Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Susanti, Ari Indra, Sahiratmadja, Edhyana, Winarno, Gatot, Sugianli, Adhi Kristianto, Susanto, Herman, Panigoro, Ramdan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467296/
https://www.ncbi.nlm.nih.gov/pubmed/28634546
http://dx.doi.org/10.1155/2017/6935648
_version_ 1783243246020853760
author Susanti, Ari Indra
Sahiratmadja, Edhyana
Winarno, Gatot
Sugianli, Adhi Kristianto
Susanto, Herman
Panigoro, Ramdan
author_facet Susanti, Ari Indra
Sahiratmadja, Edhyana
Winarno, Gatot
Sugianli, Adhi Kristianto
Susanto, Herman
Panigoro, Ramdan
author_sort Susanti, Ari Indra
collection PubMed
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 Online
Article
Text
id pubmed-5467296
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-54672962017-06-20 Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait? Susanti, Ari Indra Sahiratmadja, Edhyana Winarno, Gatot Sugianli, Adhi Kristianto Susanto, Herman Panigoro, Ramdan Anemia Research Article 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. Hindawi 2017 2017-05-29 /pmc/articles/PMC5467296/ /pubmed/28634546 http://dx.doi.org/10.1155/2017/6935648 Text en Copyright © 2017 Ari Indra Susanti et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Susanti, Ari Indra
Sahiratmadja, Edhyana
Winarno, Gatot
Sugianli, Adhi Kristianto
Susanto, Herman
Panigoro, Ramdan
Low Hemoglobin among Pregnant Women in Midwives Practice of Primary Health Care, Jatinangor, Indonesia: Iron Deficiency Anemia or β-Thalassemia Trait?
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?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467296/
https://www.ncbi.nlm.nih.gov/pubmed/28634546
http://dx.doi.org/10.1155/2017/6935648
work_keys_str_mv AT susantiariindra lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait
AT sahiratmadjaedhyana lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait
AT winarnogatot lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait
AT sugianliadhikristianto lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait
AT susantoherman lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait
AT panigororamdan lowhemoglobinamongpregnantwomeninmidwivespracticeofprimaryhealthcarejatinangorindonesiairondeficiencyanemiaorbthalassemiatrait