scholarly journals Effect of pregnancy on packed cell volume and hemoglobin level among sudanese pregnant women attending antenatal care at omdurman military hospital (khartoum state)

2018 ◽  
Vol 02 (03) ◽  
Author(s):  
Mohamed Abdalla Shareef Ahmed ◽  
Ibrahim A Ali ◽  
Omer A Musa
Author(s):  
Wafa Mubarak M. Ahmed ◽  
Abdurrahman Khalid ◽  
O. A. Musa

Background: During pregnancy the women undergo several structural and physiological changes almost in all body systems including the hematological profile. The main reported hematological change is the plasma expansion and haemodilution which affect the red blood cells(RBCs) and white blood cells (WBCs) count in addition to other hematological indices including packed cell volume (PCV). The objective of this study was to assess the effect of pregnancy on packed cell volume and white blood cells among Sudanese pregnant women and derive a formula for the normal values in pregnant women in relation to the packed cell volume.Methods: An analytical case control study was conducted in Khartoum state, Sudan 2017. The study included20 Sudanese pregnant women in the second and third trimesters attending the antenatal care at The National Ribat university hospital and 20 Sudanese non-pregnant women in the same age group as control. A questionnaire was used to collect socio-demographic and clinical data.5ml of venous blood was collected in a container containing EDTA. Complete blood count (CBC) was measured by using automated cell counter Sysmex.Results: There was statistically significant decrease in PCV value during 2nd and 3rd trimesters of pregnancy compared to the non-pregnant control group with p values (0.00 and 0.04 respectively), and statistically significant increase in WBCs count during 2nd and 3rd trimesters of pregnancy compared to the non-pregnant control group with p values (0.04 and 0.00 respectively). Also, a progressive increase in WBCs count with gestational age was demonstrated (second trimester 6.65×103/uL, third trimester 7.43×103/uL). The results showed mean WBCs of 7.79×103/uL, when compared to the estimated values the results showed no significant difference with the mean WBCs in 2ndand 3rdtrimesters (p value 0.06 and 0.39 respectively).Conclusions: During pregnancy there was statistically significant decrease in PCV values, statistically significant increase in WBCs count and by considering the haemodilution factor there was a higher increase in WBCs count.


Author(s):  
Adedokun I. Adegoke

Background: Obstetric fistula remains a devastating condition among economically marginalised members of the society. Anaemia can result from inadequate intake of nutrients due to poverty. The study aims to assess the prevalence of anemia in obstetric fistula patients.Methods: A retrospective study was carried out at the National Obstetric Fistula Centre, Abakaliki, Nigeria to determine the prevalence of anaemia among obstetric fistula patients. Data were retrieved from the case record of patients and analysis was done using SPSS version 20.Result: Out of the 136 patients studied, 87 (63.9%) were petty traders and farmers. Eighty-nine (65.4%) were anaemic while 19 (13.9%) had packed cell volume of 30% and below.Conclusion: Two-thirds of the patients were anaemic based on WHO's cut off and this is higher than global and local prevalence of anaemia in non-pregnant women. Therefore, it is reasonable to suspect anaemia in obstetric fistula patients and correction of same should start as early as possible in order to minimize the complications of anaemia in this group of patients.


2019 ◽  
Vol 3 (2) ◽  
pp. p47
Author(s):  
Isah Balarabe Adamu ◽  
Azeez Shareef Ayotunde ◽  
Kehinde Joseph Awosan ◽  
Edzu Usman Yunusa

Background: Anaemia in pregnancy remains a major cause of maternal death in Sub-Saharan Africa, and it mostly results from a deficiency of iron and folate.Objectives: To determine the prevalence of anemia and the factors associated with it among pregnant women in Bunza, Nigeria. Materials and Method: A cross-sectional study conducted among 327 pregnant women attending ANC in General Hospital Bunza, Kebbi State, Nigeria. Data were collected using a pretested questionnaire. Estimation of packed cell volume and RDT were alsodone for the participants; datawereanalysedusing IBMSPSS version 20. Results: The mean packed cell volume of the respondents was 30.7, with a SD 3.7 and majority of the respondents were having anemia 240(75.7%). Level of education of the respondents and their spouses, age at first pregnancy, spouses’ occupation, and the trimester at which the respondents booked were found to be significant p ?0.05for anemic status. Conclusion: The prevalence of anemia in pregnancy is high among pregnant women in Bunza, Nigeria, with the factors associated with it being the levels of education of the woman and that of her spouse, spouse’s occupation, having the first pregnancy before the age of 19 years, and late booking. Recommendations: Anemia in Pregnancy should be considered a public health problem in the LGA and state in general and girl child education should be given priority as a long term measure.


