Nigeria,” International Journal of Women’s Health, vol. 2, no. 1, pp. 229–233.
Alexander Krafft, Laura Murray-Kolb, and Nils Milman, (2012)Anemia and Iron Deficiency in Pregnancy. Journal of Pregnancy; 4:1.8
Bennett, M., Macri, C.J. and Bathgate, S.L. (2005). Erythropoietin use in a pregnant Jehovah‟s witness with anaemia and beta thalassaemia: a case report. Journal Reproductive Medicine. 50: 135-137
Berger, N X, Ninh, N. C Khan, N. V, Nhien, D K Lien, N Q Trung & H H Khoi, (2001). Efficacy of combined iron and zinc supplementation on micronutrient status and growth in Vietnamese infantsEuropean Journal of Clinical Nutrition volume 60, page 443-454
Branhyde J.A Bondevik GT, Lie RT, Ulstein M, (2003). Maternal hematological status and risk of low birth weight and preterm delivery in Nepal. Acta Obstet Gynecol Scand; 80(5):402–8.
Bukar B. M., Audu, H. M., Sadauki, A. U., Elnafaty, A. G. and Mairiga B.D, (2009). “Prevalence of iron deficiency and megaloblastic anaemia at booking in a secondary Health facilty in North Eastern Nigeria.,” Nigerian Journal of Medicine, vol. 50, no. 2, pp. 33–37.
Be the first to comment