Evidence map›Paper›PMID 31971986›Full record

ArticlePloS one2020

Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria.

Adegbenga Adetona Ajepe, Kehinde Sharafadeen Okunade, Adebayo Isaiah Sekumade, Ebunoluwa Seun Daramola, Mary Olufunmilayo Beke, Olaolopin Ijasan, Olusola Festus Olowoselu, Bukola Bosede Afolabi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04976179 (Intravenous Versus Oral Iron for Iron Deficiency Anaemia in Pregnant Nigerian Women), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04976179 phase3completednot on this mapstarted 2021, after this paper: background citation

Intravenous Versus Oral Iron for Iron Deficiency Anaemia in Pregnant Nigerian Women (IVON): an Open Label, Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Lagos, NigeriaRan2021 to 2023Enrolled1,056ConditionsIron Deficiency Anemia of PregnancyArmsFerric carboxymaltose, Ferrous sulfate
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  5. Iron deficiency with and without anemia in pregnancy: A scoping review of prevalence and perinatal impact.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Adegbenga Adetona AjepeDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Kehinde Sharafadeen OkunadeDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.ORCID 0000-0002-0957-7389
Adebayo Isaiah SekumadeDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Ebunoluwa Seun DaramolaDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Mary Olufunmilayo BekeDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Olaolopin IjasanDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Olusola Festus OlowoseluDepartment of Haematology and Blood Transfusion, College of Medicine, University of Lagos, Lagos, Nigeria.
Bukola Bosede AfolabiDepartment of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Lagos University Teaching Hospital · NGUniversity of Lagos · NG

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
FIC NIH HHS D43 TW010543
6 · The paper itself

Abstract

Anaemia in pregnancy is a major health problem and an important cause of adverse foetomaternal outcomes in developing countries. Iron deficiency is the cause of the overwhelming majority of the cases of anaemia in pregnancy. Iron deficiency anaemia (IDA) has been linked with adverse foetal and maternal outcomes. This study investigated the prevalence of IDA and evaluated its effects on foetomaternal outcomes among parturients in Lagos, Nigeria. This was a cross-sectional study that enrolled 220 women aged 15-49 years with singleton gestation at term, between May 1, 2016, and March 31, 2017. Participants were selected by systematic sampling and baseline data were collected through interviews. Venous blood samples were obtained to measure haemoglobin and serum ferritin concentrations, and the associations between IDA (defined as anaemia and iron deficiency) and pregnancy outcomes were examined. A P-value <0.05 was considered as statistically significant. The prevalence of IDA was 12.3%. Routine antenatal iron supplementation (adjusted odds ratio 0.18, 95% confidence interval 0.07-0.46; P = 0.001) and interpregnancy interval of at least 2 years (adjusted odds ratio 0.20, 95% confidence interval 0.05-0.97; P = 0.021) have significant association with IDA. Iron deficiency anaemia was not significantly associated with adverse perinatal outcomes but there were significant associations with increased risk of blood transfusion (P = 0.001) and maternal infectious morbidities such as puerperal pyrexia (P = 0.041) and wound infection (P = 0.020). IDA is still a fairly common condition among parturients in Lagos and it's mostly associated with maternal peripartum morbidities. Adequate pregnancy spacing through the use of effective contraception and routine antenatal iron supplementations in pregnancy is a recommended preventive measure against IDA and its adverse sequelae. Future studies should adopt the use of transferrin saturation (TSAT) in compliment with serum ferritin assay as a more sensitive marker of iron deficiency.

Indexed as

AdolescentAdultAnemia, Iron-DeficiencyFemaleHemoglobinsHumansIronMiddle AgedNigeriaPregnancyPregnancy Complications, HematologicPregnancy OutcomePrevalenceYoung AdultHemoglobinsIron

Identifiers

PMID31971986
PMCPMC6977715
OpenAlexW3001466010

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.