Document Detail

Anaemia in pregnancy: associations with parity, abortions and child spacing in primary healthcare clinic attendees in Trinidad and Tobago.
MedLine Citation:
PMID:  20811527     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the prevalence of anaemia in antenatal clinic attendees; to investigate the effects of parity, age, gravidity, previous abortions, child spacing and other factors on the prevalence of anaemia in pregnancy.
METHODS: This was a retrospective and cross-sectional study. Antenatal records of 2287 pregnant women attending 40 public healthcare centres from January 2000 to December 2005 in Trinidad and Tobago were used. Data pertaining to the investigated variables were recorded. The national prevalence of anaemia was calculated and chi-square tests, odds ratios and logistic regression were used to assess the relationship between anaemia and each variable.
RESULTS: The prevalence of anaemia was 15.3% (95% CI 13.4%, 16.6%). No significant difference in the prevalence of anaemia was found among the different clinics or counties. At the first haemoglobin reading, age was inversely related to the presence of anaemia, whereas gestational age at first visit was directly related. At the final haemoglobin reading, parity, gravidity, and previous spontaneous abortions were directly related to the prevalence of anaemia, while the number of visits was inversely related. Age was inversely associated to the severity of anaemia while gravidity was directly related.
CONCLUSION: The prevalence of anaemia decreased by 18.7% from 1967. Despite this positive indication, women under 24 years and those commencing antenatal care after the first trimester are still at a higher risk for developing anaemia. Early commencement of antenatal care and close monitoring of the risk groups identified should be strongly advocated.
E O Uche-Nwachi; A Odekunle; S Jacinto; M Burnett; M Clapperton; Y David; S Durga; K Greene; J Jarvis; C Nixon; R Seereeram; C Poon-King; R Singh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African health sciences     Volume:  10     ISSN:  1729-0503     ISO Abbreviation:  Afr Health Sci     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-09-02     Completed Date:  2010-09-15     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101149451     Medline TA:  Afr Health Sci     Country:  Uganda    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  IM    
Department of Preclinical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago.
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MeSH Terms
Abortion, Induced*
Age Factors
Anemia / classification,  epidemiology*
Birth Intervals
Cross-Sectional Studies
Gestational Age
Hemoglobins / analysis*
Logistic Models
Pregnancy Complications, Hematologic / epidemiology*
Primary Health Care
Retrospective Studies
Risk Factors
Rural Population
Trinidad and Tobago / epidemiology
Urban Population
Young Adult
Reg. No./Substance:

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