Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait?
Low hemoglobin (Hb) or anemia is common among pregnant women in developing countries which may cause adverse pregnancy outcomes and maternal deaths. Our study aimed to assess Hb level measured by midwives in primary health care facility at rural area of Jatinangor, Indonesia, and to explore whether...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Anemia |
| Online Access: | http://dx.doi.org/10.1155/2017/6935648 |
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| author | Ari Indra Susanti Edhyana Sahiratmadja Gatot Winarno Adhi Kristianto Sugianli Herman Susanto Ramdan Panigoro |
| author_facet | Ari Indra Susanti Edhyana Sahiratmadja Gatot Winarno Adhi Kristianto Sugianli Herman Susanto Ramdan Panigoro |
| author_sort | Ari Indra Susanti |
| collection | DOAJ |
| description | Low hemoglobin (Hb) or anemia is common among pregnant women in developing countries which may cause adverse pregnancy outcomes and maternal deaths. Our study aimed to assess Hb level measured by midwives in primary health care facility at rural area of Jatinangor, Indonesia, and to explore whether the anemia was due to iron deficiency (IDA) or β-thalassemia trait (β-TT). Pregnant women (n=105) had finger prick test for Hb level during a regular antenatal care examination from October to November 2016. Hb level by finger prick test was compared with venous blood, measured by complete blood count (CBC). Indices including MCV and MCH and indices of Shine & Lal, Mentzer, Srivastava, Engels & Frase, Ehsani, and Sirdah were analyzed to differentiate anemia due to IDA and anemia due to suspect β-TT. HbA2 was measured to confirm β-TT. Anemic pregnant women were found in 86.7% by finger prick test compared to 21.9% (n=23) by CBC. The prevalence of β-TT in our study was 5.7%. Hb measurement among pregnant women in low resource area is highly important; however, finger prick test in this study showed a high frequency of anemia which may lead to iron oversupplementation. A standard CBC is encouraged; MCV and MCH would help midwives to identify β-TT. |
| format | Article |
| id | doaj-art-4e9dab44b15d432c9bf677540c26dbf0 |
| institution | Kabale University |
| issn | 2090-1267 2090-1275 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anemia |
| spelling | doaj-art-4e9dab44b15d432c9bf677540c26dbf02025-02-03T01:29:51ZengWileyAnemia2090-12672090-12752017-01-01201710.1155/2017/69356486935648Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait?Ari Indra Susanti0Edhyana Sahiratmadja1Gatot Winarno2Adhi Kristianto Sugianli3Herman Susanto4Ramdan Panigoro5Program Study of Midwifery, Division of Maternal and Child Health, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran and Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran and Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran and Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaLow hemoglobin (Hb) or anemia is common among pregnant women in developing countries which may cause adverse pregnancy outcomes and maternal deaths. Our study aimed to assess Hb level measured by midwives in primary health care facility at rural area of Jatinangor, Indonesia, and to explore whether the anemia was due to iron deficiency (IDA) or β-thalassemia trait (β-TT). Pregnant women (n=105) had finger prick test for Hb level during a regular antenatal care examination from October to November 2016. Hb level by finger prick test was compared with venous blood, measured by complete blood count (CBC). Indices including MCV and MCH and indices of Shine & Lal, Mentzer, Srivastava, Engels & Frase, Ehsani, and Sirdah were analyzed to differentiate anemia due to IDA and anemia due to suspect β-TT. HbA2 was measured to confirm β-TT. Anemic pregnant women were found in 86.7% by finger prick test compared to 21.9% (n=23) by CBC. The prevalence of β-TT in our study was 5.7%. Hb measurement among pregnant women in low resource area is highly important; however, finger prick test in this study showed a high frequency of anemia which may lead to iron oversupplementation. A standard CBC is encouraged; MCV and MCH would help midwives to identify β-TT.http://dx.doi.org/10.1155/2017/6935648 |
| spellingShingle | Ari Indra Susanti Edhyana Sahiratmadja Gatot Winarno Adhi Kristianto Sugianli Herman Susanto Ramdan Panigoro Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? Anemia |
| title | Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? |
| title_full | Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? |
| title_fullStr | Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? |
| title_full_unstemmed | Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? |
| title_short | Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? |
| title_sort | low hemoglobin among pregnant women in midwives practice of primary health care jatinangor indonesia iron deficiency anemia or β thalassemia trait |
| url | http://dx.doi.org/10.1155/2017/6935648 |
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