Maternal Anemia in Pregnancy: Assessing the Effect of Routine Preventive Measures in a Malaria-Endemic Area

作者: Smaïla Ouédraogo , Manfred M. K. Accrombessi , Florence Bodeau-Livinec , Ghislain K. Koura , Michel Cot

DOI: 10.4269/AJTMH.12-0195

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摘要: 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% second (ANV2), and 40.6% delivery. Parasitic infections nutritional deficiencies were most preventable causes. After intermittent treatment (IPTp) antihelminthic treatments, malaria prevalence decreased from 15.1% (ANV1) to 4.0% (ANV2) increased again 9.6% Helminth dropped 11.1% 7.2% 2.4% Malaria associated with lower mean hemoglobin on ANV1 delivery, iron deficiency ANV2. IPTp treatments efficacious clear parasitic improve hematologic status, whereas daily folic acid supplements correct folate decrease less marked, possibly because lack compliance.

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