Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka

Darshana I. L. A. N.; Nanayakkara N. P.; Fernando N. S.; Mahendra R.; Sandya L. M.; De Silva P. V.

doi:doi:10.11648/j.ejpm.20140206.15

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Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka

Darshana I. L. A. N., Nanayakkara N. P., Fernando N. S., Mahendra R., Sandya L. M., De Silva P. V.

Published in European Journal of Preventive Medicine (Volume 2, Issue 6)

Received: 23 November 2014 Accepted: 30 November 2014 Published: 2 December 2014

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Abstract

Introduction: This study was carried out to analyze the patterns and identify some co-relates of Hemoglobin levels and basic investigations (VDRL, UFR, Grouping & Rh) performed at booking visit during pregnancy. Methods: All pregnant mothers who attended the routine antenatal clinic for their booking visit in Bope Poddala MOH area from April 2013 to April 2014 were selected as the sample. Data were extracted from the records available in the Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka. Results Total number of mothers in the sample was 289. Of them, 7.3% were teenage mothers while those aged between 19-35yrs and above 35yrs constituted 82.0% and 10.7% respectively. The ethnic distribution of pregnant women is as follows; Sinhala 68.2% (197), Muslim 30.4% (88) and Tamil 1.4% (4). Their respective Hb levels were 12.15g/dl, 11.94g/dl and 10.82g/dl. The overall mean Hb level of pregnant mothers is 12.07 g/dl (SD=1.48). The mean Hb levels of teenage mothers, mothers aged between 19-35yrs and mothers above 35yrs were 11.65 (SD=1.29) g/dl, 12.07g/dl (SD=1.43) and 12.3 (SD=1.91) g/dl respectively. Accordingly, 22.8% among first trimester pregnant mothers were anemic. There was no association between age group (P value 0.438), ethnicity (P value 0.230) and parity (P value 0.291) of pregnant mothers with their Hb levels. Only 0.3% has a weakly reactive VDRL results and no one had a positive test. Out of total pregnant mothers 8.7% had pyuria and 4.5% had trace urine albumin levels at booking visit. Out of total pregnant mothers 91.7% was Rh positive and 8.3% was Rh negative. Conclusion This study shows that nearly quarter of first trimester pregnant mothers who presented at their booking visit to antenatal clinic were anemic. A considerable percentage had pyuria which is compatible with the global prevalence. Nutritional interventions for pre-pregnant women and educating pregnant women on prevention of urinary tract infections are recommended.

Published in	European Journal of Preventive Medicine (Volume 2, Issue 6)
DOI	10.11648/j.ejpm.20140206.15
Page(s)	105-109
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Pregnancy, Basic Investigations, Booking Visit, Anemia

References

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[2]	Baker P N, Kenny LC. Obstetrics by Ten teachers’ 19th edition, 2011
[3]	Konar H, D.C.DUTTA’s Textbook of Obstetric, 7th edition, 2011
[4]	Chathurani U, Dharshika I, Galgamuwa D, Wickramasinghe ND, Agampodi TC, Agampodi SB. Anaemia in pregnancy in the District of Anuradhapura, Sri Lanka- need for updating prevalence data& screening strategies.Ceylon Med J. 2012 Sep;57(3):101-6.
[5]	Annual report of health 2011(published by family health bureau)
[6]	Räisänen S, Kancherla V, Gissler M, Kramer MR, Heinonen S. Adverse Perinatal Outcomes Associated with Moderate or Severe Maternal Anaemia Based on Parity in Finland during 2006-10. Paediatr Perinat Epidemiol. 2014 Sep; 28(5):372-80.
[7]	Liu X, Zhang W Effect of maternal age on pregnancy: A retrospective cohort study. Chin MedJ (Eng1).2014; 127(12):2241-6
[8]	Dimetry SR, El-Tokhy HM, Abdo NM, Ebrahim MA, Eissa M. Urinary tract infection & adverse outcome of pregnancy Effect of maternal age on pregnancy: A retrospective cohort study. J Egypt Public health Assoc. 2007; 82 (3-4): 203-18.
[9]	Abeysena C,Jayawardana P,de A Seneviratne R. Maternal haemoglobin level at booking visit and its effect on adverse pregnancy outcome. AustNZJObstetGynaecol. 2010Oct;50 (5):423-7.
[10]	Gunawansa N, Randeniya C ,Clinical Obstetrics for Undergraduates , Rhesus Isoimmunization , March 2001

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Darshana I. L. A. N., Nanayakkara N. P., Fernando N. S., Mahendra R., Sandya L. M., et al. (2014). Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. European Journal of Preventive Medicine, 2(6), 105-109. https://doi.org/10.11648/j.ejpm.20140206.15