2021 ◽  
Vol 7 (3) ◽  
pp. 555-561
Author(s):  
Dessy Hermawan ◽  
Yohana Christine Simatupang ◽  
Susilawati Susilawati ◽  
Devi Kurniasari ◽  
Ledy Octaviani Iqmy

Background AKI cases in Lampung continue to increase, based on information from the Lampung Provincial Health Office in 2015 there were 122 AKI in Lampung. That number increased to 144 cases in 2015 and in 2016 it reached 138 cases and in 2017 it reached 142 cases. While the incidence of anemia in pregnant women in Pesawaran Regency in 2016 was 14.4%, and in 2017 it was 15.4%.The purpose of this study was to determine the effect of consuming dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019.Methods Types of Quantitative Research, the research design is a quasi-experimental method with a pretest-posttest approach with a control group. The population in this study were all pregnant women in the second and third trimesters with anemia who performed Antenatal Care (ANC) at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency, namely 56 pregnant women who experienced anemia. With a sample of 30 people made into 2 groups, 15 people were treated with dates and Fe tablets, and 15 people were treated with Fe tablets, with the inclusion criteria of all pregnant women with mild anemia, Respondents with full awareness, Willing to be research subjects, Respondents taking FE tablets. By using purposive sampling technique. Analysis of univariate and bivariate data with independent T-test.The results showed the average hemoglobin level before consumption of dates and Fe tablets was 9.907 g/dl., the average hemoglobin level after consumption of dates and Fe tablets was 11.320 g/dl., the average hemoglobin level before consumption of Fe tablets was 9.867. gr/dl., the average hemoglobin level after consuming Fe tablets was 10,667 gr/dl.The conclusion is that there is an influence of the consumption of dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019. The t test results obtained p value 0.000 < (0.05).Suggest for health workers, especially midwives, to recommend pregnant women to consume dates as a supplement for Fe because it can increase hemoglobin levels in pregnant women. Keywords: Dates, Fe tablets, hemoglobin levels ABSTRAK Latar Belakang Kasus AKI di Lampung terus meningkat, berdasarakan keterangan Dinas Kesehatan Provinsi Lampung pada 2015 terdapat 122 AKI di Lampung. Jumlah itu meningkat menjadi 144 kasus di tahun 2015 dan tahun 2016 mencapai 138 kasus dan pada tahun 2017 mencapai 142 kasus. Sedangkan angka kejadian anemia pada ibu hamil di Kabupaten Pesawaran pada tahun 2016 sebanyak 14,4%, dan pada tahun 2017 sebanyak 15,4%.Tujuan dari penelitian iUntuk mengetahui pengaruh konsumsi buah kurma  dan tablet fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan pretest-posttest with control group. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II dan trimester III dengan anemia yang melakukan Antenatal Care (ANC) di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran yaitu sebanyak 56 ibu hamil yang mengalami anemia. Dengan jumlah sampel 30 orang  di buat dalam 2 kelompok yaitu 15 orang diberikan perlakuan dengan kurma dan tablet fe, dan 15 orang diberikan perlakun dengan tablet fe, dengan kriteria inklusi seluruh ibu hamil dengan anemi ringan, Responden dengan kesadaran penuh, Bersedia menjadi subjekpenelitian, Responden mengkonsumsi tablet FE. Dengan teknik sampling purposive sampling. Analisa data univariat dan bivariate  dengan uji T-test independent.Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi kurma dan tablet Fe sebesar 9,907 gr/dl.,rata-rata kadar hemoglobin setelah konsumsi kurma dan tablet Fe sebesar 11,320 gr/dl., rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,867 gr/dl., rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,667 gr/dl.Kesimpulan diketahui ada perngaruh konsumsi buah kurma dan tablet Fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Sarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi kurma sebagai pendamping Fe karena dapat menaikan kadar hemoglobin pada ibu hamil. Kata Kunci : Kurma, Tablet Fe, Kadar hemoglobin 


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Olujimi A. Olatunbosun ◽  
Aniekan M. Abasiattai ◽  
Emem A. Bassey ◽  
Robert S. James ◽  
Godwin Ibanga ◽  
...  

