Ejidokun, Oluwatoyin; (1991) Factors related to anaemia in pregnancy and the community's perception of its causes, identification, prevention, and treatment. Masters thesis (M.Sc), UCL (University College London).

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Abstract

The objectives of this study were to review factors related to anaemia in pregnancy and to explore the community's views regarding its causes, identification, prevention and treatment. A descriptive cross-sectional study was carried out between July and September, 1991, in Amukoko, a peri-urban slum area in Lagos. The main outcome measure was hemoglobin concentration less than 11g/dl. Of 300 pregnant women attending the clinic, 68.3% were found to be anaemic (Hb<11g/dl) and 8% were severely anaemic (Hb<8g/dl). The prevalence of anaemia was higher in the third trimester (50.9%). Anaemia in pregnancy was found in eighty percent of primiparas aged ≤18 years, seventy percent of women aged ≥35 years. Women without formal education and 83.3% (n=5) of women with a history of anaemia in their last pregnancy were also more likely to be anaemic. Compliance with hematinics and anti-malarial chemoprophylaxis were remarkable. However, frequency of antenatal clinic attendance was not associated with differences in mean hemoglobin value and possible reasons for this are discussed. Traditional birth attendants were frequently consulted and the potential benefits of integration of their activities into the health care delivery systems are considered.

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