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Darshana I. L. A. N.; Nanayakkara N. P.; Fernando N. S.; Mahendra R.; Sandya L. M., et al. Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. Eur. J. Prev. Med. 2014, 2(6), 105-109. doi: 10.11648/j.ejpm.20140206.15

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AMA Style

Darshana I. L. A. N., Nanayakkara N. P., Fernando N. S., Mahendra R., Sandya L. M., et al. Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. Eur J Prev Med. 2014;2(6):105-109. doi: 10.11648/j.ejpm.20140206.15

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@article{10.11648/j.ejpm.20140206.15,
  author = {Darshana I. L. A. N. and Nanayakkara N. P. and Fernando N. S. and Mahendra R. and Sandya L. M. and De Silva P. V.},
  title = {Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka},
  journal = {European Journal of Preventive Medicine},
  volume = {2},
  number = {6},
  pages = {105-109},
  doi = {10.11648/j.ejpm.20140206.15},
  url = {https://doi.org/10.11648/j.ejpm.20140206.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20140206.15},
  abstract = {Introduction: This study was carried out to analyze the patterns and identify some co-relates of Hemoglobin levels and basic investigations (VDRL, UFR, Grouping & Rh) performed at booking visit during pregnancy. Methods: All pregnant mothers who attended the routine antenatal clinic for their booking visit in Bope Poddala MOH area from April 2013 to April 2014 were selected as the sample. Data were extracted from the records available in the Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka. Results Total number of mothers in the sample was 289. Of them, 7.3% were teenage mothers while those aged between 19-35yrs and above 35yrs constituted 82.0% and 10.7% respectively. The ethnic distribution of pregnant women is as follows; Sinhala 68.2% (197), Muslim 30.4% (88) and Tamil 1.4% (4). Their respective Hb levels were 12.15g/dl, 11.94g/dl and 10.82g/dl. The overall mean Hb level of pregnant mothers is 12.07 g/dl (SD=1.48). The mean Hb levels of teenage mothers, mothers aged between 19-35yrs and mothers above 35yrs were 11.65 (SD=1.29) g/dl, 12.07g/dl (SD=1.43) and 12.3 (SD=1.91) g/dl respectively. Accordingly, 22.8% among first trimester pregnant mothers were anemic. There was no association between age group (P value 0.438), ethnicity (P value 0.230) and parity (P value 0.291) of pregnant mothers with their Hb levels. Only 0.3% has a weakly reactive VDRL results and no one had a positive test. Out of total pregnant mothers 8.7% had pyuria and 4.5% had trace urine albumin levels at booking visit. Out of total pregnant mothers 91.7% was Rh positive and 8.3% was Rh negative. Conclusion This study shows that nearly quarter of first trimester pregnant mothers who presented at their booking visit to antenatal clinic were anemic. A considerable percentage had pyuria which is compatible with the global prevalence. Nutritional interventions for pre-pregnant women and educating pregnant women on prevention of urinary tract infections are recommended.},
 year = {2014}
}

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TY - JOUR
T1 - Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka
AU - Darshana I. L. A. N.
AU - Nanayakkara N. P.
AU - Fernando N. S.
AU - Mahendra R.
AU - Sandya L. M.
AU - De Silva P. V.
Y1 - 2014/12/02
PY - 2014
N1 - https://doi.org/10.11648/j.ejpm.20140206.15
DO - 10.11648/j.ejpm.20140206.15
T2 - European Journal of Preventive Medicine
JF - European Journal of Preventive Medicine
JO - European Journal of Preventive Medicine
SP - 105
EP - 109
PB - Science Publishing Group
SN - 2330-8230
UR - https://doi.org/10.11648/j.ejpm.20140206.15
AB - Introduction: This study was carried out to analyze the patterns and identify some co-relates of Hemoglobin levels and basic investigations (VDRL, UFR, Grouping & Rh) performed at booking visit during pregnancy. Methods: All pregnant mothers who attended the routine antenatal clinic for their booking visit in Bope Poddala MOH area from April 2013 to April 2014 were selected as the sample. Data were extracted from the records available in the Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka. Results Total number of mothers in the sample was 289. Of them, 7.3% were teenage mothers while those aged between 19-35yrs and above 35yrs constituted 82.0% and 10.7% respectively. The ethnic distribution of pregnant women is as follows; Sinhala 68.2% (197), Muslim 30.4% (88) and Tamil 1.4% (4). Their respective Hb levels were 12.15g/dl, 11.94g/dl and 10.82g/dl. The overall mean Hb level of pregnant mothers is 12.07 g/dl (SD=1.48). The mean Hb levels of teenage mothers, mothers aged between 19-35yrs and mothers above 35yrs were 11.65 (SD=1.29) g/dl, 12.07g/dl (SD=1.43) and 12.3 (SD=1.91) g/dl respectively. Accordingly, 22.8% among first trimester pregnant mothers were anemic. There was no association between age group (P value 0.438), ethnicity (P value 0.230) and parity (P value 0.291) of pregnant mothers with their Hb levels. Only 0.3% has a weakly reactive VDRL results and no one had a positive test. Out of total pregnant mothers 8.7% had pyuria and 4.5% had trace urine albumin levels at booking visit. Out of total pregnant mothers 91.7% was Rh positive and 8.3% was Rh negative. Conclusion This study shows that nearly quarter of first trimester pregnant mothers who presented at their booking visit to antenatal clinic were anemic. A considerable percentage had pyuria which is compatible with the global prevalence. Nutritional interventions for pre-pregnant women and educating pregnant women on prevention of urinary tract infections are recommended.
VL - 2
IS - 6
ER -