Background. Anaemia with an estimated prevalence of 35–75% among pregnant women is a major cause of maternal deaths in Nigeria.Objective. To determine the prevalence of anaemia, associated sociodemographic factors and red cell morphological pattern among pregnant women during booking at the University Teaching Hospital, Uyo.Material and Methods. A cross-sectional analytical study of 400 women at the booking clinic over a 16-week period. The packed cell volume and red cell morphology of each pregnant woman were determined. Their biodata, obstetric and medical histories, and results of other routine investigations were obtained with questionnaires and analyzed with SPSS Package version 17.0.Results. The mean packed cell volume was 31.8%±3.2and 54.5% of the women were anaemic. The commonest blood picture was microcytic hypochromia and normocytic hypochromia suggesting iron deficiency anaemia. Anaemia was significantly and independently related to a history of fever in the index pregnancy (OR=0.4;P=0.00; 95%CI=0.3–0.7), HIV positive status (OR=0.2;P=0.01; 95%CI=0.1–0.6), and low social class (OR=0.3;P=0.00; 95%CI=0.2–0.7).Conclusion. Women need to be economically empowered and every pregnant woman should be encouraged to obtain antenatal care, where haematinics supplementation can be given and appropriate investigations and treatment of causes of fever and management of HIV can be instituted.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Handri Baharutan ◽  
Supit Siantan ◽  
Supit Siantan ◽  
J. J. V. Rampengan

Abstract: Hemoglobin is the component of red blood cells that serve the distribute of oxygen throughout the body. The decreasing of hemoglobin can cause anemic. In pregnant women usually experience hemodelusi. In Indonesia, the prevalence of anemic in pregnancy is relatively high at 38% - 71.5% with an average of 63.5%. This study aims to determine the level of hemoglobin in pregnant women in Public Health Center Bahu Subdistrict Malalayang Manado City. This was a descriptive study with a cross-sectional design. The inclusion criteria were second and third trimester pregnant mothers. The study was conducted at the Public Health Center Bahu subdistrict Malalayang Manadoin from November to December 2014. The number of samples that met the criteria were 30 patients. The results showed that of the 30 pregnant women of second and third trimesters, 25 had normal hemoglobin level. The average age of the women who underwent antenatal care examination was 26 years old. Most of the pregnant women were in the second trimester with nulliparity. Conclusion: In this study, most of the pregnant women of the second and the third trimesters had normal hemoglobin level and in healthy reproductive ages (20-35 years old).Keywords: Hemoglobin levels, pregnant womenAbstrak: Hemoglobin merupakan komponen sel darah merah yang berfungsi menyalurkan oksigen ke seluruh tubuh. Berkurangnya hemoglobin menyebabkan anemia. Pada ibu hamil biasanya mengalami hemodelusi. Di Indonesia prevalensi anemia kehamilan relatif tinggi, yaitu 38%-71,5% dengan rerata 63,5%. Penelitian ini bertujuan untuk mengetahui kadar hemoglobin pada ibu hamil di Puskesmas Bahu Kecamatan Malalayang, Manado. Penelitian ini menggunakan metode deskriptif dengan desain potong lintang. Kriteria inklusi ialah ibu hamil trimester II dan trimester III. Penelitian ini berlangsung di Puskesmas Bahu Kecamatan Malalayang Kota Manado dalam periode November – Desember 2014. Jumlah sampel yang memenuhi kriteria sebanyak 30 pasien. Hasil penelitian memperlihatkan bahwa ibu hamil trimester II dan III yang memiliki kadar hemoglobin normal 25 dari 30 orang. Rerata umur ibu yang melakukan pemeriksaan antenatal care 26 tahun. Umumnya ibu hamil yang melakukan pemeriksaan antenatal care ialah ibu hamil trimester II dengan paritas nulipara. Simpulan: Sebagian besar ibu hamil trimester II dan trimester III mempunyai kadar hemoglobin normal dan berada dalam usia reproduksi sehat yaitu usia 20-35 tahun.Kata kunci: hemoglobin, ibu hamil


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