Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us +44 3308186230


Should We Revisit The Current Definition Of Anemia In Pregnancy? | OMICS International
ISSN: 2376-127X
Journal of Pregnancy and Child Health
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on Medical, Pharma, Engineering, Science, Technology and Business

Should We Revisit The Current Definition Of Anemia In Pregnancy?

Elie Nkwabong1* and Jean Marie Kasia2
1Gynecology & Obstetric Department, University Teaching Hospital Yaoundé / Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
2Gynecology & Obstetric Department, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Corresponding Author : Elie Nkwabong
Senior lecturer, Gynecology & Obstetric Department
University Teaching Hospital Yaoundé / Faculty of Medicine and Biomedical Sciences
University of Yaoundé I, Cameroon
Tel: 237699663843
Received: April 29, 2015; Accepted: April 30, 2015; Published: May 02, 2015
Citation: Nkwabong E, Kasia JM (2015) Should We Revisit The Current Definition Of Anemia In Pregnancy? J Preg Child Health 2:e111. doi: 10.4172/2376-127X.1000e111
Copyright: © 2015 Nkwabong E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Pregnancy and Child Health

World Health Organization (WHO) defines anemia in pregnancy (AP) as Hb <11 g/dl during the first trimester [1,2]. Given that hemodilution occurs significantly during second trimester, WHO defines anemia in the second trimester as Hb <10.5 g/dl [2]. Defining anemia according to trimester, though reasonable, might carry some diagnostic difficulties. Indeed, hemodilution is mild in some women and very pronounced in some others. Moreover, hemodilution increases gradually from the 6th week gestation to its maximum around the 32nd week [3]. The definition of anemia changes brutally from first to second trimester, while hemodilution changes gradually. Consequently, some pregnant women might falsely be considered anemic, especially in the second trimester.
The WHO definition, although more secure, is not being used by all authors. Given that no study found significant maternal nor fetal risk when maternal Hb was = 10 g/dl [3,4], AP is defined as Hb concentration <10 g/dl by many authors [8].
According to WHO definition, the prevalence of anemia in pregnancy varies between 15% and 67% worldwide, with one of the highest (30-65%) in sub-Saharan countries [6,9,10], and the lowest (15- 25%) in developed countries [2]. This rates seem too high even in high resource countries where under nutrition is almost absent, perhaps because of inappropriate definition.
The average estimates for all-cause anemia attributable mortality (both direct and indirect) were 6.37%, 7.26% and 3.0% for Africa, Asia and Latin America in 2011, respectively [11]. Hence, despite the high prevalence of anemia in developing countries according to the WHO definition, only 3.0% to 7.3% are anemia attributable maternal deaths, showing that the threshold value for defining anemia in pregnancy is perhaps too high.
Studies showed that fetal and maternal adverse effects were more observed when the anemia was regularly <9 to 10 g/dl [5,8]. Hence, a definition of <10g/dl seems more appropriate.
Revisiting the definition of anemia could show us the real prevalence worldwide and tell us in which countries more efforts should be carried out to reduce anemia prevalence.


Post your comment

Share This Article

Article Usage

  • Total views: 12896
  • [From(publication date):
    June-2015 - Feb 29, 2024]
  • Breakdown by view type
  • HTML page views : 8582
  • PDF downloads : 4314