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Author Information

Darshana I. L. A. N.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka
Nanayakkara N. P.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka
Fernando N. S.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka
Mahendra R.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka
Sandya L. M.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka
De Silva P. V.

Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka

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APA Style

Darshana I. L. A. N., Nanayakkara N. P., Fernando N. S., Mahendra R., Sandya L. M., et al. (2014). Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. European Journal of Preventive Medicine, 2(6), 105-109. https://doi.org/10.11648/j.ejpm.20140206.15

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ACS Style

Darshana I. L. A. N.; Nanayakkara N. P.; Fernando N. S.; Mahendra R.; Sandya L. M., et al. Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. Eur. J. Prev. Med. 2014, 2(6), 105-109. doi: 10.11648/j.ejpm.20140206.15

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AMA Style

Darshana I. L. A. N., Nanayakkara N. P., Fernando N. S., Mahendra R., Sandya L. M., et al. Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka. Eur J Prev Med. 2014;2(6):105-109. doi: 10.11648/j.ejpm.20140206.15

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@article{10.11648/j.ejpm.20140206.15,
  author = {Darshana I. L. A. N. and Nanayakkara N. P. and Fernando N. S. and Mahendra R. and Sandya L. M. and De Silva P. V.},
  title = {Problems Identified in Antenatal Screening in Bope Poddala, Sri Lanka},
  journal = {European Journal of Preventive Medicine},
  volume = {2},
  number = {6},
  pages = {105-109},
  doi = {10.11648/j.ejpm.20140206.15},
  url = {https://doi.org/10.11648/j.ejpm.20140206.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20140206.15},
  abstract = {Introduction: This study was carried out to analyze the patterns and identify some co-relates of Hemoglobin levels and basic investigations (VDRL, UFR, Grouping & Rh) performed at booking visit during pregnancy. Methods: All pregnant mothers who attended the routine antenatal clinic for their booking visit in Bope Poddala MOH area from April 2013 to April 2014 were selected as the sample. Data were extracted from the records available in the Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka. Results Total number of mothers in the sample was 289. Of them, 7.3% were teenage mothers while those aged between 19-35yrs and above 35yrs constituted 82.0% and 10.7% respectively. The ethnic distribution of pregnant women is as follows; Sinhala 68.2% (197), Muslim 30.4% (88) and Tamil 1.4% (4). Their respective Hb levels were 12.15g/dl, 11.94g/dl and 10.82g/dl. The overall mean Hb level of pregnant mothers is 12.07 g/dl (SD=1.48). The mean Hb levels of teenage mothers, mothers aged between 19-35yrs and mothers above 35yrs were 11.65 (SD=1.29) g/dl, 12.07g/dl (SD=1.43) and 12.3 (SD=1.91) g/dl respectively. Accordingly, 22.8% among first trimester pregnant mothers were anemic. There was no association between age group (P value 0.438), ethnicity (P value 0.230) and parity (P value 0.291) of pregnant mothers with their Hb levels. Only 0.3% has a weakly reactive VDRL results and no one had a positive test. Out of total pregnant mothers 8.7% had pyuria and 4.5% had trace urine albumin levels at booking visit. Out of total pregnant mothers 91.7% was Rh positive and 8.3% was Rh negative. Conclusion This study shows that nearly quarter of first trimester pregnant mothers who presented at their booking visit to antenatal clinic were anemic. A considerable percentage had pyuria which is compatible with the global prevalence. Nutritional interventions for pre-pregnant women and educating pregnant women on prevention of urinary tract infections are recommended.},
 year = {2014}
}

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