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A Retrospective Study of the Health Profile of Neonates of Mothers with Anemia in Pregnancy and Pregnancy induced Hypertension in Lagos, Nigeria

Published on Jul 4, 2014in Journal of Public Health in Africa
· DOI :10.4081/jphia.2014.286
Olusola F. Sotunde2
Estimated H-index: 2
(FUNAAB: Federal University of Agriculture, Abeokuta),
S. A. Sanni5
Estimated H-index: 5
(FUNAAB: Federal University of Agriculture, Abeokuta)
+ 2 AuthorsMure Agbonlahor5
Estimated H-index: 5
(FUNAAB: Federal University of Agriculture, Abeokuta)
Abstract
Our study assessed the health profile of neonates in relation to anemia in pregnancy and pregnancy induced hypertension (PIH). This was a retrospective study where a systematic random sampling technique was used to select a total of 1046 case records of pregnant women registered for ante-natal care at Lagos Island Maternity Hospital, Lagos, Nigeria, between 2005 and 2009. Socio-demographic characteristics of the mothers, prevalence of anemia and PIH, and neonatal health profile were obtained from the case records and were analyzed using both descriptive and inferential statistics. Pearson product moment correlation was used to show the relationship (P≤0.05) between maternal complications and neonatal health profile. Majority (68.8%) of the mothers had anemia and 6.7 % had PIH. Majority (97.12%) of the neonates were live births and 2.88% of the neonates were still births, 65.4% of the women with still birth pregnancy outcome had anemia, and 34.6% had PIH. Majority (74%) of the neonates had birth weight within normal range (2.5-4.0 kg) and majority (68%) had normal Apgar score at 5 min of birth (7- 10). A positive correlation existed between the packed cell volume of the mother and the birth weight of the neonates (r=0.740, P≤0.05). A negative correlation existed between the incidence of PIH and the birth weight of the neonates (r=
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References15
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In this article, Apgar described her innovative method for assessing the viability of newborn infants by assigning "scores" of 0, 1, or 2 to the infant's respiration, pulse, color, muscle tone, and response to stimuli one minute after birth. This procedure was later known as "Apgar scoring" and is now routinely used in hospitals worldwide.
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Anaemia in pregnancy, defined as a haemoglobin concentration (Hb) < 110 g/L, affects more than 56 million women globally, two thirds of them being from Asia. Multiple factors lead to anaemia in pregnancy, nutritional iron deficiency anaemia (IDA) being the commonest. Underlying inflammatory conditions, physiological haemodilution and several factors affecting Hb and iron status in pregnancy lead to difficulties in establishing a definitive diagnosis. IDA is associated with increased maternal and...
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To determine the effect of maternal anaemia on pregnancy outcome and describe its impact on infant haemoglobin level in the first 18 months of life, we conducted a prospective study of 617 pregnant women and their children in Benin. Prevalence of maternal anaemia at delivery was 39.5%, and 61.1% of newborns were anaemic at birth. Maternal anaemia was not associated with low birth weight [OR = 1.2 (0.6–2.2)] or preterm birth [OR = 1.3 (0.7–2.4)], whereas the newborn’s anaemia was related to mater...
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OBJECTIVE: Low birth weight (less than 2500g) is a cause of increased neonatal morbidity and mortality. This study aims to determine the incidence of and risk factors associated with delivery of low birth weight singletons at term at UBTH, Benin City. STUDY DESIGN: This was a review of retrospective data extracted from the case records of all booked parturients who had low birth weight singletons at term at the Teaching Hospital over a four-year period. Booked parturients just before and after e...
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We reviewed 90 cases of eclampsia, an obstetric emergency associated with high blood pressure and convulsions, treated in two hospitals in Durban, South Africa. We present a protocol for the management of eclampsia based on this review and extensive clinical experience on this subject, which includes hemodynamic stabilization of the mother, prevention of recurrent convulsions, prompt delivery, and intensive monitoring in the immediate post-partum period.
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A Proposal for a New Method of Evaluation of the Newborn Infant. By Virginia Apgar. Anesth Analg 1953; 32:260–7. Reprinted with permission.In 1953, Virginia Apgar, M.D. published her proposal for a new method of evaluation of the newborn infant. The avowed purpose of this paper was to establish a si
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The aim of this study was to establish a population-based incidence of severe acute maternal morbidity (SAMM) in hypertensive pregnancies and to assess if substandard care was unique to cases of SAMM and mortality or whether it was apparent in uncomplicated pregnancies as well. The population-based incidence of hypertension was 12%. Using defined criteria for SAMM, the incidence of SAMM was 3/1000 deliveries. The MMR was 42/100 000 deliveries, i.e. SAMM is seven times greater than the mortality....
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This study describes the social context of maternal mortality (MM) and morbidity among the Hausa of Northern Nigeria. The analysis is based on a literature review and anthropological field research conducted in southern Katsina in 1975-77, 1994, and 1996. A study during 1975-79, at Ahmadu Bello University Teaching Hospital in Hausaland, found that the most common causes of MM were bacterial infection, pregnancy-induced hypertension and consequences, hemorrhage, anemia, and obstructed labor. The ...
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