Maternal and fetal outcome after severe anemia in pregnancy in rural Ghana

Abstract

Background. Anemia in pregnancy contributes to poor outcome for mother and child in low-income countries. This study analyzes adverse maternal and fetal outcome after severe anemia in pregnancy in rural Ghana. Methods. A cohort study in two (sub)district hospitals, including 157 pregnant women exposed to severe anemia (Hb 2 (OR 2.8; 95%CI 1.5-5.3), and number of antenatal visits at least 4 (OR 2.0; 95%CI 1.1-3.7). Conclusions. Severe anemia in pregnancy results in relatively poor maternal and fetal outcome. Apparently maternal risks increase prior to fetal risks. In order to improve maternal and fetal outcome, it is recommended that district hospitals in low-income countries make prevention, early diagnosis, and treatment of severe anemia in pregnancy a priority. © 2006 Taylor & Francis.