| Maternal anemia in pregnancy: assessing the effect of routine preventive measures in a malaria-endemic area. | |
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MedLine Citation:
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PMID: 23296448 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We investigated the effectiveness of routine preventive measures for anemia in Beninese pregnant women during pregnancy. Anemia (hemoglobin < 110 g/L) was common: 68.3% at first antenatal visit (ANV1), 64.7% at second antenatal visit (ANV2), and 40.6% at delivery. Parasitic infections and nutritional deficiencies were the most preventable causes. After intermittent preventive treatment (IPTp) and antihelminthic treatments, malaria prevalence decreased from 15.1% (ANV1) to 4.0% (ANV2) and increased again to 9.6% at delivery. Helminth infections dropped from 11.1% (ANV1) to 7.2% (ANV2) and 2.4% at delivery. Malaria was associated with lower mean hemoglobin on ANV1 and delivery, and iron deficiency was associated with lower mean hemoglobin on ANV1 and ANV2. IPTp and antihelminthic treatments were efficacious to clear parasitic infections and improve hematologic status, whereas the effectiveness of daily iron and folic acid supplements to correct iron and folate deficiencies and decrease anemia was less marked, possibly because of lack of compliance. |
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Authors:
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Smaïla Ouédraogo; Ghislain K Koura; Florence Bodeau-Livinec; Manfred M K Accrombessi; Achille Massougbodji; Michel Cot |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2013-01-07 |
Journal Detail:
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Title: The American journal of tropical medicine and hygiene Volume: 88 ISSN: 1476-1645 ISO Abbreviation: Am. J. Trop. Med. Hyg. Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-02-07 Completed Date: 2013-04-01 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 0370507 Medline TA: Am J Trop Med Hyg Country: United States |
Other Details:
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Languages: eng Pagination: 292-300 Citation Subset: AIM; IM |
Affiliation:
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Unité Mixte de Recherche 216, Mère et Enfant Face aux Infections Tropicales, Paris, France. smaila11@yahoo.fr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anemia, Iron-Deficiency / complications, epidemiology, prevention & control* Antimalarials / therapeutic use Dietary Supplements* Female Folic Acid / administration & dosage* Folic Acid Deficiency / prevention & control Hemoglobins / analysis Humans Iron / administration & dosage* Logistic Models Malaria / complications, epidemiology* Malnutrition / complications, prevention & control Multivariate Analysis Pregnancy Pregnancy Complications, Hematologic / epidemiology, prevention & control* Prevalence Randomized Controlled Trials as Topic Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Antimalarials; 0/Hemoglobins; 59-30-3/Folic Acid; 7439-89-6/Iron |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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